Document Detail


Consequences of sleep-disordered breathing in childhood.
MedLine Citation:
PMID:  9391768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Obstructive sleep-disordered breathing (SDB) is a common problem in children that may lead to growth failure, neurocognitive and behavioral abnormalities, cor pulmonale, and death. Primary snoring, upper airway resistance syndrome, and obstructive sleep apnea syndrome represent a spectrum of clinical manifestations accompanying increasing degrees of upper airway obstruction. Clearly, children with severe SDB need to be identified and treated promptly. Appropriate management strategies for milder forms of SDB are less clear. Some snoring children, for example, may have an increased frequency of obstructive apnea during sleep, with or without mild hypoxemia, but have essentially no daytime symptoms or apparent clinical consequences. Should these children be treated? If untreated, will these children eventually develop more severe obstructive SDB? Development of management strategies is hampered by the lack of data on the natural history of childhood SDB and on the correlation of specific polysomnographic abnormalities to symptoms and complications. In this review, we highlight recent information about the consequences of obstructive SDB in children, with particular emphasis on areas in which more data are needed.
Authors:
M G Greene; J L Carroll
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in pulmonary medicine     Volume:  3     ISSN:  1070-5287     ISO Abbreviation:  Curr Opin Pulm Med     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-01-30     Completed Date:  1998-01-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9503765     Medline TA:  Curr Opin Pulm Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  456-63     Citation Subset:  IM    
Affiliation:
Johns Hopkins Childrens Center, Pediatric Pulmonary Division, Baltimore, MD 21287, USA.
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MeSH Terms
Descriptor/Qualifier:
Airway Resistance
Cardiovascular Diseases / etiology
Child
Cognition Disorders / etiology
Enuresis / etiology
Growth Disorders / etiology
Humans
Polysomnography
Sleep Apnea Syndromes / complications*,  diagnosis,  epidemiology
Snoring / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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