Related Experiment Video
Updated: Feb 24, 2026
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Obstructive sleep apnoea syndrome]
Sergio García Castillo1, María Del Perpetuo Socorro Hoyos Vázquez2, Ramón Coloma Navarro1
1Servicio de Neumología, Complejo Hospitalario Universitario de Albacete, Albacete, España.
Insights
Pediatric obstructive sleep apnea (OSA) is common, often severe, and linked to obesity. Surgery was the most frequent treatment, with nearly 70% of children showing improved symptoms.
Area of Science:
- Pediatric Sleep Medicine
- Respiratory Medicine
- Public Health
Background:
- Obstructive sleep apnea (OSA) is a prevalent condition in children, posing a significant public health challenge.
- Understanding the clinical and polysomnographic characteristics of pediatric OSA is crucial for effective management.
Purpose of the Study:
- To determine the clinical and polysomnographic presentation of pediatric obstructive sleep apnea (OSA).
- To analyze treatment modalities and outcomes for children diagnosed with OSA.
Main Methods:
- A retrospective descriptive study analyzed sleep tests from children up to 14 years old.
- Data collected included anthropometric, clinical, and polysomnographic variables, as well as treatment and outcomes.
Main Results:
- The study included 234 children, with 71.8% diagnosed with OSA, predominantly moderate to severe.
- Common symptoms included snoring (93.4%) and apnea (84.5%), with 44% of children being overweight or obese.
- Surgery was the most frequent treatment (42.9%), leading to symptom improvement in 69.4% of cases.
Conclusions:
- A significant proportion of studied children presented with pathological apnea-hypopnea index (AHI) and moderate-to-severe OSA.
- Overweight/obesity was common, and weight improvement was limited in affected children.
- While clinical outcomes were favorable for most, further interventions may be needed for weight management in obese children with OSA.
Introduction:
Obstructive sleep apnoea (OSA) is highly prevalent in children and a major public health problem. An attempt is made to determine the clinical and polysomnographic presentation of paediatric OSA in our area.
Patients And Methods:
Retrospective descriptive study of sleep tests conducted on children up to 14 years-old from 1999 to 2012 in the Sleep Unit of the University Hospital of Albacete. Age, gender, anthropometric, clinical data, indication and variables of sleep study, treatment, and outcomes were collected.
Results:
The study included 234 children. OSA was found in 71.8%, with 42.3% moderate and 44.6% severe. The majority were male (60.7%) and the mean age 5 was years, of whom 78% were pre-school or school age. There was overweight/obesity in 44%, with 93.4% snoring, apnoea 84.5%, and 5.4% daytime sleepiness. There were 23 polysomnographies and 145 polygraphies, with a median apnoea/hypopnoea index (AHI) of 10, Sat.O2 minimum 84%, desaturation index 8, and mean sleep supine 53.65% and supine events 57.61%. Treatment was lifestyle modifications 29.2%, CPAP 6%, and surgery 42.9%. Improved snoring and/or apnoea 69.4%, and weight 32.4% of overweight/obesity children.
Conclusions:
Most of the studied children had a pathological AHI. Almost half were overweight/obese, and a high percentage had moderate-severe OSA. Most frequent treatment was surgery. The clinical outcome was favourable in almost 70%. Less than a third with OSA and overweight/obesity improved weight.
More Related Videos
Related Concept Videos
01:21Sleep Apnea
The condition is more prevalent among...
01:24Sleep-Wake Cycles
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
01:17Other Pulmonary Disorders
01:07Narcolepsy
01:26Respiratory Volumes and Capacities I
01:15REM Sleep Behavior Disorder
RBD is significantly associated with...