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Analysis of the Clinical Course of Children With Initial Negative Polysomnography.
Maqsudlu, Arman; Nathan, Ajay S; Silber, Elizabeth J; Danis, David O; Levi, Jessica R.
Afiliación
  • Maqsudlu A; Cooper Medical School of Rowan University/Cooper University Hospital, Camden, NJ, USA.
  • Nathan AS; Division of Otolaryngology-Head and Neck Surgery, University of Connecticut Health Center, Farmington, CT, USA.
  • Silber EJ; Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston, MA, USA.
  • Danis DO; Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, MA, USA.
  • Levi JR; Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston, MA, USA.
Ann Otol Rhinol Laryngol ; 133(4): 424-430, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38251665
ABSTRACT

OBJECTIVES:

To determine the clinical course of children with initial negative polysomnography (PSG) tests.

METHODS:

A retrospective chart review was performed on pediatric patients seen by an otolaryngologist who underwent a PSG between October 2012 and March 2019 for obstructive sleep apnea at a single, academic, tertiary-care center. Data including demographics, follow-up PSG tests, and surgeries were collected.

RESULTS:

A total of 2018 pediatric patients underwent PSG during the timeframe. About 535/2018 (26.5%) patients were negative for obstructive sleep apnea by PSG and had no prior adenotonsillectomy. About 408/535 (76.3%) did not obtain follow-up testing or surgeries; 69/535 (12.9%) underwent subsequent adenotonsillectomy for worsening symptoms without repeat PSG; and 58/535 (10.8%) obtained 1 or multiple follow-up PSG tests. Of the 58 who obtained repeat PSG, 25 (43.1%) were subsequently positive, with 17 of those 25 (29.3% of 58) undergoing adenotonsillectomy. Taken together, 94/535 (17.6%) of patients with initial negative PSG had worsening sleep disordered breathing.

CONCLUSION:

A significant minority of children who initially tested negative for pediatric obstructive sleep apnea met criteria for diagnosis on follow up PSG. Additionally, other children with initial negative PSG underwent adenotonsillectomy for worsening symptoms in lieu of repeat testing. Patients should be educated that snoring in children could persist or worsen over time, even in the setting of a initial negative PSG.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tonsilectomía / Apnea Obstructiva del Sueño Límite: Child / Humans Idioma: En Revista: Ann Otol Rhinol Laryngol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tonsilectomía / Apnea Obstructiva del Sueño Límite: Child / Humans Idioma: En Revista: Ann Otol Rhinol Laryngol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos