scholarly journals Long-Term Changes in Neurocognition and Behavior Following Treatment of Sleep Disordered Breathing in School-Aged Children

SLEEP ◽  
2014 ◽  
Vol 37 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Sarah N. Biggs ◽  
Anna Vlahandonis ◽  
Vicki Anderson ◽  
Robert Bourke ◽  
Gillian M. Nixon ◽  
...  
Keyword(s):  
Sleep Disordered Breathing ◽  
School Aged Children ◽  
Long Term Changes ◽  
And Behavior ◽  
Disordered Breathing

Long-term changes in heart rate variability in elementary school–aged children with sleep-disordered breathing

2014 ◽  
Vol 15 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Anna Vlahandonis ◽  
Stephanie R. Yiallourou ◽  
Scott A. Sands ◽  
Gillian M. Nixon ◽  
Margot J. Davey ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Elementary School ◽  
Sleep Disordered Breathing ◽  
School Aged Children ◽  
Long Term Changes ◽  
Disordered Breathing

Long-term changes in blood pressure control in elementary school-aged children with sleep-disordered breathing

2014 ◽  
Vol 15 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Anna Vlahandonis ◽  
Stephanie R. Yiallourou ◽  
Scott A. Sands ◽  
Gillian M. Nixon ◽  
Margot J. Davey ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Elementary School ◽  
Blood Pressure Control ◽  
Sleep Disordered Breathing ◽  
Pressure Control ◽  
School Aged Children ◽  
Long Term Changes ◽  
Disordered Breathing

scholarly journals Long-Term Changes in Sleep Disordered Breathing in Renal Transplant Patients: Relevance of the BMI

2020 ◽  
Vol 9 (6) ◽  
pp. 1739
Author(s):  
Francesca Mallamaci ◽  
Rocco Tripepi ◽  
Graziella D’Arrigo ◽  
Gaetana Porto ◽  
Maria Carmela Versace ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Sleep Disordered Breathing ◽  
Repeated Measurements ◽  
Apnea Hypopnea Index ◽  
Longitudinal Changes ◽  
Transplant Patients ◽  
Long Term Changes ◽  
Renal Transplant Patients ◽  
Disordered Breathing

Sleep disordered breathing (SDB), as defined by the Apnea Hypopnea Index (AHI), is a highly prevalent disturbance in end stage kidney disease. SDB improves early on after renal transplantation but long-term changes in AHI in these patients have not been studied. We studied the long-term changes in AHI in a series of 221 renal transplant patients (mean age: 47 ± 12 years; 70% males) over a median follow up of 35 months. Data analysis was made by the generalized estimating equations method (GEE). On longitudinal observation, the median AHI rose from 1.8 (Interquartile range: 0.6–5.0) to 2.9 (IQR: 1.0–6.6) and to 3.6 (IQR: 1.7–10.4) at the second and third visit, respectively (p = 0.009 by the GEE model and the proportion of patients with moderate to severe SDB rose from 8% to 20%. Longitudinal changes in minimum oxygen saturation (minSaO2) mirrored those in the AHI. In adjusted analyses, repeated measurements of BMI (p < 0.009) emerged as the strongest independent longitudinal correlate of AHI and MinSaO2. The AHI worsens over time in renal transplant patients and longitudinal changes of this biomarker are directly related to simultaneous changes in BMI. Overweight/obesity, a potentially modifiable risk factor, is an important factor underlying the risk of SDB in this population.

scholarly journals Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

2020 ◽  
Author(s):  
Juliana Alves Sousa Caixeta ◽  
Jessica Caixeta Silva Sampaio ◽  
Vanessa Vaz Costa ◽  
Isadora Milhomem Bruno da Silveira ◽  
Carolina Ribeiro Fernandes de Oliveira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disordered Breathing ◽  
Long Term Effects ◽  
Obstructive Sleep ◽  
Long Term Impact ◽  
Disordered Breathing

Abstract Introduction Adenotonsillectomy is the first-line treatment for obstructive sleep apnea secondary to adenotonsillar hypertrophy in children. The physical benefits of this surgery are well known as well as its impact on the quality of life (QoL), mainly according to short-term evaluations. However, the long-term effects of this surgery are still unclear. Objective To evaluate the long-term impact of adenotonsillectomy on the QoL of children with sleep-disordered breathing (SDB). Method This was a prospective non-controlled study. Children between 3 and 13 years of age with symptoms of SDB for whom adenotonsillectomy had been indicated were included. Children with comorbities were excluded. Quality of life was evaluated using the obstructive sleep apnea questionnaire (OSA-18), which was completed prior to, 10 days, 6 months, 12 months and, at least, 18 months after the procedure. For statistical analysis, p-values lower than 0.05 were defined as statistically significant. Results A total of 31 patients were enrolled in the study. The average age was 5.2 years, and 16 patients were male. The OSA-18 scores improved after the procedure in all domains, and this result was maintained until the last evaluation, done 22 ± 3 months after the procedure. Improvement in each domain was not superior to achieved in other domains. No correlation was found between tonsil or adenoid size and OSA-18 scores. Conclusion This is the largest prospective study that evaluated the long-term effects of the surgery on the QoL of children with SDB using the OSA-18. Our results show adenotonsillectomy has a positive impact in children's QoL.

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