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Updated: Aug 23, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Down Syndrome children with obstructive sleep apnea
Angela Militi1, Riccardo Nucera1, Giusy Chirieleison1
1Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, Messina, Italy.
Insights
Obstructive sleep apnea syndrome (OSAS) is more common and severe in children with Down syndrome (DS). Early screening and treatment for OSAS in DS patients are recommended, though predictors are lacking.
Area of Science:
- Pediatrics
- Genetics
- Sleep Medicine
Background:
- Obstructive sleep apnea syndrome (OSAS) presents significant clinical challenges for individuals with Down syndrome (DS).
- OSAS is notably more prevalent and severe in the DS population compared to the general population.
Purpose of the Study:
- To review the literature on the prevalence and severity of OSAS in children with Down syndrome.
- To assess the utility of screening and treatment for OSAS in this population.
- To identify potential associations between sleep disturbances and daily living activities in children with DS.
Main Methods:
- A comprehensive literature search was conducted across PubMed, Google Scholar, and the Cochrane Library.
- Nine studies were selected for evaluation based on predefined inclusion criteria.
Main Results:
- Adolescents with Down syndrome exhibit a high comorbidity of OSAS.
- Evidence supports the benefit of widespread screening and treatment of OSAS in children with DS.
- Sleep disturbances are linked to functional daily living activities in children with DS.
Conclusions:
- Children with Down syndrome have higher rates and severity of OSAS.
- Currently, no reliable clinical predictors for OSAS exist specifically for children with DS.
Introduction:
Obstructive sleep apnea syndrome (OSAS) is a complex disorder with significant clinical consequences for people with Down Syndrome (DS). OSAS is frequently seen in individuals with DS and, when present, tends to be more severe than in individuals without this syndrome.
Evidence Acquisition:
The analysis was carried out on PubMed, Google Scholar and Cochrane library databases. The literature review identified nine studies suitable for our evaluations according to the established inclusion criteria.
Evidence Synthesis:
The results of the study suggest that OSAS may be a common comorbidity in adolescents with DS; according to literature evidences a widespread screening and treatment in children with DS is undoubtedly useful. There is also evidence about an association between sleep disturbance and functional activities of daily living in children with DS.
Conclusions:
The studies reviewed confirm that OSAS appears to occur at higher rates and greater severity in the population of children with DS. However, at present, there are no reliable clinical predictors of OSAS for this population of children.
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