Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed
Obstructive sleep apnea (OSA) in children is a prevalent, but still, today, underdiagnosed illness, which consists of repetitive episodes of upper airway obstruction during sleep with important repercussions for sleep quality. OSA has relevant consequences in the pediatric population, mainly in the...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-06-01
|
| Series: | Biomedicines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9059/11/6/1708 |
| _version_ | 1797595960676712448 |
|---|---|
| author | Esther Solano-Pérez Carlota Coso María Castillo-García Sofía Romero-Peralta Sonia Lopez-Monzoni Eduardo Laviña Irene Cano-Pumarega Manuel Sánchez-de-la-Torre Francisco García-Río Olga Mediano |
| author_facet | Esther Solano-Pérez Carlota Coso María Castillo-García Sofía Romero-Peralta Sonia Lopez-Monzoni Eduardo Laviña Irene Cano-Pumarega Manuel Sánchez-de-la-Torre Francisco García-Río Olga Mediano |
| author_sort | Esther Solano-Pérez |
| collection | DOAJ |
| description | Obstructive sleep apnea (OSA) in children is a prevalent, but still, today, underdiagnosed illness, which consists of repetitive episodes of upper airway obstruction during sleep with important repercussions for sleep quality. OSA has relevant consequences in the pediatric population, mainly in the metabolic, cardiovascular (CV), and neurological spheres. However, contrary to adults, advances in diagnostic and therapeutic management have been scarce in the last few years despite the increasing scientific evidence of the deleterious consequences of pediatric OSA. The problem of underdiagnosis and the lack of response to treatment in some groups make an update to the management of OSA in children necessary. Probably, the heterogeneity of OSA is not well represented by the classical clinical presentation and severity parameters (apnea/hypopnea index (AHI)), and new strategies are required. A specific and consensus definition should be established. Additionally, the role of simplified methods in the diagnosis algorithm should be considered. Finally, the search for new biomarkers for risk stratification is needed in this population. In conclusion, new paradigms based on personalized medicine should be implemented in this population. |
| first_indexed | 2024-03-11T02:43:44Z |
| format | Article |
| id | doaj.art-6a1b04211ce54628bbac9c5aa9f01be9 |
| institution | Directory Open Access Journal |
| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-11T02:43:44Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomedicines |
| spelling | doaj.art-6a1b04211ce54628bbac9c5aa9f01be92023-11-18T09:27:04ZengMDPI AGBiomedicines2227-90592023-06-01116170810.3390/biomedicines11061708Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is NeededEsther Solano-Pérez0Carlota Coso1María Castillo-García2Sofía Romero-Peralta3Sonia Lopez-Monzoni4Eduardo Laviña5Irene Cano-Pumarega6Manuel Sánchez-de-la-Torre7Francisco García-Río8Olga Mediano9Sleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19002 Guadalajara, SpainSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19002 Guadalajara, SpainSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19002 Guadalajara, SpainSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19002 Guadalajara, SpainSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19002 Guadalajara, SpainSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19002 Guadalajara, SpainCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28029 Madrid, SpainCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28029 Madrid, SpainCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28029 Madrid, SpainSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19002 Guadalajara, SpainObstructive sleep apnea (OSA) in children is a prevalent, but still, today, underdiagnosed illness, which consists of repetitive episodes of upper airway obstruction during sleep with important repercussions for sleep quality. OSA has relevant consequences in the pediatric population, mainly in the metabolic, cardiovascular (CV), and neurological spheres. However, contrary to adults, advances in diagnostic and therapeutic management have been scarce in the last few years despite the increasing scientific evidence of the deleterious consequences of pediatric OSA. The problem of underdiagnosis and the lack of response to treatment in some groups make an update to the management of OSA in children necessary. Probably, the heterogeneity of OSA is not well represented by the classical clinical presentation and severity parameters (apnea/hypopnea index (AHI)), and new strategies are required. A specific and consensus definition should be established. Additionally, the role of simplified methods in the diagnosis algorithm should be considered. Finally, the search for new biomarkers for risk stratification is needed in this population. In conclusion, new paradigms based on personalized medicine should be implemented in this population.https://www.mdpi.com/2227-9059/11/6/1708sleep apneacardiovascularhypoxic burdenchildrendiagnosistreatment |
| spellingShingle | Esther Solano-Pérez Carlota Coso María Castillo-García Sofía Romero-Peralta Sonia Lopez-Monzoni Eduardo Laviña Irene Cano-Pumarega Manuel Sánchez-de-la-Torre Francisco García-Río Olga Mediano Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed Biomedicines sleep apnea cardiovascular hypoxic burden children diagnosis treatment |
| title | Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed |
| title_full | Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed |
| title_fullStr | Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed |
| title_full_unstemmed | Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed |
| title_short | Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed |
| title_sort | diagnosis and treatment of sleep apnea in children a future perspective is needed |
| topic | sleep apnea cardiovascular hypoxic burden children diagnosis treatment |
| url | https://www.mdpi.com/2227-9059/11/6/1708 |
| work_keys_str_mv | AT esthersolanoperez diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT carlotacoso diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT mariacastillogarcia diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT sofiaromeroperalta diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT sonialopezmonzoni diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT eduardolavina diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT irenecanopumarega diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT manuelsanchezdelatorre diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT franciscogarciario diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded AT olgamediano diagnosisandtreatmentofsleepapneainchildrenafutureperspectiveisneeded |