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Health-Care Utilization and Pediatric Obstructive Sleep Apnea

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Sleep Disordered Breathing in Children

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Pediatric obstructive sleep apnea (OSA) is a common underdiagnosed respiratory disorder characterized by recurrent upper-airway obstruction during sleep. Even though OSA is common and treatment provides benefits to patients and society, there are barriers to accessing diagnostic and therapeutic services in many parts of the world. This chapter reviews various studies showing that children with OSA have greater morbidity and elevated health-care costs starting from the first year of life compared to healthy control groups including children matched 1:1 by age, gender, geographic location, and pediatrician or family physician. Adenotonsillectomy significantly reduces the drain on health-care systems for children with OSA. The health-care systems of Israel and Manitoba, Canada, are quite similar, and most studies on this subject came from these health-care systems.

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References

  1. Marcus CL. Sleep disordered breathing in children. Am J Respir Crit Care Med. 2001;164:16–30.

    PubMed  CAS  Google Scholar 

  2. American Thoracic Society. Standards and indications for cardiopulmonary sleep studies in children. The official statement of the American Thoracic Society. Am J Respir Crit Care Med. 1996;153: 866–78.

    Google Scholar 

  3. Tal A, Bar A, Leiberman A, Tarasiuk A. Sleep characteristics following adenotonsillectomy in children with obstructive sleep apnea syndrome. Chest. 2003;124: 948–53.

    Article  PubMed  Google Scholar 

  4. Bar A, Tarasiuk A, Segev Y, Phillip M, Tal A. The effect of adenotonsillectomy on serum insulin-like growth factor-I and growth in children with obstructive sleep apnea syndrome. J Pediatr. 1999;135: 76–80.

    Article  PubMed  CAS  Google Scholar 

  5. Gozal D. Sleep-disordered breathing and school ­performance in children. Pediatrics. 1998;102: 616–20.

    Article  PubMed  CAS  Google Scholar 

  6. Gozal D, Pope Jr DW. Snoring during early childhood and academic performance at ages thirteen to fourteen years. Pediatrics. 2001;107:1394–9.

    Article  PubMed  CAS  Google Scholar 

  7. Tal A, Leiberman A, Margulis G, Sofer S. Ventricular dysfunction in children with obstructive sleep apnea: radionucleide assessment. Pediatr Pulmonol. 1988;4:139–43.

    Article  PubMed  CAS  Google Scholar 

  8. O’Brien LM, Holbrook CR, Mervis CB, et al. Sleep and neurobehavioral characteristics of 5- to 7-year-old children with parentally reported symptoms of attention deficit/hyperactivity disorder. Pediatrics. 2003;111:554–63.

    Article  PubMed  Google Scholar 

  9. Friedman BC, Hendeles-Amitai A, Kozminsky E, et al. Adenotonsillectomy improves neurocognitive function in children with obstructive sleep apnea syndrome. Sleep. 2003;26:999–1005.

    PubMed  Google Scholar 

  10. Montgomery-Downs HE, Gozal D. Snore-associated sleep fragmentation in infancy: mental development effects and contribution of secondhand cigarette smoke exposure. Pediatrics. 2006;117:e496–502.

    Article  PubMed  Google Scholar 

  11. Schechter MS. Technical report: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2002;109:e69.

    Article  PubMed  Google Scholar 

  12. Banno K, Kryger MH. Factors limiting access to services for sleep apnea patients. Sleep Med Rev. 2004;8:253–5.

    Article  PubMed  Google Scholar 

  13. Simon-Tuval T, Reuveni H, Greenberg-Dotan S, Oksenberg A, Tal A, Tarasiuk A. Low socioeconomic status is a risk factor for CPAP acceptance among adult OSAS patients requiring treatment. Sleep. 2009;32:545–52.

    PubMed  Google Scholar 

  14. Flemons WW, Douglas NJ, Kuna ST, Rodenstein DO, Wheatley J. Access to diagnosis and treatment of patients with suspected sleep apnea. Am J Respir Crit Care Med. 2004;169:668–72.

    Article  PubMed  Google Scholar 

  15. Tarasiuk A, Reuveni H. Obstructive sleep apnea syndrome: the diagnostic strategy dilemma. Isr Med Assoc J. 2004;6:686–90.

    PubMed  Google Scholar 

  16. Banno K, Manfreda J, Walld R, Delaive K, Kryger MH. Healthcare utilization in women with obstructive sleep apnea syndrome 2 years after diagnosis and treatment. Sleep. 2006;29:1307–11.

    PubMed  Google Scholar 

  17. Bahammam A, Delaive K, Ronald J, et al. Health care utilization in males with obstructive sleep apnea syndrome two years after diagnosis and treatment. Sleep. 1999;22:740–7.

    PubMed  CAS  Google Scholar 

  18. Albarrak M, Banno K, Sabbagh AA, et al. Utilization of healthcare resources in obstructive sleep apnea syndrome: a 5-year followup study in men using CPAP. Sleep. 2005;28:1306–11.

    PubMed  Google Scholar 

  19. Smith R, Ronald J, Delaive K, et al. What are obstructive sleep apnea patients being treated for prior to this diagnosis? Chest. 2002;121:164–72.

    Article  PubMed  Google Scholar 

  20. Ronald J, Delaive K, Roos L, et al. Health care utilization in the 10 years prior to diagnosis in obstructive sleep apnea syndrome patients. Sleep. 1999;22:225–9.

    PubMed  CAS  Google Scholar 

  21. Otake K, Delaive K, Walld R, et al. Cardiovascular medication use in patients with undiagnosed obstructive sleep apnoea. Thorax. 2002;57:417–22.

    Article  PubMed  CAS  Google Scholar 

  22. Tarasiuk A, Greenberg-Dotan S, Brin YS, Simon T, Tal A, Reuveni H. Determinants affecting health care utilization in OSAS patients. Chest. 2005;128:1310–4.

    Article  PubMed  Google Scholar 

  23. Greenberg-Dotan S, Reuveni H, Simon-Tuval T, Oksenberg A, Tarasiuk A. Gender differences in morbidity and health care utilization among adult obstructive sleep apnea patients. Sleep. 2007;30:1173–80.

    PubMed  Google Scholar 

  24. Reuveni H, Greenberg-Dotan S, Simon-Tuval T, Oksenberg A, Tarasiuk A. Young adult males with OSA consume high health care resources due to nonspecific co-morbidity. Eur Respir J. 2008;31: 273–9.

    Article  PubMed  CAS  Google Scholar 

  25. Reuveni H, Simon T, Tal A, Elhayany A, Tarasiuk A. Health care services utilization in children with obstructive sleep apnea syndrome. Pediatrics. 2002; 110:68–72.

    Article  PubMed  Google Scholar 

  26. Tarasiuk A, Greenberg-Dotan S, Simon-Tuval T, et al. Elevated morbidity and health care use in children with obstructive sleep apnea syndrome. Am J Respir Crit Care Med. 2007;175:55–61.

    Article  PubMed  Google Scholar 

  27. Tarasiuk A, Simon T, Tal A, Reuveni H. Adenotonsillectomy in children with obstructive sleep apnea syndrome reduces health care utilization. Pediatrics. 2004;113:351–6.

    Article  PubMed  Google Scholar 

  28. Tarasiuk A, Greenberg-Dotan S, Simon T, Tal A, Oksenberg A, Reuveni H. Low socioeconomic status is a risk factor for cardiovascular disease among adult OSAS patients requiring treatment. Chest. 2006;130: 766–73.

    Article  PubMed  Google Scholar 

  29. Tarasiuk A, Greenberg-Dotan S, Simon T, Tal A, Oksenberg A, Reuveni H. Elderly with obstructive sleep apnea consume high health care resources due to elevated cardiovascular morbidity. J Am Geriatr Soc. 2008;56:247–54.

    Article  PubMed  Google Scholar 

  30. Goh DYT, Galster P, Marcus CL. Sleep architecture and respiratory disturbances in children with obstructive sleep apnea. Am J Respir Crit Care Med. 2000;162:682–6.

    PubMed  CAS  Google Scholar 

  31. American Academy of Pediatrics. Clinical practice guideline for diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2002;109:704–12.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Physiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, 151, Beer-Sheva, 84105, Israel

    Ariel Tarasiuk PhD

  2. Soroka University Medical Center, Beer-Sheva, Israel

    Ariel Tarasiuk PhD

  3. Department of Pediatrics, Soroka University Medical Center, 151, Beer-Sheva, 84105, Israel

    Haim Reuveni MD

Authors
  1. Ariel Tarasiuk PhD
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  2. Haim Reuveni MD
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Corresponding author

Correspondence to Ariel Tarasiuk PhD .

Editor information

Editors and Affiliations

  1. Section of Sleep Medicine, Pritzker School of Medicine, Department of Pediatrics, S. Maryland Ave. 5721, Chicago, 60637, Illinois, USA

    Leila Kheirandish-Gozal

  2. Pritzker School of Medicine, Comer Children's Hospital, Department of Pediatrics, S. Maryland Ave. 5721, Chicago, 60637, Illinois, USA

    David Gozal

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© 2012 Springer Science+Business Media New York

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Tarasiuk, A., Reuveni, H. (2012). Health-Care Utilization and Pediatric Obstructive Sleep Apnea. In: Kheirandish-Gozal, L., Gozal, D. (eds) Sleep Disordered Breathing in Children. Respiratory Medicine. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-725-9_30

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  • DOI: https://doi.org/10.1007/978-1-60761-725-9_30

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60761-724-2

  • Online ISBN: 978-1-60761-725-9

  • eBook Packages: MedicineMedicine (R0)

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