Interpretation of European Respiratory Society statement on obstructive sleep disordered breathing in 1 to 23-month-old children_Chinese Journal of Evidence-Based Medicine

Authors：

XU Zhifei ,  SHEN Kunling

Respiratory Department, National Center for Children’s Health, China; Beijing Children’s Hospital, Capital Medical University, Beijing, 100045, P.R.China;

Corresponding author：

SHEN Kunling, Email: kunlingshen1717@163.com

Keywords：

Obstructive sleep disordered breathing; European Respiratory Society; Statement; Infants; Toddlers

DOI：

10.7507/1672-2531.201805161

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In order to guide diagnosis and treatment in children with sleep disordered breathing aged 1 to 23 months, the European Respiratory Society(ERS) summarized the evidence and released the European Respiratory Society statement based on clinical experience in 2016. This article aims to interpret the ERS statement. Children with apparent upper airway obstruction during wakefulness and those with SDB symptoms and complex conditions requires treatment. Adenotonsillectomy and continuous positive airway pressure are the most frequently used treatment measures along with interventions targeting specific conditions. Obstructive SDB in children aged 1 to 23 months is a multifactorial disorder that requires objective assessment and treatment of all underlying abnormalities.

Citation： XU Zhifei, SHEN Kunling. Interpretation of European Respiratory Society statement on obstructive sleep disordered breathing in 1 to 23-month-old children. Chinese Journal of Evidence-Based Medicine, 2019, 19(4): 377-380. doi: 10.7507/1672-2531.201805161 Copy

1.	Kaditis AG, Alonso AML, Boudewyns A, et al. ERS statement on obstructive sleep disordered breathing in 1- to 23-month-old children. Eur Respir J, 2017, 50(6): 1700985.
2.	Wasilewska J, Kaczmarski M. Sleep-related breathing disorders in small children with nocturnal acid gastro-oesophageal reflux. Rocz Akad Med Bialymst, 2004, 49: 98-102.
3.	Arad-Cohen N, Cohen A, Tirosh E. The relationship between gastroesophageal reflux and apnea in infants. J Pediatr, 2000, 137(3): 321-326.
4.	Qubty WF, Mrelashvili A, Kotagal S, et al. Comorbidities in infants with obstructive sleep apnea. J Clin Sleep Med, 2014, 10(11): 1213-1216.
5.	Ng DK, Chan CH. A review of normal values of infant sleep polysomnography. Pediatr Neonatol, 2013, 54(2): 82-87.
6.	Scholle S, Wiater A, Scholle HC. Normative values of polysomnographic parameters in childhood and adolescence: cardiorespiratory parameters. Sleep Med, 2011, 12(10): 988-996.
7.	Duenas-Meza E, Bazurto-Zapata MA, Gozal D, et al. Overnight polysomnographic characteristics and oxygen saturation of healthy infants, 1 to 18 months of age, born and residing at high altitude (2,640 meters). Chest, 2015, 148(1): 120-127.
8.	Robison JG, Wilson C, Otteson TD, et al. Analysis of outcomes in treatment of obstructive sleep apnea in infants. Laryngoscope, 2013, 123(9): 2306-2314.
9.	Slovik Y, Tal A, Shapira Y, et al. Complications of adenotonsillectomy in children with OSAS younger than 2 years of age. Int J Pediatr Otorhinolaryngol, 2003, 67(8): 847-851.
10.	Cogswell JJ, Easton DM. Cor pulmonale in the pierre robin syndrome. Arch Dis Child, 1974, 49(11): 905-908.
11.	Levine OR, Simpser M. Alveolar hypoventilation and cor pulmonale associated with chronic airway obstruction in infants with Down syndrome. Clin Pediatr (Phila), 1982, 21(1): 25-29.
12.	Czechowicz JA, Chang KW. Catch-up growth in infants with laryngomalacia after supraglottoplasty. Int J Pediatr Otorhinolaryngol, 2015, 79(8): 1333-1336.

1. Kaditis AG, Alonso AML, Boudewyns A, et al. ERS statement on obstructive sleep disordered breathing in 1- to 23-month-old children. Eur Respir J, 2017, 50(6): 1700985.
2. Wasilewska J, Kaczmarski M. Sleep-related breathing disorders in small children with nocturnal acid gastro-oesophageal reflux. Rocz Akad Med Bialymst, 2004, 49: 98-102.
3. Arad-Cohen N, Cohen A, Tirosh E. The relationship between gastroesophageal reflux and apnea in infants. J Pediatr, 2000, 137(3): 321-326.
4. Qubty WF, Mrelashvili A, Kotagal S, et al. Comorbidities in infants with obstructive sleep apnea. J Clin Sleep Med, 2014, 10(11): 1213-1216.
5. Ng DK, Chan CH. A review of normal values of infant sleep polysomnography. Pediatr Neonatol, 2013, 54(2): 82-87.
6. Scholle S, Wiater A, Scholle HC. Normative values of polysomnographic parameters in childhood and adolescence: cardiorespiratory parameters. Sleep Med, 2011, 12(10): 988-996.
7. Duenas-Meza E, Bazurto-Zapata MA, Gozal D, et al. Overnight polysomnographic characteristics and oxygen saturation of healthy infants, 1 to 18 months of age, born and residing at high altitude (2,640 meters). Chest, 2015, 148(1): 120-127.
8. Robison JG, Wilson C, Otteson TD, et al. Analysis of outcomes in treatment of obstructive sleep apnea in infants. Laryngoscope, 2013, 123(9): 2306-2314.
9. Slovik Y, Tal A, Shapira Y, et al. Complications of adenotonsillectomy in children with OSAS younger than 2 years of age. Int J Pediatr Otorhinolaryngol, 2003, 67(8): 847-851.
10. Cogswell JJ, Easton DM. Cor pulmonale in the pierre robin syndrome. Arch Dis Child, 1974, 49(11): 905-908.
11. Levine OR, Simpser M. Alveolar hypoventilation and cor pulmonale associated with chronic airway obstruction in infants with Down syndrome. Clin Pediatr (Phila), 1982, 21(1): 25-29.
12. Czechowicz JA, Chang KW. Catch-up growth in infants with laryngomalacia after supraglottoplasty. Int J Pediatr Otorhinolaryngol, 2015, 79(8): 1333-1336.

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Interpretation of European Respiratory Society statement on obstructive sleep disordered breathing in 1 to 23-month-old children

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