Original ArticlesSystolic Blood Pressure Elevation in Children with Obstructive Sleep Apnea Is Improved with Positive Airway Pressure Use
Section snippets
Methods
Our observational study consists of a retrospective chart review of children aged 7-17 years who were referred to the Benioff Children's Hospital Oakland sleep clinic for evaluation of snoring between February 2016 and June 2017. Inclusion criteria included a completed polysomnography (PSG) and office visits: the “initial visit” was either the first consult or CPAP initiation visit and a follow-up visit was done at approximately 6 months. Exclusion criteria included a known history of
Results
Seventy-five children were included, 25 children in each group. Fifty-seven percent of the children were male (43/75). By race/ethnicity, 20% were white, 29% were black, 44% were Hispanic, and 7% were of another ethnic background. Only 20% of children had undergone adenotonsillectomy (AT). The age and ethnicity of the children in the 3 subgroups did not differ (Table I). More males than females were in the 2 OSA groups (P < .02; Table I). More than one-third of the children treated with CPAP
Discussion
Our study shows that children with OSA have higher systolic BP than snorers; failure to treat OSA in children may result in an increased BP and treatment with CPAP decreases the systolic BP to the level of habitual snorers, despite an increase in BMI. This finding suggests that early treatment of children with OSA is effective in reducing BP and, possibly, other cardiovascular complications. Studies have shown that children with OSA often wait 50-141 days for nocturnal PSG and 93-222 days for
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Cited by (31)
Growth and development in pediatric obstructive sleep apnea
2023, Snoring and Obstructive Sleep Apnea in ChildrenContinuous Positive Airway Pressure Use for Obstructive Sleep Apnea in Pediatric Patients
2022, Sleep Medicine ClinicsCitation Excerpt :Children with OSA using CPAP seem to have significant relief of symptoms of OSA and seem to have improvement in the physical, emotional, and behavioral complications, especially when used consistently.30 After 6 months of CPAP treatment, systolic blood pressure can significantly decrease.31 In children with cerebral palsy, CPAP treatment of OSA improved the quality of life.32
Office Blood Pressure Monitoring in Children with Obesity and Obstructive Sleep Apnea
2022, Journal of PediatricsCitation Excerpt :Symptoms considered indicative of OSA were snoring, mouth breathing, breath pausing, awakening, hyperactivity, bedwetting, daytime sleepiness, and attention problems.8,9 Children who had previously undergone adenoid or tonsil surgery or continuous positive airway pressure for OSA were excluded,25 as were children with craniofacial anomalies, genetic disorders, cognitive deficits, neuromuscular diseases, major cardiac diseases, or major respiratory diseases. Congenital heart defects, such as atrial septal defect, ventricular septal defect, coarctation of the aorta, patent ductus arteriosus, patent foramen ovale, and tetralogy of Fallot, were considered major cardiac diseases.
Long Term Ventilation in Children
2021, Encyclopedia of Respiratory Medicine, Second EditionTrajectory of ambulatory blood pressure after adenotonsillectomy in children with obstructive sleep apnea: comparison at three- and six-month follow-up
2020, Sleep MedicineCitation Excerpt :Fourth, this study lacked data on long-term BP changes after treatment for pediatric OSA [55–58]. Additional studies should be planned to clarify the long-term effects of surgery on BP and OSA in the pediatric population [55–58]. This is the first study to compare ABP changes at three and six months after T&A in children with OSA.
The authors declare no conflicts of interest.