The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
Abstract
OBJECTIVE: This technical report describes the procedures involved in developing recommendations on the management of childhood obstructive sleep apnea syndrome (OSAS). METHODS: The literature from 1999 through 2011 was evaluated. RESULTS AND CONCLUSIONS: A total of 3166 titles were reviewed, of which 350 provided relevant data. Most articles were level II through IV. The prevalence of OSAS ranged from 0% to 5.7%, with obesity being an independent risk factor. OSAS was associated with cardiovascular, growth, and neurobehavioral abnormalities and possibly inflammation. Most diagnostic screening tests had low sensitivity and specificity. Treatment of OSAS resulted in improvements in behavior and attention and likely improvement in cognitive abilities. Primary treatment is adenotonsillectomy (AT). Data were insufficient to recommend specific surgical techniques; however, children undergoing partial tonsillectomy should be monitored for possible recurrence of OSAS. Although OSAS improved postoperatively, the proportion of patients who had residual OSAS ranged from 13% to 29% in low-risk populations to 73% when obese children were included and stricter polysomnographic criteria were used. Nevertheless, OSAS may improve after AT even in obese children, thus supporting surgery as a reasonable initial treatment. A significant number of obese patients required intubation or continuous positive airway pressure (CPAP) postoperatively, which reinforces the need for inpatient observation. CPAP was effective in the treatment of OSAS, but adherence is a major barrier. For this reason, CPAP is not recommended as first-line therapy for OSAS when AT is an option. Intranasal steroids may ameliorate mild OSAS, but follow-up is needed. Data were insufficient to recommend rapid maxillary expansion.
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Cites
Collop, N. A., Anderson, W. M., Boehlecke, B., Claman, D., Goldberg, R., Gottlieb, D. J., Hudgel, D., Sateia, M., Schwab, R., & Portable Monitoring Task Force of the American Academy of Sleep Medicine (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27032 · Cited by 1,550
Inattention, Hyperactivity, and Symptoms of Sleep-Disordered Breathing
Chervin, R. D., Archbold, K. H., Dillon, J. E., Panahi, P., Pituch, K. J., Dahl, R. E., & Guilleminault, C. (2002) · PEDIATRICS · doi:10.1542/peds.109.3.449 · Cited by 538
Amin, R. S., Kimball, T. R., Bean, J. A., Jeffries, J. L., Willging, J. P., Cotton, R. T., Witt, S. A., Glascock, B. J., & Daniels, S. R. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2105118 · Cited by 452
Roland, P. S., Rosenfeld, R. M., Brooks, L. J., Friedman, N. R., Jones, J., Kim, T. W., Kuhar, S., Mitchell, R. B., Seidman, M. D., Sheldon, S. H., et al. (2011) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599811409837 · Cited by 442
Self-citationBrietzke, S. E., & Gallagher, D. (2006) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2006.02.033 · Cited by 423
Efficacy of fluticasone nasal spray for pediatric obstructive sleep apnea
Brouillette, R. T., Manoukian, J. J., Ducharme, F. M., Oudjhane, K., Earle, L. G., Ladan, S., & Morielli, A. (2001) · The Journal of Pediatrics · doi:10.1067/mpd.2001.114474 · Cited by 396
Twenty-four-hour ambulatory blood pressure in children with sleep-disordered breathing
Amin, R. S., Carroll, J. L., Jeffries, J. L., Grone, C., Bean, J. A., Chini, B., Bokulic, R., & Daniels, S. R. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200309-1305oc · Cited by 354
Classifying Recommendations for Clinical Practice Guidelines
Steering Committee on Quality Improvement and Management (2004) · Pediatrics · doi:10.1542/peds.2004-1260 · Cited by 322
Bar, A., Tarasiuk, A., Segev, Y., Phillip, M., & Tal, A. (1999) · The Journal of Pediatrics · doi:10.1016/s0022-3476(99)70331-8 · Cited by 268
Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up
Villa, M. P., Malagola, C., Pagani, J., Montesano, M., Rizzoli, A., Guilleminault, C., & Ronchetti, R. (2007) · Sleep Medicine · doi:10.1016/j.sleep.2006.06.009 · Cited by 266
Cited by
Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., Avila Edwards, K. C., Eneli, I., Hamre, R., Joseph, M. M., et al. (2023) · Pediatrics · doi:10.1542/peds.2022-060640 · Cited by 1,389
Obstructive sleep apnoea syndrome
Lévy, P., Kohler, M., McNicholas, W. T., Barbé, F., McEvoy, R. D., Somers, V. K., Lavie, L., & Pépin, J.-L. (2015) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2015.15 · Cited by 1,235
Clinical Practice Guideline: Tonsillectomy in Children (Update)
Mitchell, R. B., Archer, S. M., Ishman, S. L., Rosenfeld, R. M., Coles, S., Finestone, S. A., Friedman, N. R., Giordano, T., Hildrew, D. M., Kim, T. W., et al. (2019) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599818801757 · Cited by 654
Clinical Practice Guideline: Tonsillectomy in Children (Update)—Executive Summary
Mitchell, R. B., Archer, S. M., Ishman, S. L., Rosenfeld, R. M., Coles, S., Finestone, S. A., Friedman, N. R., Giordano, T., Hildrew, D. M., Kim, T. W., et al. (2019) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599818807917 · Cited by 404
Sood, E., Newburger, J. W., Anixt, J. S., Cassidy, A. R., Jackson, J. L., Jonas, R. A., Lisanti, A. J., Lopez, K. N., Peyvandi, S., Marino, B. S., et al. (2024) · Circulation · doi:10.1161/cir.0000000000001211 · Cited by 266
Metadata
- Authors
- Marcus, C. L., Brooks, L. J., Ward, S. D., Draper, K. A., Gozal, D., Halbower, A. C., Jones, J., Lehmann, C., Schechter, M. S., Sheldon, S., Shiffman, R. N., & Spruyt, K.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2012-09-01
- Volume
- 130
- Issue
- 3
- Pages
- e714-e755
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W4243260104
- Cited by
- 1,680
- References
- 16
- FWCI
- 44.53
- Type
- journal article
- Language
- en
- Open access
- closed
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