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Six‐month follow‐up of children with obstructive sleep apnoea
Author(s) -
Harvey JMM,
O’Callaghan MJ,
Wales PD,
Harris MA,
Masters IB
Publication year - 1999
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1046/j.1440-1754.1999.t01-1-00336.x
Subject(s) - temperament , medicine , sleep (system call) , intervention (counseling) , pediatrics , prospective cohort study , cohort study , cohort , physical therapy , psychiatry , personality , psychology , social psychology , computer science , operating system
Objectives: This study examined prospectively changes in development, temperament and sleep related behaviour in children referred for obstructive sleep apnoea (OSA) and polysomnographic sleep study, some of whom had surgical intervention. Methodology: Using a prospective cohort study design, parents of 56 children referred for OSA completed sleep and temperament questionnaires and their child was assessed developmentally at the time of the polysomnographic sleep study. Forty (72%) of the children were neurologically normal. At 6 months, 42 children were reassessed using sleep and temperament questionnaires and a developmental assessment. After excluding the primary snorers, subjects were categorised as having had intervention ( n = 24) or not ( n = 15), and differences over the 6‐month period in Griffiths scores, temperament and sleep related behaviour were examined. Results: Regardless of intervention status, there was an improvement in night‐time and day‐time sleep behaviour for the total group, though the extent of improvement was more marked in the intervention group. For the neurologically normal children, improvement in the sleep behaviour was only significant for the intervention group ( P < 0.05). Intervention did not result in any significant changes in Griffiths developmental score or temperament. Conclusion: Surgical intervention improves sleep behaviour in children though not temperament or development.