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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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Published on: December 6, 2016

Cognitive function and behavior of children with adenotonsillar hypertrophy suspected of having obstructive

Paul M Suratt1, Mario Peruggia, Lynn D'Andrea

  • 1Department of Internal Medicine, Pulmonary Critical Care Division, University of Virginia Medical Center, Charlottesville, Virginia 22908, USA. ps4p@virginia.edu

Pediatrics
|August 9, 2006
PubMed

Insights

Children

Area of Science:

  • Pediatric Sleep Medicine
  • Neuropsychology
  • Otolaryngology

Background:

  • Adenotonsillar hypertrophy is common in children.
  • Obstructive sleep-disordered breathing (OSDB) can affect children's health.
  • Cognitive impairment is a potential consequence of OSDB.

Purpose of the Study:

  • To determine if cognitive function risks in children with adenotonsillar hypertrophy and suspected OSDB can be predicted.
  • To evaluate historical and polysomnographic variables for predictive value.
  • To assess the combined predictive power of these variables.

Main Methods:

  • 114 children (6-12 years) with adenotonsillar hypertrophy and suspected OSDB were studied.
  • Methods included questionnaires, tonsil size assessment, cognitive tests, and polysomnography.
  • Nasal pressure recording was used to detect airflow during sleep.

Main Results:

  • Snoring history, sleep efficiency, and race significantly related to general cognitive tests.
  • Sleep latency and sleep efficiency showed weaker links to memory and behavior indices.
  • Apnea-hypopnea index predicted vocabulary score but not other cognitive/behavioral measures; tonsil size was not predictive.

Conclusions:

  • Cognitive and behavioral risks are predictable using snoring history, sleep efficiency, sleep latency, and race.
  • Combining snoring history with polysomnography improved prediction of cognitive scores.
  • Snoring history was a stronger predictor of cognitive scores than apnea-hypopnea index.
Abstract

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