The effect of central sleep apnea on sleep architecture in children with obstructive sleep apnea.
Int J Pediatr Otorhinolaryngol
; 183: 112053, 2024 Aug.
Article
de En
| MEDLINE
| ID: mdl-39106760
ABSTRACT
OBJECTIVE:
This study aimed to investigate how central sleep apnea (CSA) impacts sleep patterns in children with obstructive sleep apnea (OSA).METHODS:
Children undergoing polysomnography (PSG) were enrolled and sorted into two groups those with OSA alone (Group A) and those with both OSA and CSA (CAI <1 nd children with 10 % CSA or more and less than 50 %, Group B). Statistical analysis was conducted to compare sleep structure and clinical features between Group A and Group B.RESULTS:
Group B exhibited significantly higher respiratory events, apnea hypoventilation index, apnea index and oxygen desaturation index (ODI) compared to Group A (p < 0.05). Group B also showed higher total sleep time and arousal index than Group A (P < 0.05). The proportion of time spent in stage N3 was lower in Group B than in Group A (P < 0.05). Moreover, mean heart rate and minimum heart rate were higher in Group B compared to Group A (P < 0.05).Minimum oxygenation levels (including non-rapid eye movement (NREM) stages) were lowe in Group B than in Group A (P < 0.05). Additionally, the prevalence of positional obstructive sleep apnea (P-OSA) was greater in Group B than in Group A (P < 0.05).CONCLUSION:
In comparison to those with OSA alone, children with OSA and concurrent CSA exhibited distinct sleep patterns, including reduced N3uration, higher arousal index, longer respiratory events, higher ODI, and lower oxygen saturation, higher heart rate.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Polysomnographie
/
Apnée centrale du sommeil
/
Syndrome d'apnées obstructives du sommeil
Limites:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Langue:
En
Journal:
Int J Pediatr Otorhinolaryngol
Année:
2024
Type de document:
Article
Pays de publication:
Irlande