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- W2904338636 abstract "Objective: To determine whether nonsupine sleep improves obstructive sleep apnea (OSA) in infants with cleft palate undergoing polysomnography (PSG). Design: Retrospective chart review. Setting: Tertiary care pediatric hospital. Patients: Twenty-seven infants (1 month to 1 year) with cleft palate with or without cleft lip (CP ± L) undergoing PSG testing for suspected OSA were included. Main Outcome Measures: Polysomnography measures included obstructive apnea–hypopnea index (OAHI), central apnea–hypopnea index (CAHI), oxygen saturation (SpO 2 ) nadir, SpO 2 , and end-tidal carbon dioxide (ETCO 2 ). Results: Twenty-three PSGs with at least 20 minutes of sleep in both the supine and the nonsupine positions were analyzed. The supine OAHI (mean: 16.8 events/hour; standard deviation [SD]: 18.5) and nonsupine OAHI (mean: 12.6 events/hour; SD: 12.6) did not differ significantly ( P = .10). The supine CAHI (mean: 1.9 events/hour; SD: 2.7) and nonsupine CAHI (mean: 3.1 events/hour; SD: 3.7; P = .15), the supine SpO 2 nadir (mean: 81.2%; SD: 6.3) and nonsupine SpO 2 nadir (mean: 81.8%; SD: 5.3; P = .70), the supine mean SpO 2 (mean: 95.5%; SD: 1.9) and nonsupine mean SpO 2 saturation (mean: 95.3%; SD: 2.4; P = .34), and the supine ETCO 2 (mean: 45.4 mm Hg; SD: 5.3) and nonsupine ETCO 2 (mean: 42.5 mm Hg; SD: 10.1; P = .24) were also similar. Conclusions: There were no significant improvements in OSA metrics during nonsupine sleep in infants with CP ± L. Prior to recommending nonsupine positioning which increases infant’s exposure to sudden infant death syndrome risk, we advocate obtaining a PSG to verify an objective improvement in OSA." @default.
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- W2904338636 date "2018-12-13" @default.
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- W2904338636 title "Obstructive Sleep Apnea and Sleep Position: Does It Matter for Infants With a Cleft Palate?" @default.
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- W2904338636 doi "https://doi.org/10.1177/1055665618817664" @default.
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