دورية أكاديمية
ERS statement on obstructive sleep disordered breathing in 1- to 23-month-old children.
| العنوان: | ERS statement on obstructive sleep disordered breathing in 1- to 23-month-old children. |
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| المؤلفون: | Kaditis AG; Paediatric Pulmonology Unit, First Dept of Paediatrics, National and Kapodistrian University of Athens School of Medicine and Aghia Sophia Children's Hospital, Athens, Greece kaditia@hotmail.com., Alonso Alvarez ML; Multidisciplinary Sleep Unit, Pulmonology, University Hospital of Burgos and CIBER of Respiratory Diseases (CIBERES), Burgos Foundation for Health Research, Burgos, Spain., Boudewyns A; Dept of Otorhinolaryngology Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Antwerp, Belgium., Abel F; Dept of Respiratory Medicine, Great Ormond Street Hospital for Children, London, UK., Alexopoulos EI; Sleep Disorders Laboratory, University of Thessaly School of Medicine and Larissa University Hospital, Larissa, Greece., Ersu R; Division of Paediatric Pulmonology, Marmara University, Istanbul, Turkey., Joosten K; Erasmus MC, Sophia Children's Hospital, Paediatric Intensive Care, Rotterdam, The Netherlands., Larramona H; Paediatric Pulmonology Unit, Dept of Paediatrics, University Autonoma of Barcelona, Corporacio Sanitaria Parc Tauli, Hospital of Sabadell, Barcelona, Spain., Miano S; Sleep and Epilepsy Centre, Neurocentre of Southern Switzerland, Civic Hospital of Lugano, Lugano, Switzerland., Narang I; Division of Respiratory Medicine, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada., Tan HL; Dept of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK., Trang H; Paediatric Sleep Centre, Robert Debré University Hospital, EA 7334 REMES Paris-Diderot University, Paris, France., Tsaoussoglou M; Paediatric Pulmonology Unit, First Dept of Paediatrics, National and Kapodistrian University of Athens School of Medicine and Aghia Sophia Children's Hospital, Athens, Greece., Vandenbussche N; Sleep Medicine Centre, Kempenhaeghe Foundation, Heeze, The Netherlands., Villa MP; Paediatric Sleep Disease Centre, Child Neurology, NESMOS Dept, School of Medicine and Psychology, Sapienza University of Rome, S. Andrea Hospital, Rome, Italy., Van Waardenburg D; Paediatric Intensive Care Unit, Dept of Paediatrics, Maastricht University Medical Center, Maastricht, The Netherlands., Weber S; Dept of Ophthalmology, Otolaryngology and Head and Neck Surgery, Botucatu Medical School, São Paulo State University-UNESP, Botucatu, São Paulo, Brazil., Verhulst S; Dept of Paediatrics, Antwerp University Hospital, Edegem, Belgium. |
| المصدر: | The European respiratory journal [Eur Respir J] 2017 Dec 07; Vol. 50 (6). Date of Electronic Publication: 2017 Dec 07 (Print Publication: 2017). |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: European Respiratory Society Country of Publication: England NLM ID: 8803460 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 1399-3003 (Electronic) Linking ISSN: 09031936 NLM ISO Abbreviation: Eur Respir J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Sheffield, United Kingdom : European Respiratory Society Original Publication: Copenhagen : Published jointly by the Society and Munksgaard, 1988- |
| مواضيع طبية MeSH: | Sleep Apnea, Obstructive/*diagnosis , Sleep Apnea, Obstructive/*therapy, Adenoidectomy ; Advisory Committees ; Continuous Positive Airway Pressure ; Down Syndrome/complications ; Europe ; Humans ; Infant ; Oximetry ; Polysomnography ; Practice Guidelines as Topic ; Prader-Willi Syndrome/complications ; Severity of Illness Index ; Snoring/etiology ; Societies, Medical ; Tonsillectomy |
| مستخلص: | The present statement was produced by a European Respiratory Society Task Force to summarise the evidence and current practice on the diagnosis and management of obstructive sleep disordered breathing (SDB) in children aged 1-23 months. A systematic literature search was completed and 159 articles were summarised to answer clinically relevant questions. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are identified. Morbidity (pulmonary hypertension, growth delay, behavioural problems) and coexisting conditions (feeding difficulties, recurrent otitis media) may be present. SDB severity is measured objectively, preferably by polysomnography, or alternatively polygraphy or nocturnal oximetry. Children with apparent upper airway obstruction during wakefulness, those with abnormal sleep study in combination with SDB symptoms ( e.g. snoring) and/or conditions predisposing to SDB ( e.g. mandibular hypoplasia) as well as children with SDB and complex conditions ( e.g. Down syndrome, Prader-Willi syndrome) will benefit from treatment. Adenotonsillectomy and continuous positive airway pressure are the most frequently used treatment measures along with interventions targeting specific conditions ( e.g. supraglottoplasty for laryngomalacia or nasopharyngeal airway for mandibular hypoplasia). Hence, obstructive SDB in children aged 1-23 months is a multifactorial disorder that requires objective assessment and treatment of all underlying abnormalities that contribute to upper airway obstruction during sleep. Competing Interests: Conflict of interest: None declared. (Copyright ©ERS 2017.) |
| تواريخ الأحداث: | Date Created: 20171209 Date Completed: 20180806 Latest Revision: 20180806 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1183/13993003.00985-2017 |
| PMID: | 29217599 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1399-3003 |
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| DOI: | 10.1183/13993003.00985-2017 |