Clinical and Polysomnographic Parameters of Children with Sleep Disordered Breathing: Comparison between Surgical and Non-surgical Candidates
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Abstract
Abstract
Objective: To compare clinical and polysomnography (PSG) parameters in children with sleep-
disordered breathing (SDB) that influence the treatment decision between surgical and non- surgical
treatment.
Study design: Retrospective study.
Material and methods: Patients aged 2–15 years with SDB who underwent PSG were recruited. Clinical
and PSG parameters were compared between surgical and non-surgical candidates.
Results: Three hundred and eighty patients were included, with a mean age of 8.72 ± 3.78 years. In
terms of sleep architecture, the surgical group had a significant increase in total sleep time,
sleep stages N3, and REM (P<0.05), but had a significant reduction in sleep stage N2 (P<0.05)
compared to the non-surgical group. In terms of respiratory parameters, there was a significant
increase in the AHI, obstructive AHI, apnea index, hypopnea index, the longest time of apnea and
hypopnea, mean oxygen saturation, oxygen desaturation index and the total arousal index in surgical
group compared to non-surgical group (P<0.05). Multivariate analysis demonstrated age 2-5 years,
tonsil size 3+ and 4+, and obstructive AHI ≥ 5 events/h were significant risk factors for surgical
treatment (P<0.05).
Conclusion: Both clinical and PSG parameters should be taken into consideration in the treatment
decision for pediatric patients with SDB, especially age, tonsil size, and obstructive AHI. A
prospective multicenter study with a larger sample size to create comprehensive care for patients
with SDB is needed.
Keyword
Pediatric, Polysomnography, Sleep-disordered breathing, Obstructive sleep apnea,
Adenotonsillectomy, Surgical treatment
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ต้นฉบับที่ส่งมาพิจารณายังวารสารหู คอ จมูก และใบหน้า จะต้องไม่อยู่ในการพิจารณาของวารสารอื่น ในขณะเดียวกันต้นฉบับที่จะส่งมาจะผ่านการอ่านโดยผู้ทรงคุณวุฒิ หากมีการวิจารณ์หรือแก้ไขจะส่งกลับไปให้ผู้เขียนตรวจสอบแก้ไขอีกครั้ง ต้นฉบับที่ผ่านการพิจารณาให้ลงตีพิมพ์ถือเป็นสมบัติของวารสารหู คอ จมูกและใบหน้า ไม่อาจนำไปลงตีพิมพ์ที่อื่นโดยไม่ได้รับอนุญาต
ตารางแผนภูมิ รูปภาพ หรือข้อความเกิน 100 คำที่คัดลอกมาจากบทความของผู้อื่น จะต้องมีใบยินยอมจากผู้เขียนหรือผู้ทรงลิขสิทธิ์นั้นๆ และใหร้ะบุกำกับไว้ในเนื้อเรื่องด้วย
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