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Sleep related breathing disorders in the spina bifida population ages 1-20 years: A retrospective study in Arkansas

Amy Eisenberg1, Laura Hobart-Porter1, Supriya Jambhekar2,3

  • 1Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Journal of Pediatric Rehabilitation Medicine
|December 11, 2022
PubMed

Insights

Nearly half of children with spina bifida have sleep-related breathing disorders (SRBD). Many require interventions, highlighting the need for specialized sleep assessments and care standards for this population.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Spinal Cord Medicine

Background:

  • Sleep-related breathing disorders (SRBD) occur more frequently in children with spina bifida than in the general pediatric population.
  • SRBD, including obstructive sleep apnea (OSA) and central apnea, can lead to significant developmental and cognitive issues, and in severe cases, sudden death.

Purpose of the Study:

  • To determine the prevalence and clinical impact of sleep disorders in pediatric patients with spina bifida.
  • To evaluate the need for specific sleep disorder management strategies in this population.

Main Methods:

  • A retrospective cohort study reviewed 76 polysomnogram (PSG) reports from children aged 1-20 years with spina bifida.
  • Participants were recruited from a pediatric academic hospital's spinal cord specialty clinic.

Main Results:

  • Nearly half (49%) of the reviewed PSGs indicated the presence of SRBD.
  • A significant majority (76%) of children with SRBD required escalated management, such as surgery or additional respiratory support.

Conclusions:

  • The high prevalence of SRBD in children with spina bifida underscores the importance of early detection and intervention.
  • Further research is needed to develop spina bifida-specific sleep questionnaires for predicting abnormal PSGs and to establish standardized care protocols for SRBD, particularly OSA and central apnea.
Abstract

Keywords:
PSGSRBDSpina bifidapolysomnogramsleep related breathing disorders

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