0676 Adolescent Patients with OSA Have Greater Sleep Disturbances Even at Low AHI

Le résumé fourni par la source

Abstract Introduction The AASM Scoring Manual permits the use of adult criteria for diagnosing obstructive sleep apnea in patients 13 and older. There is a lack of consensus regarding the preferred criteria in adolescent patients. WASO (wake after sleep onset, as a marker of sleep disruption) and percentage of TST (total sleep time) with saturations less than 89% (as a marker of degree of hypoxia) can be used as surrogate criteria for severity of sleep apnea in adolescents and may be associated with OSA comorbidities. Methods Data was collected from the EMR for the census of pediatric patients using sleep lab records at the Geisinger Wilkes-Barre Sleep Lab between December 2023 and August 2024. Measures collected included gender, age, AHI, WASO, and total sleep time (TST). Average WASO and percentage of TST with saturations less than 89% were calculated for adolescents and younger pediatric patients at AHI of 1-4.9 (identified here as pediatric criteria) and 5.0 and greater (identified here as adult criteria). Results Application of the full pediatric criteria led to increased diagnosis of OSA in adolescents, as an AHI of 1-4.9/hr was adequate to lead to a diagnosis of OSA. Average WASO was relatively unchanged for patients younger than 13 regardless of which criteria were utilized with an average WASO of 51.2 minutes by pediatric criteria for mild OSA and 52.6 minutes by the adult criteria. For adolescent patients, WASO increased from 79.5 minutes by pediatric criteria for mild OSA to 88.5 minutes by the adult criteria. The hypoxic burden worsened in both groups as AHI increased. For patients younger than 13, hypoxia was 0.28% of TST by pediatric criteria for mild OSA and 1.66% by the adult criteria. For adolescent patients, the same measure was 0.04% by pediatric criteria for mild OSA and 4.34% by the adult criteria. Conclusion Among adolescent patients (13-17), when utilizing the “pediatric criteria” for OSA diagnosis, there was a lower burden of hypoxia, but a greater degree of sleep disturbance as measured by WASO. More studies are needed to demonstrate whether treatment of OSA established by this criteria will help improve WASO and daytime functioning. Support (if any)

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.