Esophageal pressures, polysomnography, and neurobehavioral outcomes of adenotonsillectomy in children.

ABSTRACT:

Background

Esophageal pressure monitoring during polysomnography in children offers a gold-standard, “preferred” assessment for work of breathing, but is not commonly used in part because prospective data on incremental clinical utility are scarce. We compared a standard pediatric apnea/hypopnea index to quantitative esophageal pressures as predictors of apnea-related neurobehavioral morbidity and treatment response.

Methods

Eighty-one children aged 7.8 ± 2.8 (SD) years, including 44 boys, had traditional laboratory-based pediatric polysomnography, esophageal pressure monitoring, multiple sleep latency tests, psychiatric evaluations, parental behavior rating scales, and cognitive testing, all just before clinically indicated adenotonsillectomy, and again 7.2 ± 0.8 months lat

SUBMITTER: Chervin RD 

PROVIDER: S-EPMC3418854 | biostudies-literature | 2012 Jul

REPOSITORIES: biostudies-literature