Clinical assessment of pediatric obstructive sleep apnea

Pediatrics
Nira A GoldsteinMadu Rao

Abstract

To determine whether children with a clinical assessment suggestive of obstructive sleep apnea (OSA) but with negative polysomnography (PSG) have improvement in their clinical assessment score after tonsillectomy and adenoidectomy (T&A) as compared with similar children who do not undergo surgery. In a prospective, randomized, investigator-blinded, controlled trial, 59 otherwise healthy children (mean age: 6.3 years [3.0]; 31 boys, 28 girls) with a clinical diagnosis of OSA (clinical assessment score 40) were recruited from the pediatric otolaryngology and pediatric pulmonary private offices and clinics of a tertiary care, academic medical center. A standardized assessment was performed on all patients, including history, physical examination, voice recording, tape recording of breathing during sleep, lateral neck radiograph, echocardiogram, and PSG. A clinical assessment score was assigned. Children with positive PSG (n = 27) were scheduled for T&A, whereas children with negative PSG (n = 29) were randomized to T&A (n = 15) or no surgery (n = 14). Children were reassessed in an identical manner at a planned 6-month follow-up. Follow-up was available for 21 patients with positive PSG, 11 patients with negative PSG randomized to...Continue Reading

References

Nov 1, 1992·The American Review of Respiratory Disease·C L MarcusS L Ward
Sep 1, 1992·Archives of Otolaryngology--head & Neck Surgery·S A McColleyG M Loughlin
Jul 1, 1992·Archives of Otolaryngology--head & Neck Surgery·J LeachS Manning
Mar 1, 1991·American Journal of Diseases of Children·L D HammerS M Dornbusch
Dec 1, 1989·Pediatric Clinics of North America·L Brodsky
Apr 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·W P PotsicL M Miller
Jul 1, 1984·The Journal of Pediatrics·R BrouiletteC Hunt
Jan 1, 1982·The Journal of Pediatrics·R T BrouilletteC E Hunt
Jan 1, 1981·Lung·C GuilleminaultR Winkle
Jul 1, 1980·The Laryngoscope·M A RichardsonM Kramer
May 1, 1995·Archives of Otolaryngology--head & Neck Surgery·J S SuenL J Brooks
Nov 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·N A GoldsteinD M Rapoport
Jul 1, 1994·Archives of Disease in Childhood·N J AliJ R Stradling
Jul 1, 1993·American Journal of Otolaryngology·A W KummerS R Shott
Mar 1, 1993·Archives of Disease in Childhood·N J AliJ R Stradling
Feb 1, 1996·American Journal of Respiratory and Critical Care Medicine
Oct 1, 1996·The European Respiratory Journal·Y SivanT Schonfeld
Dec 10, 1997·Current Opinion in Pulmonary Medicine·M G Greene, J L Carroll
Dec 10, 1997·Current Opinion in Pulmonary Medicine·C L Marcus
Feb 5, 1998·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R C WangD Hubbard
May 1, 1998·American Journal of Respiratory and Critical Care Medicine·C L MarcusJ L Carroll
Aug 26, 1998·Pediatric Pulmonology·C L MarcusG M Loughlin
Jan 23, 1999·Archives of Pediatrics & Adolescent Medicine·Z SoultanR E Kravath
Apr 6, 1999·Archives of Otolaryngology--head & Neck Surgery·A H Messner
Jul 16, 1999·Archives of Otolaryngology--head & Neck Surgery·M L LalakeaA H Messner
Apr 20, 2000·Archives of Otolaryngology--head & Neck Surgery·P NieminenH Löppönen
Apr 20, 2000·Archives of Otolaryngology--head & Neck Surgery·N A GoldsteinT F Campbell
May 11, 2002·Archives of Otolaryngology--head & Neck Surgery·Lianne M De SerresAlan D Weinberg
Jul 16, 2002·Archives of Otolaryngology--head & Neck Surgery·Nira A GoldsteinRichard M Rosenfeld
Aug 6, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Duncan S Postma, Fain Folsom

❮ Previous
Next ❯

Citations

Oct 20, 2005·Pediatric Cardiology·S E HeroldG Z Lovrekovic
Feb 14, 2012·Sleep & Breathing = Schlaf & Atmung·Amelia I GillBarbara C Galland
May 27, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanHsueh-Wen Chang
Nov 12, 2005·Current Opinion in Otolaryngology & Head and Neck Surgery·R Mark Ray, Charles M Bower
Sep 14, 2006·Current Opinion in Pediatrics·Jianghong Liu, Adrian Raine
Nov 14, 2008·Current Opinion in Pediatrics·Leila Kheirandish-Gozal, David Gozal
Feb 6, 2009·Journal of Pediatric Hematology/oncology·Aziza SedrakMadu Rao
Apr 30, 2005·BMJ : British Medical Journal·Suresh Kotagal
Mar 5, 2009·Journal of Developmental and Behavioral Pediatrics : JDBP·Eeva T AronenAnne Pitkäranta
Dec 1, 2008·Expert Review of Respiratory Medicine·Supriya Jambhekar, John L Carroll
Aug 3, 2013·Pediatric Clinics of North America·Nathan S Alexander, James W Schroeder
Nov 13, 2012·Acta otorrinolaringológica española·Eduard EstellerJoan Manel Ademà
Jan 10, 2012·Current Problems in Pediatric and Adolescent Health Care·Gwynne D Church
Jun 30, 2009·Acta otorrinolaringológica española·José A Maltrana-GarcíaAlberto Ortiz-García
Dec 3, 2011·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Nelly T HuynhClaude Remise
Jun 19, 2008·Archivos de bronconeumología·María Luz Alonso AlvarezRafael Pelayo
Oct 1, 2010·International Journal of Pediatric Otorhinolaryngology·Jason MangiardiNira A Goldstein
Sep 11, 2010·International Journal of Pediatric Otorhinolaryngology·Sema Zer TorosErol Egeli
Jul 30, 2014·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Elisabeth EricssonElisabeth Hultcrantz
Dec 1, 2007·Journal of the American Academy of Child and Adolescent Psychiatry·James E DillonRonald D Chervin
May 29, 2007·International Journal of Pediatric Otorhinolaryngology·James A Merrell, Sally R Shott
Apr 25, 2007·The Journal of Pediatrics·Evelyn ConstantinRobert T Brouillette
Jan 24, 2007·International Journal of Pediatric Otorhinolaryngology·D J TweedieD M Albert
Nov 23, 2006·Brazilian Journal of Otorhinolaryngology·Regina Terse Trindade RamosAlmerio de Souza Machado Júnior
Jul 4, 2009·Paediatric Anaesthesia·Jerrold Lerman
Apr 29, 2008·The Laryngoscope·David E TunkelLaura M Sterni
Oct 18, 2013·Journal of Paediatrics and Child Health·Nicholas M Fitzgerald, Dominic A Fitzgerald
Aug 14, 2012·The Laryngoscope·Victor CertalAltamiro Costa-Pereira
Aug 15, 2012·The Laryngoscope·Nira A GoldsteinJeremy Weedon
Oct 19, 2013·Journal of Paediatrics and Child Health·Evan TanBarbara Galland
Jul 14, 2010·Sleep Medicine·David Gozal, Leila Kheirandish-Gozal
Dec 3, 2014·Sleep Medicine Reviews·Monique A SlaatsStijn L Verhulst
Sep 24, 2013·International Journal of Pediatric Otorhinolaryngology·Anna BorgströmDanielle Friberg
Jan 3, 2015·International Journal of Pediatric Otorhinolaryngology·Victor CertalAltamiro Costa-Pereira
Aug 20, 2016·European Journal of Public Health·Anni MattilaMarja-Liisa Laitala
May 14, 2010·Arquivos de neuro-psiquiatria·Clarisse PotaszGilmar Fernandes do Prado
Feb 26, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Martin J BurtonRichard M Rosenfeld
Nov 19, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·David E Tunkel
Oct 16, 2015·The Cochrane Database of Systematic Reviews·Roderick P VenekampAnne Gm Schilder
Nov 10, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Rebekah LuoElizabeth Schaughency

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