PEDIATRICS Vol. 108 No. 3 September 2001, pp. 693-697
Objective Sleepiness Measures in Pediatric Obstructive Sleep Apnea
Received Dec 27, 2000; accepted Mar 9, 2001.
From the Kosair Children's Hospital Sleep Medicine and Apnea
Center, Division of Pediatric Sleep Medicine, Department of Pediatrics,
University of Louisville, Louisville, Kentucky.
Objectives. Excessive daytime
sleepiness (EDS) occurs frequently in adult patients with obstructive
sleep apnea (OSA). However, the incidence of EDS in children with OSA
is unknown.
Methods. To determine overall daytime sleepiness in
pediatric OSA, 54 children with OSA, 14 children with primary snoring
(PS), and 24 controls (C) underwent an overnight diagnostic
polysomnogram followed the next day by a multiple sleep latency test.
Results. The mean apnea index was 15.1 ± 9.5 standard deviation in OSA, 1.1 ± 0.5 in PS, and 0.1 ± 0.3 in C. Mean sleep latencies were 23.7 ± 3.0 minutes in C,
23.7 ± 3.1 minute in PS, and 20.0 ± 7.1 minute in OSA
patients. However, only 7 children with OSA had mean sleep latencies
<10 minutes. In addition, shorter sleep latencies were more likely to
occur in more obese OSA patients and those with more severe apnea
index, and oxyhemoglobin desaturation.
Conclusions. Shortened sleep latencies occur in children
with OSA, but EDS is infrequent and tends to develop among more severe
and/or obese patients.
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