Trends in Diagnosing Obstructive Sleep Apnea in Pediatrics

被引:32
作者
Kang, Mandip [1 ]
Mo, Fan [1 ]
Witmans, Manisha [2 ]
Santiago, Vicente [3 ]
Tablizo, Mary Anne [1 ,4 ,5 ]
机构
[1] Univ Calif San Francisco Fresno, Dept Med, Fresno, CA 93701 USA
[2] Univ Alberta, Fac Med & Dent, Dept Pediat, Edmonton, AB T6G 2R3, Canada
[3] Kaiser Permanente Hlth Care Syst, Frenso, CA 93726 USA
[4] Stanford Univ, Dept Pediat, Palo Alto, CA 94304 USA
[5] Valley Childrens Hosp, Dept Pediat, Madera, CA 93720 USA
来源
CHILDREN-BASEL | 2022年 / 9卷 / 03期
关键词
pediatrics; obstructive sleep apnea; diagnostics; polysomnography; RESPIRATORY INDICATIONS; OBESE CHILDREN; POLYSOMNOGRAPHY; CHILDHOOD; ACCURACY; ADENOTONSILLECTOMY; FEASIBILITY;
D O I
10.3390/children9030306
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Obstructive sleep apnea in children has been linked with behavioral and neurocognitive problems, impaired growth, cardiovascular morbidity, and metabolic consequences. Diagnosing children at a young age can potentially prevent significant morbidity associated with OSA. Despite the importance of taking a comprehensive sleep history and performing thorough physical examination to screen for signs and symptoms of OSA, these findings alone are inadequate for definitively diagnosing OSA. In-laboratory polysomnography (PSG) remains the gold standard of diagnosing pediatric OSA. However, there are limitations related to the attended in-lab polysomnography, such as limited access to a sleep center, the specialized training involved in studying children, the laborious nature of the test and social/economic barriers, which can delay diagnosis and treatment. There has been increasing research about utilizing alternative methods of diagnosis of OSA in children including home sleep testing, especially with the emergence of wearable technology. In this article, we aim to look at the presentation, physical exam, screening questionnaires and current different modalities used to aid in the diagnosis of OSA in children.
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页数:10
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