Hong Kong medical journal = Xianggang yi xue za zhi · 2001
Obstructive sleep apnoea in children with adenotonsillar hypertrophy: prospective study.
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Li A M, Hui S, Wong E, Cheung A, Fok T F
Аннотация
OBJECTIVE: To determine clinical and baseline polysomnographic data on obstructive sleep apnoea secondary to adenotonsillar hypertrophy in Hong Kong Chinese children.
DESIGN: Prospective study.
SETTING: University teaching hospital, Hong Kong.
PARTICIPANTS: Fifty children (35 boys and 15 girls) suspected to have obstructive sleep apnoea were recruited between January 1999 and December 1999.
MAIN OUTCOME MEASURES: Symptoms questionnaire, electrocardiogram, chest radiograph, and full-night polysomnography.
RESULTS: All patients had symptoms suggestive of obstructive sleep apnoea. None were found to have clinical evidence of cor pulmonale. Forty-five (90%) of 50 children had obstructive sleep apnoea with a respiratory disturbance index of greater than five. Central and mixed apnoeas were rare. Tonsil size did not correlate with the severity of obstructive sleep apnoea.
CONCLUSION: Symptoms and signs suggestive of obstructive sleep apnoea can lead to a high detection rate and confirmation of obstructive sleep apnoea by polysomnography.
DESIGN: Prospective study.
SETTING: University teaching hospital, Hong Kong.
PARTICIPANTS: Fifty children (35 boys and 15 girls) suspected to have obstructive sleep apnoea were recruited between January 1999 and December 1999.
MAIN OUTCOME MEASURES: Symptoms questionnaire, electrocardiogram, chest radiograph, and full-night polysomnography.
RESULTS: All patients had symptoms suggestive of obstructive sleep apnoea. None were found to have clinical evidence of cor pulmonale. Forty-five (90%) of 50 children had obstructive sleep apnoea with a respiratory disturbance index of greater than five. Central and mixed apnoeas were rare. Tonsil size did not correlate with the severity of obstructive sleep apnoea.
CONCLUSION: Symptoms and signs suggestive of obstructive sleep apnoea can lead to a high detection rate and confirmation of obstructive sleep apnoea by polysomnography.