Features of Obstructive Sleep Apnea in Children with and without Comorbidities

被引：4

作者：

Chiner, Eusebi ^{[1
]}

Sancho-Chust, Jose N. N. ^{[1
]}

Pastor, Esther ^{[1
]}

Esteban, Violeta ^{[1
]}

Boira, Ignacio ^{[1
]}

Castello, Carmen ^{[1
]}

Celis, Carly ^{[1
]}

Vanes, Sandra ^{[1
]}

Torba, Anastasiya ^{[1
]}

机构：

[1] San Juan Alicante Univ Hosp, Pulmonol Dept, Multidisciplinary Sleep Clin, Alicante 03550, Spain

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 06期

关键词：

childhood sleep apnea; adenotonsillar hypertrophy; concomitant disease; predisposing factors; DIAGNOSIS; TONSILLECTOMY; ASSOCIATION; OBESITY;

D O I：

10.3390/jcm12062418

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: To compare the clinical and polysomnographic features of obstructive sleep apnea (OSA) in children with adenotonsillar hypertrophy (Group A) and comorbidities (Group B). Methods: A five-year prospective study using nocturnal polysomnography before and after treatment. Results: We included 168 patients: 121 in Group A and 47 in Group B, with differences in age (6.5 +/- 3 vs. 8.6 +/- 4 years; p < 0.001), body mass index (BMI) (18 +/- 4 vs. 20 +/- 7 kg/m2; p < 0.05), neck circumference (28 +/- 4 vs. 30 +/- 5 cm; p < 0.05), and obesity (17% vs. 30%; p < 0.05). Group B patients were more likely to have facial anomalies (p < 0.001), macroglossia (p < 0.01), dolichocephaly (p < 0.01), micrognathia (p < 0.001), and prognathism (p < 0.05). Adenotonsillectomy was performed in 103 Group A patients (85%) and 28 Group B patients (60%) (p < 0.001). In B, 13 children (28%) received treatment with continuous positive airway pressure (CPAP) and 2 (4%) with bilevel positive airway pressure (BiPAP), compared with 7 in Group A (6%) (p < 0.001). Maxillofacial surgery was more common in Group B (p < 0.01). Clinical and polysomnography parameters improved significantly in both groups after therapeutic intervention, though Group A showed better results. Conclusions: Obesity and facial anomalies are more frequent in childhood OSA patients with comorbidities, who often require combination therapy, such as ventilation and surgery.

引用

页数：11