住院儿科患者的测谎术:现实生活中的实践。

IF 1.3 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Colombia Medica Pub Date : 2024-12-30 eCollection Date: 2024-10-01 DOI:10.25100/cm.v55i4.6622
Daniel Zenteno, Gerardo Torres-Puebla, Camila Sánchez, Víctor Oviedo, Jaime Tapia, Rodrigo Torres-Castro
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引用次数: 0

摘要

导读:诊断睡眠呼吸障碍的金标准测试是多导睡眠描记仪;然而,其有限的可用性导致了其他替代品的出现,如更容易获得和成本效益高的测谎技术。目的:分析疑似睡眠呼吸障碍患儿的基础疾病与阻塞性睡眠呼吸暂停低通气综合征的关系。方法:回顾性横断面研究。纳入年龄≥1岁疑似睡眠呼吸障碍住院儿童的测谎研究。收集了人口统计学、临床和测谎仪变量。采用logistic回归分析,根据基础条件评估阻塞性睡眠呼吸暂停低通气综合征的存在。结果:在1000份测谎研究中,分析了407份。中位年龄为8.2岁(范围4.1-12.2),男性患者占56%。主要诊断为神经功能障碍(19.4%)、神经肌肉疾病(16.0%)、上气道阻塞(15.5%)和慢性肺部疾病(15.5%)。其中,阻塞性睡眠呼吸暂停综合征轻度者占63.0%,中度者占21.0%,重度者占16.0%,以肥胖和神经肌肉疾病最为突出。年龄(p=0.001)和呼吸暂停低通气指数(p=0.002)在不同诊断类别中存在显著差异。患有唐氏综合症的儿童患阻塞性睡眠呼吸暂停低通气综合征的风险比患有慢性肺病的儿童高5.5倍。结论:阻塞性睡眠呼吸暂停低通气综合征的患病率很高,特别是在肥胖和神经肌肉疾病的儿童中。与慢性肺病患者相比,唐氏综合症患者患阻塞性睡眠呼吸暂停低通气综合征的风险更高。在具有类似特征的医疗保健中心,测谎仪是一种潜在的可实现工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Polygraphy in hospitalized pediatric patients: A real-life practice.

Polygraphy in hospitalized pediatric patients: A real-life practice.

Polygraphy in hospitalized pediatric patients: A real-life practice.

Introduction: The gold standard test for diagnosing sleep-disordered breathing is polysomnography; however, its limited availability has led to the emergence of alternatives such as polygraphy, which is more accessible and cost-effective.

Objective: To analyze the association between underlying conditions and obstructive sleep apnea-hypopnea syndrome in children with suspected sleep-disordered breathing.

Methods: Retrospective cross-sectional study. Polygraphy studies of hospitalized children aged ≥1 year with suspected sleep-disordered breathing were included. Demographic, clinical, and polygraphic variables were collected. A logistic regression analysis was performed to evaluate the presence of obstructive sleep apnea-hypopnea syndrome according to underlying conditions.

Results: Of 1,000 polygraphy studies, 407 were analyzed. The median age was 8.2 years (range 4.1-12.2), with 56% male patients. The main diagnoses were neurological impairment (19.4%), neuromuscular diseases (16.0%), upper airway obstruction (15.5%), and chronic lung disease (15.5%). Abnormal polygraphy was found in 56.0% of cases, with obstructive sleep apnea syndrome classified as mild in 63.0%, moderate in 21.0%, and severe in 16.0%, with obesity and neuromuscular diseases being most prominent. Significant differences were found in age (p=0.001) and apnea-hypopnea index (p=0.002) across diagnostic categories. Children with Down syndrome had a 5.5-fold higher risk of obstructive sleep apnea-hypopnea syndrome compared to those with chronic lung disease.

Conclusions: There was a high prevalence of obstructive sleep apnea-hypopnea syndrome, particularly in children with obesity and neuromuscular diseases. Patients with Down syndrome had a higher risk of obstructive sleep apnea-hypopnea syndrome compared to those with chronic lung disease. Polygraphy is a potentially implementable tool in healthcare centers with similar characteristics.

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来源期刊
Colombia Medica
Colombia Medica MEDICINE, GENERAL & INTERNAL-
CiteScore
2.00
自引率
0.00%
发文量
11
审稿时长
>12 weeks
期刊介绍: Colombia Médica is an international peer-reviewed medical journal that will consider any original contribution that advances or illuminates medical science or practice, or that educates to the journal''s’ readers.The journal is owned by a non-profit organization, Universidad del Valle, and serves the scientific community strictly following the International Committee of Medical Journal Editors (ICMJE) and the World Association of Medical Editors (WAME) recommendations of policies on publication ethics policies for medical journals. Colombia Médica publishes original research articles, viewpoints and reviews in all areas of medical science and clinical practice. However, Colombia Médica gives the highest priority to papers on general and internal medicine, public health and primary health care.
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