Risk Factors of Obstructive Sleep Apnea (OSA) in Pediatric Patients: A Systematic Review and Meta-analysis

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2024-09-01 DOI:10.1016/j.pedhc.2024.05.008

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引用次数: 0

Abstract

Introduction

This review aimed to assess the risk factors of Obstructive Sleep Apnea (OSA) in pediatric children, a common condition with serious long-term sequela.

Methods

PubMed, CENTRAL, Scopus, and Google Scholar were searched using the keywords “Apnea”, “Obstructive Sleep” OR “Obstructive Sleep Apnea Syndrome” AND “Child” OR “Children” OR “Pediatrics”. Data from 35 studies involving 497,688 pediatric patients diagnosed with OSA using polysomnography were reviewed. Risk factors examined included sex, obesity, neck circumference, tonsillar/adenoid hypertrophy, respiratory infections, nasal stenosis, parental OSA/smoking, ethnicity, preterm birth, and breastfeeding history. Relative Risk (RR) with 95% Confidence Intervals (95% CI) were calculated, using Cochrane Q and I² statistics to estimate heterogeneity.

Results

Tonsillar hypertrophy (RR = 3.55), adenoid hypertrophy (RR = 1.63), respiratory tract infection (RR = 2.59), obesity (RR = 1.74), and family history of OSA (RR = 3.03) were significantly associated with pediatric OSA. White ethnicity was protective (RR = 0.77).

Discussion

Recognizing these risk factors aids in early diagnosis and treatment of pediatric OSA.

查看原文本刊更多论文

儿科患者阻塞性睡眠呼吸暂停（OSA）的风险因素：系统回顾与元分析》。

简介：本综述旨在评估小儿阻塞性睡眠呼吸暂停（OSA）的风险因素：本综述旨在评估小儿阻塞性睡眠呼吸暂停（OSA）的风险因素，这是一种具有严重长期后遗症的常见疾病：方法：使用关键词 "呼吸暂停"、"阻塞性睡眠 "或 "阻塞性睡眠呼吸暂停综合征 "和 "儿童 "或 "儿童 "或 "儿科 "检索 PubMed、CENTRAL、Scopus 和 Google Scholar。研究人员查阅了 35 项研究的数据，这些数据涉及 497,688 名使用多导睡眠图诊断出 OSA 的儿科患者。研究的风险因素包括性别、肥胖、颈围、扁桃体/腺样体肥大、呼吸道感染、鼻腔狭窄、父母患有 OSA/吸烟、种族、早产和母乳喂养史。使用Cochrane Q和I²统计来估计异质性，计算相对风险（RR）和95%置信区间（95% CI）：结果：扁桃体肥大（RR = 3.55）、腺样体肥大（RR = 1.63）、呼吸道感染（RR = 2.59）、肥胖（RR = 1.74）和 OSA 家族史（RR = 3.03）与小儿 OSA 显著相关。白种人具有保护作用（RR = 0.77）：讨论：认识这些风险因素有助于早期诊断和治疗小儿 OSA。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.