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Published on: July 14, 2023
Snoring in infancy
1Department of Women and Child Health, Karolinska Institute, Stockholm, Sweden. josef.milerad@lakartidningen.se
Insights
Obstructive sleep apnoea (OSAS) in infants may increase the risk of sudden infant death (SIDS). Current guidelines exclude infants under one year, leaving a gap in diagnosis and SIDS prevention strategies.
Area of Science:
- Pediatrics
- Sleep Medicine
- Public Health
Background:
- Obstructive sleep apnoea (OSAS) in infants is a recognized risk factor for sudden infant death (SIDS).
- Snoring in young children warrants suspicion for OSAS.
- Recent American Academy of Pediatrics (AAP) guidelines recommend polysomnography for selected cases.
Discussion:
- Infants under one year of age are excluded from current AAP guidelines for OSAS diagnosis.
- The role of respiratory monitoring in preventing SIDS in infants remains controversial.
- There is a scarcity of evidence regarding OSAS management in infants under one year.
Key Insights:
- OSAS in infants is linked to SIDS risk.
- Diagnostic guidelines for OSAS exclude infants under 1 year.
- Evidence for SIDS prevention via respiratory monitoring in infants is limited.
Outlook:
- Further research is needed to address the diagnostic and management gap for OSAS in infants under one year.
- Developing evidence-based interventions for SIDS prevention in this age group is crucial.
- Clarifying the role of respiratory monitoring in infant SIDS prevention requires more investigation.
Abstract:
Obstructive sleep apnoea (OSAS) in infants is a risk factor for sudden infant death (SIDS). Snoring in a young child should raise suspicion of OSAS, and according to recent AAP guidelines, evaluation and polysomnographic studies are recommended in selected cases as the diagnostic test of choice. However, infants under 1 y of age are excluded from the guidelines, and interventions to prevent SIDS based on respiratory monitoring remains a matter of controversy. As often happens, the evidence we need most is usually scarce.
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