Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Int J Pediatr Otorhinolaryngol. 2016 Apr;83:205-10.
Authors: Song SA, Tolisano AM, Cable BB, Camacho M.
“This meta-analysis found an improvement in neurocognitive function and IQ after pediatric adenotonsillectomy, especially in pre-school aged children. However, this must be interpreted with caution as only three studies were performed in pre-school aged children. The decreased effectiveness in older children suggests possibly a threshold age when neurocognitive deficits become irreversible.”
http://www.ncbi.nlm.nih.gov/pubmed/26968078
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Chest. 2016 Apr;149(4):999-1010.
Authors: Koren D, Gozal D, Bhattacharjee R, Philby MF, Kheirandish-Gozal L.
“T&A improved insulin resistance and high density lipoprotein, and residual OSA is predicted by baseline fasting plasma insulin and BMI z score, indicating a causal relationship; however, following T&A, residual metabolic dysfunction related to underlying adiposity rather than remaining sleep-disordered breathing.”
http://www.ncbi.nlm.nih.gov/pubmed/26447773
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Int J Pediatr Otorhinolaryngol. 2016 Mar;82: 54-7.
Authors: Arachchi S, Armstrong DS, Roberts N, Baxter M, McLeod S, Davey MJ, Nixon GM.
“In a cohort of children with known moderate-severe OSA, post-operative AE after AT were all managed in the high acuity unit (HAU). Post-operative care in HAU provides safe and effective care for high-risk children post-AT, minimizing admissions to ICU.”
http://www.ncbi.nlm.nih.gov/pubmed/26857316
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Eur J Pediatr. 2016 Feb;175(2):211-20
Authors: Su MS, Zhang HL, Cai XH, Lin Y, Liu PN, Zhang YB, Hu WZ, Li CC, Xiao YF.
“We demonstrated differential risk factors for OSA in obese children, which suggest that a different mechanism may be involved in OSA development in preschool and school-age children.”
http://www.ncbi.nlm.nih.gov/pubmed/26316318
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Int J Oral Maxillofac Surg. 2016 Feb;45 (2):167-9.
Authors: Inverso G, Brustowicz KA, Katz E, Padwa BL.
“Given that 56.4% of patients with syndromic craniosynostosis (SCS) are symptomatic and that 74.2% of these symptomatic patients have OSA, it is recommended that a screening level I polysomnography be part of the clinical care for all patients with SCS.”
http://www.ncbi.nlm.nih.gov/pubmed/26602951
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Sleep Med Rev. 2016 Feb;25: 31-9.
Authors: Honaker SM, Meltzer LJ.
“Despite the high prevalence of pediatric sleep problems in primary care, rates of screening and management are low. Primary care providers receive minimal sleep training and have resulting gaps in knowledge and confidence.”
http://www.ncbi.nlm.nih.gov/pubmed/26163054
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Eur Respir J. 2016 Jan; 47(1):69-94.
Authors: Kaditis AG, Alonso Alvarez ML, Boudewyns A, Alexopoulos EI, Ersu R, Joosten K, Larramona H, Miano S, Narang I, Trang H, Tsaoussoglou M, Vandenbussche N, Villa MP, Van Waardenburg D, Weber S, Verhulst S.
“This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years.”
http://www.ncbi.nlm.nih.gov/pubmed/26541535
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Curr Probl Pediatr Adolesc Health Care. 2016 Jan; 46(1):1.
Author: Bell LM
“The reader is encouraged to read the entire issue that is entitled “Updates on Obstructive Sleep Apnea Syndrome in Children”.
http://www.ncbi.nlm.nih.gov/pubmed/26603734
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 14, 2017
Contributors: Kimmo Murto
Published: Clin Otolaryngol. 2015 Oct 5.
Authors: Lee CH, Hsu WC, Chang WH, Lin MT, Kang KT.
“Meta-analysis of current literature shows T&A offers prominent improvement in a variety of sleep parameters. Improvements in non-obese children exceeded those for obese children. Postoperative residual OSA remained in roughly half of the children, especially those with severe disease and obesity, making additional treatment strategies and/or long-term follow-up highly desirable.”
http://www.ncbi.nlm.nih.gov/pubmed/26436726
Posted in
Clinical Pediatric, Literature Updates
Posted:
July 1, 2016
Authors: O'Brien LM.
Contributors: Kimmo Murto
Published: Sleep Med Clin. 2015 Jun;10(2):169-79.
Definitive evidence showing that SDB causes cognitive and behavioral impairment has yet to emerge, although a randomized controlled trial evaluating neuropsychological and health outcomes of treatment for SDB in children is currently underway.
http://www.ncbi.nlm.nih.gov/pubmed/26055865
