ERS statement on obstructive sleep disordered breathing in 1- to 23-month-old children

dc.contributor.authorKaditis, Athanasios G.
dc.contributor.authorAlvarez, Maria Luz Alonso
dc.contributor.authorBoudewyns, An
dc.contributor.authorAbel, Francois
dc.contributor.authorAlexopoulos, Emmanouel I.
dc.contributor.authorErsu, Refika
dc.contributor.authorJoosten, Koen
dc.contributor.authorLarramona, Helena
dc.contributor.authorMiano, Silvia
dc.contributor.authorNarang, Indra
dc.contributor.authorTan, Hui-Leng
dc.contributor.authorTrang, Ha
dc.contributor.authorTsaoussoglou, Marina
dc.contributor.authorVandenbussche, Nele
dc.contributor.authorVilla, Maria Pia
dc.contributor.authorWaardenburg, Dick Van
dc.contributor.authorWeber, Silke [UNESP]
dc.contributor.authorVerhulst, Stijn
dc.contributor.institutionAghia Sophia Children's Hospital
dc.contributor.institutionBurgos Foundation for Health Research
dc.contributor.institutionUniversity of Antwerp
dc.contributor.institutionGreat Ormond Street Hospital for Children
dc.contributor.institutionLarissa University Hospital
dc.contributor.institutionMarmara University
dc.contributor.institutionPaediatric Intensive Care
dc.contributor.institutionHospital of Sabadell
dc.contributor.institutionCivic Hospital of Lugano
dc.contributor.institutionUniversity of Toronto
dc.contributor.institutionRoyal Brompton Hospital
dc.contributor.institutionEA 7334 REMES Paris-Diderot University
dc.contributor.institutionKempenhaeghe Foundation
dc.contributor.institutionS. Andrea Hospital
dc.contributor.institutionMaastricht University Medical Center
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionAntwerp University Hospital
dc.date.accessioned2018-12-11T17:16:48Z
dc.date.available2018-12-11T17:16:48Z
dc.date.issued2017-12-01
dc.description.abstractThe present statement was produced by a European Respiratory Society Task Force to summarise the evidence and current practice on the diagnosis and management of obstructive sleep disordered breathing (SDB) in children aged 1-23 months. A systematic literature search was completed and 159 articles were summarised to answer clinically relevant questions. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are identified. Morbidity (pulmonary hypertension, growth delay, behavioural problems) and coexisting conditions (feeding difficulties, recurrent otitis media) may be present. SDB severity is measured objectively, preferably by polysomnography, or alternatively polygraphy or nocturnal oximetry. Children with apparent upper airway obstruction during wakefulness, those with abnormal sleep study in combination with SDB symptoms (e.g. snoring) and/or conditions predisposing to SDB (e.g. mandibular hypoplasia) as well as children with SDB and complex conditions (e.g. Down syndrome, Prader-Willi syndrome) will benefit from treatment. Adenotonsillectomy and continuous positive airway pressure are the most frequently used treatment measures along with interventions targeting specific conditions (e.g. supraglottoplasty for laryngomalacia or nasopharyngeal airway for mandibular hypoplasia). Hence, obstructive SDB in children aged 1-23 months is a multifactorial disorder that requires objective assessment and treatment of all underlying abnormalities that contribute to upper airway obstruction during sleep.en
dc.description.affiliationPaediatric Pulmonology Unit First Dept of Paediatrics National and Kapodistrian University Athens School of Medicine Aghia Sophia Children's Hospital
dc.description.affiliationMultidisciplinary Sleep Unit Pulmonology University Hospital of Burgos and CIBER of Respiratory Diseases (CIBERES) Burgos Foundation for Health Research
dc.description.affiliationDept of Otorhinolaryngology Head and Neck Surgery Antwerp University Hospital University of Antwerp
dc.description.affiliationDept of Respiratory Medicine Great Ormond Street Hospital for Children
dc.description.affiliationSleep Disorders Laboratory University of Thessaly School of Medicine Larissa University Hospital
dc.description.affiliationDivision of Paediatric Pulmonology Marmara University
dc.description.affiliationErasmus MC Sophia Children's Hospital Paediatric Intensive Care
dc.description.affiliationPaediatric Pulmonology Unit Dept of Paediatrics University Autonoma of Barcelona Corporacio Sanitaria Parc Tauli Hospital of Sabadell
dc.description.affiliationSleep and Epilepsy Centre Neurocentre of Southern Switzerland Civic Hospital of Lugano
dc.description.affiliationDivision of Respiratory Medicine Hospital for Sick Children University of Toronto
dc.description.affiliationDept of Paediatric Respiratory Medicine Royal Brompton Hospital
dc.description.affiliationPaediatric Sleep Centre Robert Debré University Hospital EA 7334 REMES Paris-Diderot University
dc.description.affiliationSleep Medicine Centre Kempenhaeghe Foundation
dc.description.affiliationPaediatric Sleep Disease Centre Child Neurology NESMOS Dept School of Medicine and Psychology Sapienza University of Rome S. Andrea Hospital
dc.description.affiliationPaediatric Intensive Care Unit Dept of Paediatrics Maastricht University Medical Center
dc.description.affiliationDept of Ophthalmology Otolaryngology and Head and Neck Surgery Botucatu Medical School São Paulo State University-UNESP
dc.description.affiliationDept of Paediatrics Antwerp University Hospital
dc.description.affiliationUnespDept of Ophthalmology Otolaryngology and Head and Neck Surgery Botucatu Medical School São Paulo State University-UNESP
dc.identifierhttp://dx.doi.org/10.1183/13993003.00985-2017
dc.identifier.citationEuropean Respiratory Journal, v. 50, n. 6, 2017.
dc.identifier.doi10.1183/13993003.00985-2017
dc.identifier.issn1399-3003
dc.identifier.issn0903-1936
dc.identifier.scopus2-s2.0-85037866066
dc.identifier.urihttp://hdl.handle.net/11449/175629
dc.language.isoeng
dc.relation.ispartofEuropean Respiratory Journal
dc.relation.ispartofsjr3,788
dc.relation.ispartofsjr3,788
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.titleERS statement on obstructive sleep disordered breathing in 1- to 23-month-old childrenen
dc.typeArtigo

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