Abstract

In this study, we collected and analyzed polysomnography (PSG) data to investigate the value of PSG in diagnosing sleep problems in children. The results of PSG studies of children (<18 years old) with sleep problems conducted from April 2015 to May 2017 at a children’s hospital in Taiwan were collected and analyzed retrospectively. Data for 310 patients (209 males and 101 females) who underwent PSG were collected. The final diagnoses were as follows: obstructive sleep apnea in 159 (51.3%), snoring in 81 (26.4%), limb movement sleep disorder in 25 (8.1%), hypersomnias in 12 (3.9%), central apnea in 8 (2.9%), enuresis in 7 (2.3%), bruxism in 5 (1.6%), sleep terrors in 5 (1.6%), narcolepsy in 3 (1.0%), sleep seizures in 3 (1.0%), sleep walking in 1 (0.3%), and insomnia in 1 (0.3%). PSG may help detect significant sleep-related problems in children and is useful for making therapeutic decisions regarding children. Obstructive sleep apnea syndrome (OSAS) was the primary sleep problem for most of the children (51.3%); however, only 7.4% of them underwent surgery for OSAS. We therefore suggest that children with sleep problems should undergo PSG.

Highlights

  • Sleep constitutes an opportunity for the body to conserve energy, restore its normal processes, promote physical growth, and support mental development

  • Data for a total of 325 patients with sleep problems who came to the outpatient department (OPD) for help from April 2015 to May 2017 and underwent PSG were collected in our study

  • For the two children with a PSG-based diagnosis of Central sleep apnea (CSA) in this study, we suggested a magnetic resonance imaging (MRI) evaluation to assess for neuroanatomical abnormalities, but neither of the children came back for a follow-up visit

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Summary

Introduction

Sleep constitutes an opportunity for the body to conserve energy, restore its normal processes, promote physical growth, and support mental development. It plays a vital and often underestimated role in the growth and development of children. Sleep problems have been reported to have high prevalence rates throughout childhood, affecting 25% to. We retrospectively collected the data of children who underwent PSG in our hospital due to sleep problems. The indications of these PSG studies and the final diagnoses of these patients were analyzed and evaluated

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