International Pediatric Otolaryngology group (IPOG) consensus on the diagnosis and management of pediatric obstructive sleep apnea (OSA)

被引:47
作者
Benedek, Palma [1 ]
Balakrishnan, Karthik [2 ]
Cunningham, Michael J. [3 ]
Friedman, Norman R. [4 ]
Goudy, Steven L. [5 ,6 ]
Ishman, Stacey L. [7 ]
Katona, Gabor [1 ]
Kirkham, Erin M. [8 ]
Lam, Derek J. [9 ]
Leboulanger, Nicolas [10 ]
Lee, Gi Soo [3 ]
Le Treut, Claire [11 ]
Mitchell, Ron B. [12 ]
Muntz, Harlan R. [13 ,14 ]
Musso, Mary Fances [15 ]
Parikh, Sanjay R. [16 ]
Rahbar, Reza [3 ]
Roy, Soham [17 ]
Russell, John [18 ]
Sidell, Douglas R. [2 ]
Sie, Kathleen C. Y. [16 ]
Smith, Richard J. H. [19 ]
Soma, Marlene A. [20 ]
Wyatt, Michelle E. [21 ]
Zalzal, George [22 ]
Zur, Karen B. [23 ]
Boudewyns, An [24 ]
机构
[1] Heim Pal Natl Pediat Inst, Ear Nose Throat Dept, Budapest, Hungary
[2] Stanford Univ, Lucile Packard Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Aerodigest & Airway Reconstruct Ctr, Stanford, CA 94305 USA
[3] Harvard Med Sch, Boston Childrens Hosp, Dept Otolaryngol & Commun Enhancement, Boston, MA 02115 USA
[4] Univ Colorado, Childrens Hosp Colorado, Dept Pediat Otolaryngol, Anschutz Med Campus, Aurora, CO USA
[5] Emory Univ, Atlanta, GA 30322 USA
[6] Childrens Healthcare Atlanta, Dept Otolaryngol Head & Neck Surg, Atlanta, GA USA
[7] Univ Cincinnati, Coll Med, Cincinnati Childrens Hosp Med Ctr, Dept Otolaryngol Head & Neck Surg, Cincinnati, OH USA
[8] Michigan Med, Pediat Otolaryngol, Ann Arbor, MI USA
[9] Oregon Hlth & Sci Univ, Dept Otolaryngol Head & Neck Surg, Portland, OR 97201 USA
[10] Univ Paris, Necker Enfants Malade Hosp, Pediat Otolaryngol Head & Neck Dept, Paris, France
[11] Aix Marseille Univ, La Timone Childrens Hosp, Pediat Otolaryngol Head & Neck Surg, Marseille, France
[12] UT Southwestern & Childrens Med Ctr Dallas, Dept Otolaryngol Head & Neck Surg, Dallas, TX USA
[13] Univ Utah, Salt Lake City, UT USA
[14] Primary Childrens Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Salt Lake City, UT USA
[15] Texas Childrens Hosp, Baylor Coll Med, Div Pediat Otolaryngol, Bobby R Alford Dept Otolaryngol, Houston, TX 77030 USA
[16] Univ Washington, Dept Otolaryngol Head & Neck Surg, Seattle Childrens Hosp, Seattle, WA 98195 USA
[17] Univ Texas Houston, Houston McGovern Med Sch, Dept Otolaryngol, Div Pediat Otolaryngol, Houston, TX USA
[18] Childrens Hlth Ireland Crumlin, Dept Pediat Otolaryngol, Dublin, Ireland
[19] Univ Iowa, Dept Otolaryngol Head & Neck Surg, Carver Coll Med, Iowa City, IA 52242 USA
[20] Sydney Childrens Hosp, Pediat Otolaryngol, Sydney, NSW, Australia
[21] Great Ormond St Hosp Sick Children, Dept Paediat Otolaryngol, London, England
[22] George Washington Univ, Childrens Natl Med Ctr, Dept Otolaryngol Head & Neck Surg, Washington, DC USA
[23] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Dept Otolaryngol Head & Neck Surg, Philadelphia, PA 19104 USA
[24] Antwerp Univ Antwerp, Univ Antwerp, Dept Otolaryngol Head & Neck Surg, Antwerp, Belgium
关键词
Adenotonsillectomy; Endoscopy; Pediatric; Polysomnography; Obstructive sleep apnea; Treatment; TREATMENT OUTCOMES; CHILDREN; TONSILLECTOMY; ADENOTONSILLECTOMY; ENDOSCOPY; POLYSOMNOGRAPHY; ADENOIDECTOMY; TONSILLOTOMY; GROWTH; TREAT;
D O I
10.1016/j.ijporl.2020.110276
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: To develop an expert-based consensus of recommendations for the diagnosis and management of pediatric obstructive sleep apnea. Methods: A two-iterative Delphi method questionnaire was used to formulate expert recommendations by the members of the International Pediatric Otolaryngology Group (IPOG). Results: Twenty-six members completed the survey. Consensus recommendations (>90% agreement) are formulated for 15 different items related to the clinical evaluation, diagnosis, treatment, postoperative management and follow-up of children with OSA. Conclusion: The recommendations formulated in this IPOG consensus statement may be used along with existing clinical practice guidelines to improve the quality of care and to reduce variation in care for children with OSA.
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页数:7
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