Children with Sleep Disordered Breathing Show Abnormal Behavior
A research study established that the children who experience sleep-disordered breathing are significantly more probably exhibiting mal-adaptive behaviors subsequent to surgery compared to those children who do not have any respiratory problem.
Researchers from the University of Michigan, in Ann Arbor were intrigued by the postoperative behavioral problems—like fussiness, disobedience and introversion, and daytime sleepiness.
“All of us have taken care of obstructive sleep apnea (OSA)patients at one time or another,” said Robert E. Christensen, MD, clinical lecturer in anesthesiology at the institution.
“Sleep-disordered breathing represents the full spectrum of disorders, not just those patients who qualify for the full diagnosis of obstructive sleep apnea. We were interested in those patients, specifically in their postoperative behavior and the impact of anesthesia there.”
Children with sleep-disordered breathing are known to be at increased risk for airway complications after surgery, information regarding postoperative behaviors in this population of patients is scarce.
Dr. Christensen and his colleagues enrolled 337 children, aged 2 to 14 years, scheduled for elective surgery in their study. Before the procedures, parents of the subjects completed the Sleep-Related Breathing Disorders subscale (SRBD) of the Pediatric Sleep Questionnaire. Children with scores of 0.33 or higher on the SRBD were considered to have sleeping trouble, including sleep-disordered breathing, snoring and daytime sleepiness.
Children were re-administered one week after surgery. A behavior was considered maladaptive if parents rated it as “more/much more” than normal.
The researchers found that 26.7% of children had sleep-disordered breathing. Those who did were significantly more likely to exhibit maladaptive behaviors following surgery than children with healthier sleep hygiene. Other factors like overweight, obesity, adenotonsillectomy , snoring, and daytime sleepiness were significantly associated with maladaptive behaviors.
This research finding suggests that sleep hygiene, and the underlying sleepiness, might be leading to the increased behavioral problems, not simply the sleep-disordered breathing itself.
Filed under: Clinical Research • Daytime Sleepiness • Insomnia • Obstructive Sleep Apnea • Sleep • Sleep Apnea • Sleep Apnea in Children • Sleep Apnea Research • Sleep Apnea Study • Sleep Disordered Breathing • Sleep Disorders • Sleep Problems • Snoring
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