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Published on: December 6, 2016
Obstructive sleep apnea syndrome in children: controversies in diagnosis and treatment
1Department of Pediatrics, Case University School of Medicine, Cleveland, OH 44122, USA. carol.rosen@case.edu
Insights
Childhood obstructive sleep apnea syndrome (OSAS) is common but often missed, leading to serious health issues. This review addresses current uncertainties and future research needs for better diagnosis and treatment.
Area of Science:
- Pediatrics
- Sleep Medicine
- Clinical Practice Guidelines
Background:
- Obstructive sleep apnea syndrome (OSAS) is a prevalent yet underdiagnosed condition in children.
- Undiagnosed and untreated OSAS can lead to significant pediatric morbidities.
- The American Academy of Pediatrics has released a clinical practice guideline for childhood OSAS.
Purpose of the Study:
- To review current controversies and uncertainties in childhood OSAS diagnosis and management.
- To update readers on recent publications regarding pediatric OSAS.
- To identify key areas for future clinical research in childhood OSAS.
Main Methods:
- Review of existing literature and recent publications on childhood OSAS.
- Analysis of areas of controversy and uncertainty in current standards of practice.
- Identification of gaps in knowledge and future research directions.
Main Results:
- Significant areas of controversy and uncertainty persist, hindering definitive practice standards.
- Recent publications offer updated insights into diagnosis and treatment strategies.
- Future research is needed to address current knowledge gaps.
Conclusions:
- Further research is essential to refine diagnostic criteria and treatment protocols for childhood OSAS.
- Addressing uncertainties will lead to more definitive standards of care for pediatric patients.
- Improved understanding and management of childhood OSAS are critical to prevent long-term health consequences.
Abstract:
Obstructive sleep apnea syndrome (OSAS) is a common, under-recognized condition in childhood with significant morbidities if undiagnosed and untreated. The American Academy of Pediatrics recently issued a clinical practice guideline for the diagnosis and management of childhood OSAS. It was accompanied by a comprehensive evidence-based technical report that summarized the available literature supporting the guideline. The current review highlights areas of controversy and uncertainty that limit the development of more definitive standards of practice, updates the reader to several newer publications relevant to diagnosis and treatment of childhood OSAS, and identifies future directions for clinical research.
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