Obstructive sleep apnea in sleepy pediatric psychiatry clinic patients: polysomnographic and clinical correlates

Sleep & Breathing = Schlaf & Atmung
J F PagelDawn Dawson

Abstract

To assess the incidence of polysomnographically defined obstructive sleep apnea (OSA) in pediatric psychiatric clinic patients reporting daytime sleepiness on questionnaire, and to identify diagnostic correlates for OSA in this grouping. Prospective and observational. Outpatient pediatric psychiatry clinic, outpatient sleep medicine clinic, AASM-accredited hospital-based sleep laboratory. Children aged 3 to 16 years, reporting daytime sleepiness on questionnaire (N = 74); exclusions: adenotonsillectomy and trisomy 21. Parents and children completed a questionnaire designed and validated for identifying pediatric patients with OSA at the pediatric psychiatry clinic. Patients with at least one positive response as to daytime sleepiness (N = 74) were referred for a history and physical by a board-certified sleep medicine physician before in-hospital polysomnography utilizing a routine apnea montage with parent or legal guardian sleeping in room. Mean apnea-hypopnea index (AHI) for this pediatric psychiatry clinic grouping was 5.5. Of these patients, 39.2% had an AHI > 5.0. Mean AHI for patients with attention deficit/hyperactivity disorder (AD/HD) was 7.1; without AD/HD it was 4.5 (p < 0.05). Mean AHI for patients with tonsillar h...Continue Reading

References

Nov 1, 1992·The American Review of Respiratory Disease·C L RosenG G Haddad
Jun 1, 1983·Journal of Developmental and Behavioral Pediatrics : JDBP·M WeissbluthJ Reiff
Feb 1, 1984·Journal of Developmental and Behavioral Pediatrics : JDBP·J F Simonds, H Parraga
Jul 1, 1984·The Journal of Pediatrics·R BrouiletteC Hunt
Jan 1, 1981·Lung·C GuilleminaultR Winkle
May 1, 1995·Archives of Otolaryngology--head & Neck Surgery·J S SuenL J Brooks
Mar 1, 1993·Archives of Disease in Childhood·N J AliJ R Stradling
Dec 10, 1997·Current Opinion in Pulmonary Medicine·M G Greene, J L Carroll
Jul 2, 1998·Journal of Developmental and Behavioral Pediatrics : JDBP·A C MarcotteM A Carskadon
Aug 28, 1998·International Journal of Pediatric Otorhinolaryngology·T ShintaniA Kataura
May 6, 1999·American Journal of Respiratory and Critical Care Medicine·S RedlineG Graham
Mar 5, 2002·Pediatrics·Ronald D ChervinChristian Guilleminault
Apr 3, 2002·Pediatrics·Michael S Schechter, UNKNOWN Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome

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Citations

Jul 7, 2011·International Journal of General Medicine·Serge Brand, Roumen Kirov
Nov 16, 2013·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Elif YilmazDavid S Bennett

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