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Erschienen in:

01.09.2014 | Original Article

Public Health Implications of Obstructive Sleep Apnea Burden

verfasst von: Ileana Baldi, Achal Gulati, Giulia Lorenzoni, Kiran Natarajan, Simonetta Ballali, Mohan Kameswaran, Ranjith Rajeswaran, Dario Gregori, Gulshan Sethi

Erschienen in: Indian Journal of Pediatrics | Sonderheft 1/2014

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Abstract

Objective

To assess the implications of obstructive sleep apnea (OSA) burden among Indian children.

Methods

MonteCarlo simulations were performed in order to estimate the number of OSA related obesity cases among Indian children (1–14 y of age) and the number of cases of stroke, coronary heart disease (CHD) and type 2 diabetes, considered as main adverse outcomes of OSA related childhood obesity, according to untreated and treated [adenotonsillectomy (AT) alone and AT associated to continuous positive airway pressure (CPAP)] pediatric OSA. Data used to perform MonteCarlo simulations were derived from a review about current literature exploring OSA related obesity.

Results

The analysis on the number of adverse outcomes according to treated and untreated obesity related to OSA showed that treatments reduce the number of obesity cases, resulting in a great reduction of the amount of stroke, CHD and type 2 diabetes cases. However, the cost for treating adverse outcome was higher in patients treated for obesity related to OSA compared to those not receiving any treatment.

Conclusions

The reduction in the number of adverse outcomes due to treatment of obesity related OSA implicates the urgent need for public health policies in providing screening for OSA among children population: an early detection and a consequently prompt reaction to pediatric OSA could improve the burden of OSA related obesity.

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Titel: Public Health Implications of Obstructive Sleep Apnea Burden
verfasst von: Ileana Baldi
Achal Gulati
Giulia Lorenzoni
Kiran Natarajan
Simonetta Ballali
Mohan Kameswaran
Ranjith Rajeswaran
Dario Gregori
Gulshan Sethi
Publikationsdatum: 01.09.2014
Verlag: Springer India
Erschienen in: Indian Journal of Pediatrics / Ausgabe Sonderheft 1/2014
Print ISSN: 0019-5456
Elektronische ISSN: 0973-7693
DOI: https://doi.org/10.1007/s12098-014-1539-8

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