Trends in Diagnosing Obstructive Sleep Apnea in Pediatrics

Children

Fan Mo¹  Mandip Kang¹  Mary Anne Tablizo¹  Manisha Witmans²  Vicente Santiago³ 

[1] Department of Medicine, University of California San Francisco-Fresno, Fresno, CA 93701, USA;Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada;Kaiser Permanente Health Care System, Frenso, CA 93726, USA;

关键词: pediatrics;    obstructive sleep apnea;    diagnostics;    polysomnography;   

DOI  :  10.3390/children9030306

来源: DOAJ

【 摘 要 】

Obstructive sleep apnea in children has been linked with behavioral and neurocognitive problems, impaired growth, cardiovascular morbidity, and metabolic consequences. Diagnosing children at a young age can potentially prevent significant morbidity associated with OSA. Despite the importance of taking a comprehensive sleep history and performing thorough physical examination to screen for signs and symptoms of OSA, these findings alone are inadequate for definitively diagnosing OSA. In-laboratory polysomnography (PSG) remains the gold standard of diagnosing pediatric OSA. However, there are limitations related to the attended in-lab polysomnography, such as limited access to a sleep center, the specialized training involved in studying children, the laborious nature of the test and social/economic barriers, which can delay diagnosis and treatment. There has been increasing research about utilizing alternative methods of diagnosis of OSA in children including home sleep testing, especially with the emergence of wearable technology. In this article, we aim to look at the presentation, physical exam, screening questionnaires and current different modalities used to aid in the diagnosis of OSA in children.

【 授权许可】

Unknown