gms | German Medical Science

83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2012, Mainz

Sleep Quality in Children with Sleep Disordered Breathing

Meeting Abstract

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  • corresponding author presenting/speaker Alfred Dreher - ENT-Dept., Ludwig-Maximilians-University, Munich, Germany
  • Thomas Braun - ENT-Dept., Ludwig-Maximilians-University, Munich, Germany
  • Fiona Baker - SRI Interational, Menlo Park, United States
  • Martin Patscheider - ENT-Dept., Ludwig-Maximilians-University, Munich, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hno62

DOI: 10.3205/12hno62, URN: urn:nbn:de:0183-12hno622

Veröffentlicht: 23. Juli 2012

© 2012 Dreher et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

In Adults, severe obstructive sleep apnea syndrome (OSAS) causes disruption of sleep architecture including loss of slow-wave-sleep (SWS) and REM sleep. The effects of OSAS on sleep architecture seem less pronounced in children, probably because of the greater stability of their sleep compared to adults. But, the question remains whether children’s sleep architecture becomes more vulnerable to the effects of OSAS as they get older.

377 children with suspected OSAS (age 5.3±2.6 years) were examined by polysomnography. The children were divided into groups based on age: 2, 3, 4, 5, 6 and 7 or more years of age. In every age group a correlation between Apnea-Hypopnea-Index (AHI) and the sleep-parameters (sleep efficiency, % SWS and % REM) was calculated.

The average AHI for the combined group of children was 8.0±15.0. The sleep-efficiency index was 88.1±7.7%. The portions of SWS and REM sleep were 22.0±9.1% and 13.9±5.5%, respectively. AHI was not significantly correlated with sleep efficiency (r = 0.07), % SWS (r = –0.18) or % REM (r = –0.13) in the combined group of children or within any age group examined. Correlation coefficients did not differ significantly between the different age groups.

In children there is only a weak correlation between OSAS and the macro architecture of sleep. This weak correlation does not increase with age in children between 2 and at least 7 years of age.