Longitudinal Analysis of Sleep-Disordered Breathing and Cognitive Outcomes in Children Living With Sickle Cell

Shifa Hamdule1, Melanie Koelbel1,2, Johanna C Gavlak1,3

  • 1Developmental Neurosciences Unit and NIHR Biomedical Research Centre, UCL Great Ormond Street Institute of Child Health, London, UK.

Insights

Sleep-disordered breathing (SDB) and cognitive function in children with sickle cell anaemia (SCA) were studied. Lower overnight oxygen saturation and central apnoea (CAI) impact cognitive outcomes in children with SCA.

Area of Science:

  • Pediatric Hematology
  • Sleep Medicine
  • Neuropsychology

Background:

  • Sleep-disordered breathing (SDB) and cognitive impairments are prevalent in children with sickle cell anaemia (SCA).
  • Longitudinal data on sleep patterns and cognitive function in this population are limited.

Purpose of the Study:

  • To investigate the longitudinal changes in polysomnographic (PSG) indices in children with SCA.
  • To examine the association between PSG indices and cognitive outcomes in children with SCA.

Main Methods:

  • Utilized data from the Sleep Asthma Cohort (SAC 1-3) with children aged 4-18 years with SCA.
  • Assessed PSG indices including obstructive apnoea hypopnoea index (OAHI), central apnoea index (CAI), oxygen saturation, and total sleep time over two visits.
  • Correlated PSG indices with cognitive assessments at Visit 3.

Main Results:

  • Total sleep time decreased significantly between visits, while overall PSG indices remained stable.
  • Mean overnight oxygen saturation at Visit 1 predicted working memory at Visit 3.
  • Central apnoea index (CAI) at Visit 2 was linked to lower verbal comprehension and executive function scores.

Conclusions:

  • PSG indices showed stability over time, but screening is advised due to sickle cell pathology complexity.
  • Overnight oxygen saturation and central apnoea significantly influence cognitive outcomes in children with SCA.
Abstract

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