Is obstructive sleep apnea syndrome in children season dependent?

Zev Frimer1, Shmuel Goldberg1, Leon Joseph1

  • 1Pediatric Pulmonary Unit, Shaare Zedek Medical Center, School of Medicine, affiliated with The Hebrew University school of medicine, Jerusalem, Israel.

Insights

Seasonal variations do not impact the diagnosis rate of obstructive sleep apnea (OSA) in children. Re-testing children for OSA in different seasons is unlikely to change diagnosis outcomes and may delay necessary surgical interventions.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Clinical Diagnostics

Background:

  • Obstructive sleep apnea (OSA) in children is commonly caused by enlarged tonsils/adenoids.
  • Upper respiratory infections and allergen exposure, which vary seasonally, influence tonsil and adenoid size.
  • Seasonal fluctuations in environmental factors suggest a potential link to OSA diagnosis rates.

Purpose of the Study:

  • To investigate if the season of polysomnography testing affects the prevalence of OSA in pediatric patients.
  • To determine if seasonal changes influence the diagnosis rates of obstructive sleep apnea in children.

Main Methods:

  • Retrospective analysis of polysomnography (PSG) data from 296 children (ages 0-12) suspected of having OSA.
  • Comparison of the Obstructive Apnea Hypopnea Index (OAHI) across different seasons (winter, spring, summer, fall).
  • Evaluation of seasonal variations in the rates of mild, moderate, and severe OSA diagnoses.

Main Results:

  • No significant difference was found in the mean OAHI values among the four seasons.
  • Seasonal analysis revealed no significant variations in the diagnosis rates for moderate or severe OSA.
  • A slight increase in mild OSA diagnoses was observed during the summer months compared to other seasons.

Conclusions:

  • The season in which polysomnography is performed does not appear to influence the diagnosis of significant obstructive sleep apnea in children.
  • Re-evaluating pediatric OSA patients in different seasons is unlikely to yield different diagnostic results.
  • Delaying surgical intervention due to seasonal re-testing is not supported by these findings.
Abstract

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