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Normal Polysomnographic Values for Children and Adolescents
Abstract
Although polysomnography is routinely performed to evaluate children and adolescents with sleep-disordered breathing, normal polysomnographic values for the pediatric age group have not yet been established. We therefore performed overnight polysomnography in 50 normal children and adolescents (mean age 9.7 +/- 4.6 SD yr, range 1.1 to 17.4 yr). Of the children 56% were male. Chest wall motion, ECG, oronasal airflow, end-tidal PCO2 (PETCO2), arterial oxygen saturation (SaO2), and electrooculogram were monitored. Children had 0.1 +/- 0.5 (range 0 to 3.1) obstructive apneas per hour of total sleep time, with only 18% of children having any obstructive apneas. No child had obstructive apneas > 10 s in duration. Of the children 30% had central apneas > or = 10 s in duration, and one child had a central apnea associated with SaO2 < 90%. Peak PETCO2 was 46 +/- 4 mm Hg (range 38 to 53 mm Hg), and hypoventilation (PETCO2 > 45 mm Hg) occurred for 7 +/- 19% total sleep time (range 0 to 91%). The SaO2 nadir was 96 +/- 2% (range 89 to 98%), with only one child desaturating below 90% in association with a central apnea. We conclude that polysomnographic results in the pediatric age group differ from those in adults. Recommendations for normal polysomnographic criteria are given.
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Citations
Cited by
Berry, R. B., Budhiraja, R., Gottlieb, D. J., Gozal, D., Iber, C., Kapur, V. K., Marcus, C. L., Mehra, R., Parthasarathy, S., Quan, S. F., et al. (2012) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2172 · Cited by 5,302
Self-citationOwens, J. A., Spirito, A., & McGuinn, M. (2000) · Sleep · doi:10.1093/sleep/23.8.1d · Cited by 2,535
A Randomized Trial of Adenotonsillectomy for Childhood Sleep Apnea
Marcus, C. L., Moore, R. H., Rosen, C. L., Giordani, B., Garetz, S. L., Taylor, H. G., Mitchell, R. B., Amin, R., Katz, E. S., Arens, R., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1215881 · Cited by 1,422
Self-citationClinical Practice Guideline: Tonsillectomy in Children
Baugh, R. F., Archer, S. M., Mitchell, R. B., Rosenfeld, R. M., Amin, R., Burns, J. J., Darrow, D. H., Giordano, T., Litman, R. S., Li, K. K., et al. (2011) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599810389949 · Cited by 936
Sleep Disordered Breathing in Children in a General Population Sample: Prevalence and Risk Factors
Bixler, E. O., Vgontzas, A. N., Lin, H.-M., Liao, D., Calhoun, S., Vela-Bueno, A., Fedok, F., Vlasic, V., & Graff, G. (2009) · Sleep · doi:10.1093/sleep/32.6.731 · Cited by 688
Metadata
- Authors
- Marcus, C. L., Omlin, K. J., Basinki, D. J., Bailey, S. L., Rachal, A. B., Von Pechmann, W. S., Keens, T. G., & Ward, S. L. D.
- Venue
- American Review of Respiratory Disease
- Publisher
- Oxford University Press (OUP)
- Published
- 1992-11
- Volume
- 146
- Issue
- 5_pt_1
- Pages
- 1235-1239
- ISSN
- 0003-0805 (ISSN-L)
- OpenAlex
- W2074596047
- Cited by
- 811
- References
- 0
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- closed
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- Marcus, C. L., Omlin, K. J., Basinki, D. J., Bailey, S. L., Rachal, A. B., Von Pechmann, W. S., Keens, T. G., & Ward, S. L. D. (1992). Normal Polysomnographic Values for Children and Adolescents. American Review of Respiratory Disease. https://doi.org/10.1164/ajrccm/146.5_pt_1.1235
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