Evidence map›Paper›PMID 27230012›Full record

ArticleSleep & breathing = Schlaf & Atmung2016

Is obstructive sleep apnea syndrome in children season dependent?

Zev Frimer, Shmuel Goldberg, Leon Joseph, Francis B Mimouni, Elie Picard

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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Zev FrimerPediatric Pulmonary Unit, Shaare Zedek Medical Center, School of Medicine, affiliated with The Hebrew University school of medicine, Jerusalem, Israel.
Shmuel GoldbergPediatric Pulmonary Unit, Shaare Zedek Medical Center, School of Medicine, affiliated with The Hebrew University school of medicine, Jerusalem, Israel.
Leon JosephPediatric Pulmonary Unit, Shaare Zedek Medical Center, School of Medicine, affiliated with The Hebrew University school of medicine, Jerusalem, Israel.
Francis B MimouniNeonatal Department, Shaare Zedek Medical Center, affiliated with The Hebrew University school of medicine, POB 3235, Jerusalem, 91031, Israel.
Elie PicardPediatric Pulmonary Unit, Shaare Zedek Medical Center, School of Medicine, affiliated with The Hebrew University school of medicine, Jerusalem, Israel. picard@szmc.org.il.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe most common cause of obstructive sleep apnea (OSA) in children is an enlargement of tonsils and/or adenoids. Previous studies have shown that the size of adenoids and tonsils is influenced by upper respiratory tract infections and exposure to allergens. The rate of exposure to bacteria, viruses, and allergens fluctuates from season to season. Therefore, we hypothesized that the rate of polysomnograms positive for OSA may vary according to season.

objectiveThe objective of this study is to determine whether the prevalence of OSA in children, as determined by polysomnography, is affected by the season during which the study was performed.

methodsWe retrospectively reviewed polysomnography tests of 296 children, ages 0-12 years, referred for suspected OSA. We compared the Obstructive Apnea Hypopnea Index (OAHI) between the seasons and the rates of abnormal tests in each season according to the degree of severity.

resultsThe mean OAHI did not significantly differ among the seasons (winter, 3.0 ± 5.0; spring, 3.0 ± 4.9; summer, 4.0 ± 6.3; fall, 3.4 ± 5.7, p = 0.183). When dividing the OAHI by levels of severity, no seasonality was found in moderate (winter, 13.8 %; spring, 6.7 %; summer, 11.7 %; fall, 14.1 %, p = NS) and severe OSA (winter, 8.8 %; spring, 11.2 %; summer, 10 %; fall, 7.8 %, p = NS). There was a small increase in the frequency of mild OSA diagnoses in the summer compared to the other seasons.

conclusionIn this study, season does not appear to affect the rate of diagnosis of significant OSA in children. Re-evaluation during a different season is unlikely to provide different results and may postpone surgery unnecessarily.

Indexed as

PolysomnographySeasonsAdenoidsChildChild, PreschoolCross-Sectional StudiesFemaleHumansHypertrophyInfantInfant, NewbornIsraelMalePalatine TonsilRespiratory Tract InfectionsRisk FactorsChildrenObstructive sleep apneaPolysomnographySeason

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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.