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Published on: April 28, 2020
[Analysis of respiration events of sleep disordered breathing in children]
Fan Lou1, Jianyun Lin, Ruiqing Liu
1Department of Otorhinolaryngology, the Children's Hospital, Kunming, 650000, China. abuilding79@yahoo.cn
Insights
Pediatric sleep disordered breathing events predominantly occur during REM sleep, with hypopnea events being more frequent than apnea events. Further research is needed for diagnosing obstructive sleep apnea hypopnea syndrome in children.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Respiratory Physiology
Context:
- Sleep disordered breathing (SDB) is prevalent in children.
- Snoring is a common symptom requiring investigation.
- Polysomnography is the gold standard for diagnosing SDB.
Purpose:
- To characterize respiration events in pediatric sleep disordered breathing.
- To compare event characteristics between REM and NREM sleep.
- To evaluate differences between apnea and hypopnea events.
Summary:
- A study of 203 snoring children using polysomnography revealed distinct patterns in SDB events.
- Respiration events were significantly more frequent during REM sleep compared to NREM sleep.
- A significant difference was observed in the mean values between apnea and hypopnea events (P<0.01), with hypopnea being more prevalent.
Impact:
- Findings highlight the importance of REM sleep in pediatric SDB.
- The study suggests hypopnea is a more common event than apnea in this population.
- Results indicate a need for further research into diagnostic criteria for obstructive sleep apnea hypopnea syndrome in children, specifically regarding the apnea index (AI).
Objective:
To analyze the characteristics of respiration events of sleep disordered breathing in children.
Method:
Thirty-two guide polysomnography was monitored in 203 snoring children. According to AHI and AI, they were divided into five groups and the results were analyzed by polysmith.
Result:
The mean value of REM was higher than that of NREM. The mean value between apnea and hypopnea have significant differences (P<0.01).
Conclusion:
1) Respiration events of children mostly happen in REM. 2) The mean value of hypopnea is higher than that of apnea. 3) Diagnosing obstructive sleep apnea hypopnea syndrome in children as AI > or = 1 need research.
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