Obstructive sleep apnea in Child
Alerts and Notices
Synopsis
Typical symptoms include snoring, respiratory pauses during sleep, daytime fatigue, headaches, behavioral disturbances, or neurocognitive impairment. Affected individuals are at risk for impaired growth, learning or behavioral problems, motor vehicle accidents (for patients old enough to drive), cardiovascular disease (eg, congestive heart failure), and perioperative anesthesia complications.
All patients should be screened for OSA with questionnaires asking about snoring and other typical symptoms. OSA is treatable either through modifiable lifestyle changes, breathing devices, or surgery and, if managed early and appropriately, many of the downstream sequelae can be avoided.
Codes
ICD10CM:G47.33 – Obstructive sleep apnea (adult) (pediatric)
SNOMEDCT:
78275009 – Obstructive sleep apnea syndrome
Look For
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Asthma
- Depression
- Attention deficit disorder / attention deficit hyperactivity disorder
- Essential hypertension
- Central sleep apnea
- Narcolepsy
- Hypothyroidism
- Gastroesophageal reflux disorder
- Obesity hypoventilation syndrome
- Inadequate sleep hygiene / insufficient sleep
Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
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Last Reviewed:06/18/2018
Last Updated:06/18/2018
Last Updated:06/18/2018