+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Snoring children: factors predicting sleep apnea



Snoring children: factors predicting sleep apnea



Acta Oto-Laryngologica. Supplementum 529: 190-194



Many snoring children present obstructive symptoms according to their parents. The seriousness of the symptoms and the possibility of the obstructive sleep apnea syndrome (OSAS) in these children may be difficult to judge on the basis of the clinical findings and the patient's history only. In order to evaluate snoring children's relative risk (RR) to have OSAS, their symptoms and signs, as reported by the parents, and clinical findings were compared with the results of overnight polysomnography (PSG). An obstructive apnea index (AI) > or = 1 in PSG was regarded as the criterion for OSAS. The mean AI was 1.55 (range 0-15), and 29 children had a pathological AI, while 49 had a normal PSG recording. Apneic episodes every night detected by the parents was the most important single risk factor for OSAS (RR 3.6, 95% confidence interval (CI) 1.7-7.7). The RR ratio decreased when apneas appeared less frequently, but any detected apnea was still a single risk factor (RR 1.4, CI 1.2-1.8). The other risk factors of night-time symptoms were constant snoring (RR 1.5, CI 1.0-2.1) and restless sleep (RR 2.1, CI 1.1-4.0). Of the daytime symptoms, absence of excessive sleepiness was a protective factor against OSAS (RR 0.3, CI 0.1-1.0). Previous adenoidectomy was found to be a risk factor (RR 1.7, CI 1.1-2.7), as was tonsillar enlargement (RR 1.4, CI 1.1-1.8). These two findings suggest that the epipharyngeal space does not play a central role in the development of OSAS in children. OSAS cannot be reliably diagnosed without PSG, which is the most important examination for snoring children with obstructive symptoms. For clinical decisions, the consideration of risk factors is essential.

(PDF emailed within 0-6 h: $19.90)

Accession: 047388703

Download citation: RISBibTeXText

PMID: 9288307

DOI: 10.3109/00016489709124119


Related references

Snoring and obstructive sleep apnea in Thai school-age children: prevalence and predisposing factors. Pediatric Pulmonology 32(3): 222-227, 2001

Ask the doctors. I have always had a snoring problem and recently underwent a sleep test at the insistence of my wife. I was diagnosed as having sleep apnea. We have read about the connection between sleep apnea and heart disease, and now we are both concerned. Will treating my sleep apnea reduce my heart risk?. Harvard Heart Letter 23(5): 2-2, 2013

Videoradiography of patients with habitual snoring and/or sleep apnea. Technical description and presentation of videoradiographic results during sleep concerning occurrence of apnea, type of apnea, and site of obstruction. Acta Radiologica 37(3 Pt 1): 307-314, 1996

Predicting Obstructive Sleep Apnea with Periodic Snoring Sound Recorded at Home. Journal of Clinical Sleep Medicine 12(7): 953-958, 2017

Diagnostic accuracy of the Spanish version of the Pediatric Sleep Questionnaire for screening of obstructive sleep apnea in habitually snoring children. Sleep Medicine 16(5): 631-636, 2016

Treatment of sleep apnea and snoring in children. Acta Oto-Laryngologica. Supplementum 523: 234-235, 1996

Snoring and obstructive sleep apnea in children. Fairbanks, D N F , S Fujita, T Ikematsu And F B Simmons Snoring And Obstructive Sleep Apnea Ix+268p Raven Press: New York, New York, Usa Illus 245-258, 1987

Will "snoring children" become adults with sleep apnea?. Lakartidningen 91(49): 4632-4633, 1994

Sleep apnea and snoring as risk factors for mortality. Medical Section Proceedings 95-97, 1985

What are the new active vaccine recommendations in the Canadian Immunization Guide?. Canada Communicable Disease Report 40(8): 154-158, 2018

Sleep apnea and snoring put your heart health at risk. Research shows sleep apnea contributes to a buildup of non-calcified plaque in the arteries. Heart Advisor 14(2): 4-4, 2012

Obstructive sleep apnea and primary snoring in children with epilepsy. Journal of Child Neurology 28(1): 77-82, 2013

Identification of obstructive sleep apnea syndrome in snoring children. Pediatric Research 37(4 PART 2): 146A, 1994

Obstructive sleep apnea and history of asthma in snoring children. Sleep & Breathing 12(4): 381-392, 2008

Sleep apnea syndrome and snoring in children: diagnosis and evaluation. Revue des Maladies Respiratoires 23 Spec No 2: 7s124-7s127, 2006