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Clinical and polysomnographic features of children evaluated with polysomnography in pediatric sleep laboratory

Hatice Ezgi Barış1, Yasemin Gökdemir2, Ela Erdem Eralp2

  • 1Department of Pediatrics, Marmara University, Pendik Education and Research Hospital, İstanbul, Turkey.

Turk Pediatri Arsivi
|April 26, 2017
PubMed

Insights

Pediatric sleep disordered breathing, including snoring and apnea, was evaluated using polysomnography. Obstructive sleep apnea prevalence was 33.6%, with higher apnea-hypopnea index in children with snoring or witnessed apnea.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Clinical Pediatrics

Background:

  • Sleep disordered breathing (SDB) is a spectrum of conditions in children, ranging from primary snoring to obstructive sleep apnea (OSA).
  • Early diagnosis and management of SDB are crucial for children's health and development.
  • Polysomnography (PSG) is a key diagnostic tool for evaluating SDB in pediatric populations.

Purpose of the Study:

  • To investigate the outcomes of children undergoing polysomnography for sleep disordered breathing evaluation.
  • To determine the prevalence of OSA and associated clinical features in a pediatric cohort.
  • To analyze the relationship between SDB symptoms and polysomnographic findings.

Main Methods:

  • Retrospective evaluation of demographic and clinical data from 131 children.
  • Analysis of sleep-associated symptoms, Pediatric Sleep Questionnaire (PSQ) scores, and Pittsburgh Sleep Quality Index (PSQI) scores.
  • Review of polysomnography (PSG) results, including the obstructive hypopnea-apnea index (OHI).

Main Results:

  • The prevalence of obstructive sleep apnea (OSA) was 33.6% (n=44).
  • Children with snoring (mean OHI 6.93±13.53) and witnessed apnea (mean OHI 7.52±14.25) had significantly higher OHI compared to those without.
  • No significant correlation was found between OHI and PSQ or PSQI scores. Treatment was recommended for 39.8% of patients.

Conclusions:

  • Polysomnography is the gold standard for diagnosing pediatric sleep disordered breathing.
  • Pediatricians should recognize early SDB signs and symptoms.
  • Timely referral for PSG evaluation is essential for at-risk children.
Abstract

Keywords:
Childobstructive sleep apneapolysomnographysleep disordered breathing

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