Infant sleep apnea profile: preterm vs. term infants

1985 ◽  
Vol 143 (4) ◽  
pp. 261-268 ◽  
Author(s):  
M. Albani ◽  
K. H. P. Bentele ◽  
C. Budde ◽  
F. J. Schulte

SLEEP ◽  
2000 ◽  
Vol 23 (7) ◽  
pp. 1-7 ◽  
Author(s):  
Thomas D. Kulp ◽  
Michael J. Corwin ◽  
Lee J. Brooks ◽  
Mark Peucker ◽  
Galina Fabrikant ◽  
...  


2015 ◽  
Vol 11 (11) ◽  
pp. 1253-1254 ◽  
Author(s):  
Richard B. Berry ◽  
Charlene E. Gamaldo ◽  
Susan M. Harding ◽  
Rita Brooks ◽  
Robin M. Lloyd ◽  
...  


Sensors ◽  
2019 ◽  
Vol 19 (5) ◽  
pp. 1075 ◽  
Author(s):  
Xi Long ◽  
Renée Otte ◽  
Eric Sanden ◽  
Jan Werth ◽  
Tao Tan

Prolonged monitoring of infant sleep is paramount for parents and healthcare professionals for interpreting and evaluating infants’ sleep quality. Wake-sleep patterns are often studied to assess this. Video cameras have received a lot of attention in infant sleep monitoring because they are unobtrusive and easy to use at home. In this paper, we propose a method using motion data detected from infrared video frames (video-based actigraphy) to identify wake and sleep states. The motion, mostly caused by infant body movement, is known to be substantially associated with infant wake and sleep states. Two features were calculated from the video-based actigraphy, and a Bayesian-based linear discriminant classification model was employed to classify the two states. Leave-one-subject-out cross validation was performed to validate our proposed wake and sleep classification model. From a total of 11.6 h of infrared video recordings of 10 healthy term infants in a laboratory pilot study, we achieved a reliable classification performance with a Cohen’s kappa coefficient of 0.733 ± 0.204 (mean ± standard deviation) and an overall accuracy of 92.0% ± 4.6%.



2015 ◽  
Vol 19 (7) ◽  
pp. 1616-1623 ◽  
Author(s):  
Kristin P. Tully ◽  
Diane Holditch-Davis ◽  
Debra Brandon


PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Jeffrey B. Gould ◽  
Austin F. S. Lee ◽  
Ophelia James ◽  
Louis Sander ◽  
Herbert Teager ◽  
...  

The sleep state characteristics of infant sleep apnea were studied in 36 twins examined by polygraphy at 40, 44, and 52 weeks after conception. The definition of sleep apnea is dependent upon the length of apnea, sleep state, and post-conceptional age. None of the infants had apnea longer than 20 seconds and apnea of 10 seconds or longer was uncommon. The attack rates for apneas 2 to 4.9 seconds long were highest in REM and lowest in quiet sleep. The attack rates for apneas 5 to 9.9 seconds long were equal in REM and indeterminate and lowest in quiet sleep. The percentage of infants with apnea of 10 seconds or longer at 40 weeks was highest in REM (27%) and indeterminate sleep (42%) and lowest in quiet sleep (12%). At 52 weeks, apnea 10 seconds or longer during REM decreased to 0%. The effect of maturation on apnea varies with sleep state. Over the period from 40 to 52 weeks, quiet sleep apnea was unchanged and indeterminate sleep apnea decreased only between 40 and 44 weeks. Although REM apnea 2 to 4.9 seconds long was unchanged, REM apnea 5 to 9.9 seconds long decreased between 40 and 44 weeks, and REM apnea of 10 seconds or longer decreased from 27% at 40 weeks to 0% at 52 weeks. This suggests that semi-independent apnea turn-on and turn-off mechanisms operate during REM sleep. A correlation between brief apneas and the longer apneas was seen only during REM sleep. For all sleep states, there was no correlation between the levels of apnea of 5 seconds or longer at 40, 44, and 52 weeks.



Author(s):  
Gihan Jayatilaka ◽  
Harshana Weligampola ◽  
Suren Sritharan ◽  
Pankayraj Pathmanathan ◽  
Roshan Ragel ◽  
...  


2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352



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