Health-Care Utilization and Pediatric Obstructive Sleep Apnea
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.
KeywordsObstructive Sleep Apnea Continuous Positive Airway Pressure Obstructive Sleep Apnea Patient Total Annual Cost Obstructive Sleep Apnea Group
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