Article

AIM: To examine the risk of obstructive sleep apnea (OSA) in children with
cerebral palsy (CP) and/or epilepsy. METHOD: This cross-sectional study employs
the Pediatric Sleep Questionnaire (PSQ), the Gross Motor Function Classification
System (GMFCS), and chart review to identify symptoms of OSA in children
presenting to a multi-specialty pediatric healthcare institution. RESULTS: Two-hundred and fifteen patients were grouped into those with epilepsy (n=54), CP
(n=18), both (n=55), and neither (comparison group, n=88).
The comparison group
comprised children with developmental disabilities but not children with typical
development. Significantly increased PSQ scores (indicating increased risk of
OSA) were found among children with CP (58%) and CP with epilepsy (67%) than
among the comparison group (27%; p<0.001 and p<0.0001 respectively). Children
with both CP and epilepsy had a greater number of increased PSQ scores compared
with CP alone (p<0.05). Increased PSQ scores were observed with increasing CP
severity as measured using the GMFCS. The PSQ identified more children at risk of
OSA (46%) than did the medical record review for symptoms of OSA (8.2%, p<0.001).
INTERPRETATION: Children with CP of greater severity or comorbid epilepsy are at
increased risk of OSA. This study supports the routine questionnaire-based
assessment for OSA as a regular part of the care of all children with CP,
especially in those with more severe CP and those with epilepsy.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS