Evidence map›Paper›PMID 22135346›Full record

ReviewAmerican journal of respiratory and critical care medicine2012

Obstructive sleep apnea in infants.

Eliot S Katz, Ron B Mitchell, Carolyn M D'Ambrosio

Open access · greenAbstract readComparative StudyReview
In one paragraph

Review in American journal of respiratory and critical care medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 3 syntheses or guidelines pooled it, 248 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
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  7. Review
  8. Is Surgical Treatment for Obstructive Sleep Apnea in Infants and Toddlers Safe? A Retrospective Comparative Analysis.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026
    Article
  9. Predicting surgical intervention in infants with laryngomalacia.International journal of pediatric otorhinolaryngology · 2025
    Article
  10. Failure of Mandibular Distraction Osteogenesis in Klippel- Feil Syndrome- 4: A Case Report of a Rare Syndromic Robin Sequence.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2025
    Article
  11. Sleep-related breathing disorders in infants with spina bifida repaired prenatally and postnatally.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Accuracy of parental perception of nighttime breathing in children with Down syndrome after adenotonsillectomy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Eliot S KatzDivision of Respiratory Diseases, Department of Medicine, Children's Hospital, Boston, MA, USA. eliot.katz@childrens.harvard.edu
Ron B Mitchell
Carolyn M D'Ambrosio
Boston Children's Hospital · USChildren's Medical Center · USTufts Medical Center · US

Funding

Randomized Controlled Study of Adenotonsillectomy for Childhood Sleep ApneaU01HL083075 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI REDLINE, SUSAN S. · 2006 to 2010
$7.6M
PATHOPHYSIOLOGY OF CHILDHOOD OBSTRUCTIVE SLEEP APNEAR01HL058585 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MARCUS, CAROLE L · 1998 to 2012
$4.3M
NHLBI NIH HHS 2 R01 HL058585-10A2NHLBI NIH HHS R01 HL083075-01NHLBI NIH HHS U01 HL083075
6 · The paper itself

Abstract

Obstructive sleep apnea in infants has a distinctive pathophysiology, natural history, and treatment compared with that of older children and adults. Infants have both anatomical and physiological predispositions toward airway obstruction and gas exchange abnormalities; including a superiorly placed larynx, increased chest wall compliance, ventilation-perfusion mismatching, and ventilatory control instability. Congenital abnormalities of the airway, such as laryngomalacia, hemangiomas, pyriform aperture stenosis, choanal atresia, and laryngeal webs, may also have adverse effects on airway patency. Additional exacerbating factors predisposing infants toward airway collapse include neck flexion, airway secretions, gastroesophageal reflux, and sleep deprivation. Obstructive sleep apnea in infants has been associated with failure to thrive, behavioral deficits, and sudden infant death. The proper interpretation of infant polysomnography requires an understanding of normative data related to gestation and postconceptual age for apnea, arousal, and oxygenation. Direct visualization of the upper airway is an important diagnostic modality in infants with obstructive apnea. Treatment options for infant obstructive sleep apnea are predicated on the underlying etiology, including supraglottoplasty for severe laryngomalacia, mandibular distraction for micrognathia, tonsillectomy and/or adenoidectomy, choanal atresia repair, and/or treatment of gastroesophageal reflux.

Indexed as

AdenoidsAdultAge FactorsCombined Modality TherapyCraniofacial AbnormalitiesFemaleFollow-Up StudiesHumansHypertrophyIncidenceInfantLaryngomalaciaLarynxMaleMicrognathismPalatine Tonsil

Identifiers

PMID22135346
PMCPMC5448577
OpenAlexW2006640824

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.