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Updated: May 12, 2025
07:54
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
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Outcomes of pediatric mild sleep-disordered breathing
Alex Gileles-Hillel1, Leah Korchemny2, Shmuel Goldberg3
1Faculty of Medicine, Hebrew University, Jerusalem, Israel; Pediatric Pulmonary and Sleep Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Sleep Medicine
|May 9, 2025
Summary
Many children with mild obstructive sleep apnea (OSA) experience persistent symptoms, underscoring the need for ongoing monitoring. Follow-up is crucial for those with comorbidities or specific risk factors.
Area of Science:
- Pediatric Sleep Medicine
- Respiratory Disorders
- Child Health Outcomes
Background:
- Sleep-disordered breathing (SDB), including obstructive sleep apnea (OSA), is prevalent in children and can lead to long-term health issues.
- Management guidelines for mild pediatric OSA remain unclear, with options including surgery, medication, or watchful waiting.
Purpose of the Study:
- To investigate the persistence of symptoms in children diagnosed with mild SDB.
- To evaluate the effectiveness of different treatment strategies for mild pediatric SDB.
Main Methods:
- Children with mild SDB (apnea-hypopnea index 2-5/h) diagnosed via polysomnography (PSG) were assessed 1-2 years later.
- Symptom persistence was evaluated using the Pediatric Sleep Questionnaire (PSQ).
Main Results:
- Of 78 children, 40% reported persistent symptoms (positive PSQ).
- Persistent symptoms were linked to background morbidities, prematurity, higher BMI, and higher respiratory rate during PSG.
- Initial treatment offered included surgery for 33% of children.
Conclusions:
- A significant proportion of children with mild OSA exhibit persistent symptoms, highlighting the need for continued follow-up.
- Proactive monitoring is recommended for children with comorbidities, prematurity, elevated BMI, ongoing complaints, or high respiratory rates on PSG.
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