Sleep Apnea, Obstructive Clinical Trial
Official title:
OBSTRUCTIVE SLEEP APNEA SYNDROME IN CHILDREN: HEALTH AND NEUROCOGNITIVE IMPACT. Real Life Pediatric Obstructive Sleep Apnea
OBJECTIVES:
PRIMARY: To analyze the cognitive alterations in children with Obstructive Sleep Apnea OSA in
different age groups and changes at 12 months after treatment with a protocol based on usual
clinical practice.
DESIGN:
Observational, longitudinal, prospective, and multicenter study.
STUDY POPULATION: Children aged 3 to 12 years consecutively referred to the Sleep Units due
to clinical suspicion of OSA.
SAMPLE SIZE: To evaluate the relationship between cognitive measures and polysomnographic
variables and differences before-after treatment, a sample size of 1200 children is
calculated.
METHODOLOGY: The followiong will be obtained in all children included in the study: personal
medical history, Spanish version of Pediatric Sleep Questionnaire (PSQ), physical and
otorhinolaryngological examination, neurocognitive assessment by customary neurocognitive and
behavioral tests routinely used in Spain (CUMANIN neuropsychological tests, ENFEN
neuropsychological tests, and Spanish version of the ECBI (Eyberg Child Behavior Inventory)),
sleep study by polysomnography (PSG) or Respiratory Polygraphy (PR) and blood test.
The diagnosis and treatment of OSAS will be established according to the criteria of the
Spanish Consensus Document of OSAS in children.
Depending on the treatment, three groups will be obtained: Group 1: Children with OSAS and
adenotonsillar hypertrophy we will perform surgical treatment. Group 2: Children with OSAS
and without adenotonsillar hypertrophy will be evaluated other treatments (sleep hygiene-diet
and physical activity guidance, medical, orthodontic, continuous positive pressure on the
airway (CPAP) treatment, Group 3: regular follow up but no treatment for children referred
for suspicion of OSAS and that in PSG or RP the diagnosis of OSAS is not established. In all
three groups, at 12 months, we will repeat all assessments as delineated for the initial
visit
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