Updated recommendations for sleep apnea in children

Updated recommendations for sleep apnea in children
The American Academy of Pediatrics is revising its recommendations for the diagnosis and management of obstructive sleep apnea syndrome in children and adolescents, according to a clinical practice guideline published online Aug. 27 in Pediatrics.

(HealthDay)—The American Academy of Pediatrics (AAP) is revising its recommendations for the diagnosis and management of obstructive sleep apnea syndrome (OSAS) in children and adolescents, according to a clinical practice guideline published online Aug. 27 in Pediatrics.

Carole L. Marcus, M.B.B.Ch., from the AAP's Subcommittee on Obstructive Sleep Apnea Syndrome, and colleagues reviewed 350 relevant articles from 1999 to 2010, most of which were level II to IV, and used these data to revise the clinical practice guidelines.

The subcommittee recommends that all children/adolescents be screened for snoring, and that polysomnography should be performed in children/adolescents with snoring and symptoms/signs of OSAS. Adenotonsillectomy is the first-line treatment of choice for patients with adenotonsillar hypertrophy, with reevaluation recommended postoperatively to determine whether further treatment is required. If adenotonsillectomy is not performed or if OSAS persists postoperatively, continuous positive airway pressure is recommended as a treatment. For overweight or , weight loss is recommended in addition to other therapy. For children with mild OSAS in whom is contraindicated or for mild postoperative OSAS, intranasal corticosteroids should be considered.

"There is a great need for further research into the prevalence of OSAS, sequelae of OSAS, best treatment methods, and the role of obesity," Marcus and colleagues conclude.

Several subcommittee members disclosed to the pharmaceutical and respiratory device industries.

More information: Abstract
Full Text

Related Stories

Recommended for you

New quality measures approved for childhood sleep apnea

date Mar 13, 2015

A work group of physicians from leading academic medical centers across the country, including NYU Langone Medical Center, has developed new quality measures for the detection and treatment of childhood obstructive ...

Sleep apnea is common in women with pregnancy diabetes

date Mar 07, 2015

Obstructive sleep apnea (OSA) is prevalent in obese, pregnant Asian women with gestational diabetes, even when their diabetes is controlled by diet, a new study from Thailand finds. Study results, which also connect the severity ...

Sleep problems may impact bone health

date Feb 03, 2015

The daily rhythm of bone turnover is likely important for normal bone health, and recent research suggests that sleep apnea may be an unrecognized cause of some cases of osteoporosis. Sleep apnea's effects on sleep duration ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.