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The Proceedings of the American Thoracic Society 5:263-273 (2008)
© 2008 The American Thoracic Society
doi: 10.1513/pats.200707-113MG

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Diagnostic Issues in Pediatric Obstructive Sleep Apnea

Hiren Muzumdar1 and Raanan Arens1

1 Division of Respiratory and Sleep Medicine, The Children's Hospital at Montefiore, Albert Einstein College of Medicine, Yeshiva University, Bronx, New York

Correspondence and requests for reprints should be addressed to Raanan Arens, M.D., Division of Respiratory and Sleep Medicine, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, Bronx, NY 10467-2490. E-mail: rarens{at}montefiore.org

ABSTRACT

Obstructive sleep apnea syndrome (OSAS) in children includes a spectrum of respiratory disorders with significant morbidities. Diagnosis of OSAS is based on clinical suspicion, history, and physical findings, and confirmation is made by polysomnography. There has been significant progress in recent years in technologies available for diagnosis of OSAS since the consensus statement of the American Thoracic Society in 1996. The current review describes methodologies that are available today for assessment and diagnosis of OSAS in children and summarizes the most recent recommendations of the American Academy of Sleep Medicine Task Force regarding scoring sleep-related respiratory events in children.

Key Words: diagnosis • obstructive sleep apnea syndrome • pediatrics • polysomnography • snoring




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