期刊
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
卷 164, 期 5, 页码 1108-1115出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0194599820960454
关键词
Down syndrome; obstructive sleep apnea; pediatrics; sleep architecture
资金
- NHLBI NIH HHS [K08 HL148551] Funding Source: Medline
In children with Down syndrome, 32.5% had sleep efficiency <80%; 75.6% had an elevated arousal index; and 15.9% had total sleep time <360 minutes. More than a third of the patients had >= 3 markers of poor sleep architecture. There was no difference in children with or without obstructive sleep apnea.
Objective To characterize polysomnographic sleep architecture in children with Down syndrome and compare findings in those with and without obstructive sleep apnea. Study Design Case series with retrospective review. Setting Single tertiary pediatric hospital (2005-2018). Methods We reviewed the electronic health records of patients undergoing polysomnography who were referred from a specialized center for children with Down syndrome (age, >= 12 months). Continuous positive airway pressure titration, oxygen titration, and split-night studies were excluded. Results A total of 397 children were included (52.4% male, 81.6% Caucasian). Mean age at the time of polysomnography was 4.7 years (range, 1.4-14.7); 79.4% had obstructive sleep apnea. Sleep variables were reported as mean (SD) values: sleep efficiency, 85% (11%); sleep latency, 29.8 minutes (35.6); total sleep time, 426 minutes (74.6); rapid eye movement (REM) latency, 126.8 minutes (66.3); time spent in REM sleep, 22% (7%); arousal index, 13.3 (5); and time spent supine, 44% (28%). There were no significant differences between those with obstructive sleep apnea and those without. Sleep efficiency 30 minutes; 15.9% had total sleep time 10/h. Overall, 69.2% had >= 2 metrics of poor sleep architecture. REM sleep time Conclusion In children with Down syndrome, 32.5% had sleep efficiency <80%; 75.6% had an elevated arousal index; and 15.9% had total sleep time <360 minutes. More than a third of the patients had >= 3 markers of poor sleep architecture. There was no difference in children with or without obstructive sleep apnea.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据