Sleep-disordered breathing and reaction time in children

Mohammed Hakim,1 Shabana Zainab Shafy,1 Rebecca Miller,1 Kris R Jatana,2 Mark Splaingard,3 Dmitry Tumin,1 Joseph D Tobias,1,4 Vidya T Raman1,4 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Pediatric Otorhinolaryngol...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hakim M, Shafy SZ, Miller R, Jatana KR, Splaingard M, Tumin D, Tobias JD, Raman VT
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	reaction time psychomotor vigilance test obstructive sleep apnea anesthesia polysomnography sleep disordered breathing Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/73f8556c8a974ceba78e35b509a39c45
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:73f8556c8a974ceba78e35b509a39c45
record_format	dspace
spelling	oai:doaj.org-article:73f8556c8a974ceba78e35b509a39c452021-12-02T09:06:32ZSleep-disordered breathing and reaction time in children1179-1470https://doaj.org/article/73f8556c8a974ceba78e35b509a39c452018-12-01T00:00:00Zhttps://www.dovepress.com/sleep-disordered-breathing-and-reaction-time-in-children-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Mohammed Hakim,1 Shabana Zainab Shafy,1 Rebecca Miller,1 Kris R Jatana,2 Mark Splaingard,3 Dmitry Tumin,1 Joseph D Tobias,1,4 Vidya T Raman1,4 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Pediatric Otorhinolaryngology, Nationwide Children’s Hospital, Columbus, OH, USA; 3Department of Sleep Disorders Centre, Nationwide Children’s Hospital, Columbus, OH, USA; 4Department of Anesthesiology & Pain Medicine, Ohio State University, Columbus, OH, USA Background: The incidence of obstructive sleep apnea (OSA) and sleep-disordered breathing (SDB) in children exceeds the availability of polysomnography (PSG) to definitively diagnose OSA and identify children at higher risk of perioperative complications. As sleep deficits are associated with slower reaction times (RTs), measuring RT may be a cost-effective approach to objectively identify SDB symptoms. Aim: The aim of this study is to compare RT on a standard 10-minute psychomotor vigilance test (PVT) based on children’s history of OSA/SDB. Methods : Children, 6–11 years of age, were enrolled from two different clinical groups. The SDB group included children undergoing adenotonsillectomy with a clinical history of SDB, OSA, or snoring. The control group included children with no history of SDB, OSA, or snoring who were scheduled for surgery other than adenotonsillectomy. RT was measured via 10-minute PVT (Ambulatory Monitoring Inc., Ardsley, NY, USA). Median RT was calculated for each patient based on all responses to stimuli during the PVT assessment and was compared to published age-sex-specific norms. The proportion of children exceeding RT norms was compared between study groups. Results: The study included 72 patients (36/36 male/female, median age 7 years), 46 with SDB and 26 without SDB. There was no difference in the RT between the two groups. Fifty-four percent of patients with SDB exceeded norms for median RT vs 42% of control patients (95% CI of difference: – 12, 36; P=0.326). Conclusion: Approximately half of the patients in both groups exceeded published norms for median RT on PVT. Despite its convenience, measurement of RT did not distinguish between patients with probable SDB/OSA for preoperative risk stratification. Keywords: psychomotor vigilance test, obstructive sleep apnea, anesthesia, polysomnography, sleep-disordered breathingHakim MShafy SZMiller RJatana KRSplaingard MTumin DTobias JDRaman VTDove Medical Pressarticlereaction timepsychomotor vigilance testobstructive sleep apneaanesthesiapolysomnographysleep disordered breathingMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 11, Pp 413-417 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	reaction time psychomotor vigilance test obstructive sleep apnea anesthesia polysomnography sleep disordered breathing Medical technology R855-855.5
spellingShingle	reaction time psychomotor vigilance test obstructive sleep apnea anesthesia polysomnography sleep disordered breathing Medical technology R855-855.5 Hakim M Shafy SZ Miller R Jatana KR Splaingard M Tumin D Tobias JD Raman VT Sleep-disordered breathing and reaction time in children
description	Mohammed Hakim,1 Shabana Zainab Shafy,1 Rebecca Miller,1 Kris R Jatana,2 Mark Splaingard,3 Dmitry Tumin,1 Joseph D Tobias,1,4 Vidya T Raman1,4 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Pediatric Otorhinolaryngology, Nationwide Children’s Hospital, Columbus, OH, USA; 3Department of Sleep Disorders Centre, Nationwide Children’s Hospital, Columbus, OH, USA; 4Department of Anesthesiology & Pain Medicine, Ohio State University, Columbus, OH, USA Background: The incidence of obstructive sleep apnea (OSA) and sleep-disordered breathing (SDB) in children exceeds the availability of polysomnography (PSG) to definitively diagnose OSA and identify children at higher risk of perioperative complications. As sleep deficits are associated with slower reaction times (RTs), measuring RT may be a cost-effective approach to objectively identify SDB symptoms. Aim: The aim of this study is to compare RT on a standard 10-minute psychomotor vigilance test (PVT) based on children’s history of OSA/SDB. Methods : Children, 6–11 years of age, were enrolled from two different clinical groups. The SDB group included children undergoing adenotonsillectomy with a clinical history of SDB, OSA, or snoring. The control group included children with no history of SDB, OSA, or snoring who were scheduled for surgery other than adenotonsillectomy. RT was measured via 10-minute PVT (Ambulatory Monitoring Inc., Ardsley, NY, USA). Median RT was calculated for each patient based on all responses to stimuli during the PVT assessment and was compared to published age-sex-specific norms. The proportion of children exceeding RT norms was compared between study groups. Results: The study included 72 patients (36/36 male/female, median age 7 years), 46 with SDB and 26 without SDB. There was no difference in the RT between the two groups. Fifty-four percent of patients with SDB exceeded norms for median RT vs 42% of control patients (95% CI of difference: – 12, 36; P=0.326). Conclusion: Approximately half of the patients in both groups exceeded published norms for median RT on PVT. Despite its convenience, measurement of RT did not distinguish between patients with probable SDB/OSA for preoperative risk stratification. Keywords: psychomotor vigilance test, obstructive sleep apnea, anesthesia, polysomnography, sleep-disordered breathing
format	article
author	Hakim M Shafy SZ Miller R Jatana KR Splaingard M Tumin D Tobias JD Raman VT
author_facet	Hakim M Shafy SZ Miller R Jatana KR Splaingard M Tumin D Tobias JD Raman VT
author_sort	Hakim M
title	Sleep-disordered breathing and reaction time in children
title_short	Sleep-disordered breathing and reaction time in children
title_full	Sleep-disordered breathing and reaction time in children
title_fullStr	Sleep-disordered breathing and reaction time in children
title_full_unstemmed	Sleep-disordered breathing and reaction time in children
title_sort	sleep-disordered breathing and reaction time in children
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/73f8556c8a974ceba78e35b509a39c45
work_keys_str_mv	AT hakimm sleepdisorderedbreathingandreactiontimeinchildren AT shafysz sleepdisorderedbreathingandreactiontimeinchildren AT millerr sleepdisorderedbreathingandreactiontimeinchildren AT jatanakr sleepdisorderedbreathingandreactiontimeinchildren AT splaingardm sleepdisorderedbreathingandreactiontimeinchildren AT tumind sleepdisorderedbreathingandreactiontimeinchildren AT tobiasjd sleepdisorderedbreathingandreactiontimeinchildren AT ramanvt sleepdisorderedbreathingandreactiontimeinchildren
_version_	1718398250411622400

Sleep-disordered breathing and reaction time in children

Ejemplares similares