Prevalence and Risk Factors of Positional Obstructive Sleep Apnea (POSA) among Children with Obstructive Sleep Apnea

Journal Title: Vajira Medical Journal: Journal of Urban Medicine - Year 2022, Vol 66, Issue 6

Abstract

Objective: This study aimed to assess the prevalence and risk factors of positional obstructive sleep apnea (POSA) among children with OSA. Methods: A retrospective study was conducted. One hundred and three children with OSA who were aged 3 to 18 years between April 2013 and July 2021 were included in this study. Demographic and polysomnographic data were gathered. Results: The prevalence of POSA was 42.7%. No significant differences were observed in age, gender, tonsil score, weight status and medical comorbidities. Children with POSA had a significantly higher supine AHI than non-POSA (9.6 [0.0-98.7] versus 4.7 [0.0-55.4], p = 0.012). The median non-supine AHI of POSA was significantly lower than non-POSA (0.0 [0.0-18.6] versus 5.3 [0.0-78.9], respectively p < 0.001). Conclusion: POSA among children with OSA occurs frequently, similar to adults with POSA. POSA is associated with higher supine AHI and lower non-supine AHI. Positional therapy might be beneficial in children with POSA.

Authors and Affiliations

Woravipa Israsena Na Ayudhya Worawan Rojanawong

Keywords

Related Articles

Accuracy of Fine Needle Aspiration Cytology of Thyroid Lesions: An 8-year Experience in Urban-based Tertiary Medical Center in Bangkok, Thailand

Background: The Bethesda system for reporting thyroid cytopathology (TBSRTC) is a standardized and reproducible system. It is used worldwide to interpret fine-needle aspiration cytology (FNAC) of thyroid. A crucial issue...

5 Year Outcome Comparing between Lower Pole and Non-Lower Pole Approach Percutaneous Nephrolithotripsy

Objectives: Percutaneous Nephrolithotomy (PCNL) is considered to be the principal treatment for large kidney stones. Nephrolithotripsy approaches—namely the Lower Pole Approach and the Non-Lower Pole Approach—are widely...

Ten-Year Review of Outcomes after Surgery, Radiation, or Active Surveillance for Localized Prostate Cancer

Objective: Prostate cancer is the second most common male cancer worldwide and the fifth leading cause of death in Thailand. This research aimed to evaluate the overall survival and disease-free survival of patients with...

Behavioral Problems of Girls with Central Precocious Puberty

OBJECTIVE: To compare behavioral problems between girls with central precocious puberty and normal girls in the Faculty of Medicine, Vajira Hospital. METHODS: A case-control study was conducted on 76 girls aged 6-11 yea...

An Educational Video Intervention to Increase Advance Care Planning in A Geriatric Clinic: A Randomized Controlled Trial

Introduction: Advance care planning should ideally be discussed with every geriatric patient in the ambulatory settings. However, only a small percentage of geriatric patients have had the discussion with their providers...

Download PDF file
  • EP ID EP723931
  • DOI http://dx.doi.org/10.14456/vmj.2022.39
  • Views 44
  • Downloads 0

How To Cite

Woravipa Israsena Na Ayudhya Worawan Rojanawong (2022). Prevalence and Risk Factors of Positional Obstructive Sleep Apnea (POSA) among Children with Obstructive Sleep Apnea. Vajira Medical Journal: Journal of Urban Medicine, 66(6), -. https://europub.co.uk/articles/-A-723931