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Abstract:
OBJECTIVE:To study a cohort of children referred for full-night polysomnography (PSG) due to suspicion of obstructive sleep apnea (OSA). We examined the relationship between asthma, obesity, and severe OSA (sOSA). METHODS:We performed a retrospective case control analysis of children, ages 9 to 17 years, who underwent full-night PSG. The primary goal was to determine the association between asthma, obesity, and sOSA (apnea-hypopnea index ≥10). We used multiple logistic regression analysis to estimate these associations after controlling for covariates. A P value of ≤.05 was considered significant. RESULTS:The study included 367 children (mean [standard deviation] age 14 years (1.7), 56% male, 43% Hispanic). The prevalence of asthma was 188 of 367 (52%); obesity was 197 of 367 (54%); and sOSA was 109 of 367 (30%). sOSA was less likely in asthmatics (coefficient = -0.59; standard error [SE] = 0.23; P = .01; odds ratio [OR] = 0.55; 95% confidence interval [CI] = 0.34 to 0.88) and more likely with obesity (coefficient = 0.89; SE = 0.24; P < .001; OR = 2.4; 95% CI = 1.5 to 3.9). The presence of asthma reduced the likelihood of sOSA by an average of 14% among obese patients and 9% among nonobese patients. These associations held even after controlling for age, sex, race, income, and tonsillar hypertrophy. CONCLUSION:The presence of asthma reduced, whereas obesity increased the likelihood of sOSA among a large cohort of older children referred for PSG. These relationships were additive. Further research is indicated regarding these relationships. LEVEL OF EVIDENCE:3b Laryngoscope, 130:812-817, 2020.
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最新影响因子:2.97 | 期刊ISSN:0023-852X | CiteScore:2.37 |
出版周期:Monthly | 是否OA:YES | 出版年份:1896 |
期刊官方网址:http://onlinelibrary.wiley.com/journal/10.1002/%28ISSN%291531-4995
自引率:10.50% | 研究方向:医学-耳鼻喉科学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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For more than 100 years, otolaryngologists, clinicians, and researchers around the world have read The Laryngoscope to keep pace with and learn how to take advantage of the most important advances in the diagnosis and treatment of head and neck disorders. Moreover, the journal is the first choice among otolaryngologists to publish their most important findings and share their own successful techniques with their colleagues.
100多年来,世界各地的耳鼻喉科医生、临床医生和研究人员都阅读喉镜,以跟上并学习如何利用头颈部疾病诊断和治疗方面最重要的进展。此外,该杂志是耳鼻喉科医生的第一选择,发表他们最重要的发现,并与他们的同事分享他们自己的成功技术。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
MEDICINE, RESEARCH & EXPERIMENTAL (医学:研究与实验) 4区 OTORHINOLARYNGOLOGY (耳鼻喉科学) 3区 |
73/133 12/41 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
483 | 442 | 41 |
引文计数(2018)
文献(2015-2017)
4357次引用
1837篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Otorhinolaryngology
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发表一篇学和医学成像类SCI论文
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