Supine position-related obstructive sleep apnea in children: insights from the Childhood Adenotonsillectomy Trial.

ABSTRACT:

Purpose

This study aimed to examine the effectiveness of adenotonsillectomy (AT) among pediatric obstructive sleep apnea (OSA) patients with and without supine position-related OSA (POSA) and explore the stability of this subtype over time.

Methods

Data from the Childhood Adenotonsillectomy Trial (CHAT) were analyzed. Children with OSA were randomized to early AT (EAT) or watchful waiting with supportive care (WWSC). Polysomnographic and health outcomes were assessed at baseline and 7 months. POSA was defined as a supine obstructive apnea-hypopnea index (OAHI) ≥ 2× non-supine OAHI, with ≥ 30 min spent in each position.

Results

Among 354 patients (mean age: 6.97 ± 1.39 years; male: 48.1%), 47.2% had POSA at baseline. Compared to non-POSA, children with POSA exhibited l

SUBMITTER: Dai S 

PROVIDER: S-EPMC12209019 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature