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Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review
(1) Background: Obstructive sleep apnea (OSA) affects approximately 1% to 5% of children. To date, the main pathophysiological factor is adenotonsillar tissue hypertrophy. As many respiratory viruses can persist in secondary lymphoepithelial organs after upper airway infection, the objective of this...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047345/ https://www.ncbi.nlm.nih.gov/pubmed/36980046 http://dx.doi.org/10.3390/children10030487 |
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author | Aïem, Elody Leblais, Clémence Lupi, Laurence Doglio, Alain |
author_facet | Aïem, Elody Leblais, Clémence Lupi, Laurence Doglio, Alain |
author_sort | Aïem, Elody |
collection | PubMed |
description | (1) Background: Obstructive sleep apnea (OSA) affects approximately 1% to 5% of children. To date, the main pathophysiological factor is adenotonsillar tissue hypertrophy. As many respiratory viruses can persist in secondary lymphoepithelial organs after upper airway infection, the objective of this systematic review was to investigate the link between history of viral infections and the risk of pediatric OSA. (2) Methods: Corresponding references were searched electronically (PubMed [MEDLINE], Cochrane Library and Scopus) until 21 November 2022. Prospective or retrospective cohorts, evaluating the children suffering from OSA with history of viral infections and comparing them with children with no history of viral infections written in English, were included. Four independent reviewers selected studies, extracted data, and evaluated the risk of bias using ROBINS-I. (3) Results: Of 1027 potentially eligible articles, four studies (one retrospective, two prospective cohorts and one case-control) were included. (4) Conclusions: Exposure to lower airway infections may precede the diagnosis of pediatric OSA suggesting that respiratory viruses may play a mechanical role in the development of pediatric OSA. Further research is required to improve our understanding of the role of viral infections. Registration: PROSPERO CRD awaiting. |
format | Online Article Text |
id | pubmed-10047345 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100473452023-03-29 Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review Aïem, Elody Leblais, Clémence Lupi, Laurence Doglio, Alain Children (Basel) Systematic Review (1) Background: Obstructive sleep apnea (OSA) affects approximately 1% to 5% of children. To date, the main pathophysiological factor is adenotonsillar tissue hypertrophy. As many respiratory viruses can persist in secondary lymphoepithelial organs after upper airway infection, the objective of this systematic review was to investigate the link between history of viral infections and the risk of pediatric OSA. (2) Methods: Corresponding references were searched electronically (PubMed [MEDLINE], Cochrane Library and Scopus) until 21 November 2022. Prospective or retrospective cohorts, evaluating the children suffering from OSA with history of viral infections and comparing them with children with no history of viral infections written in English, were included. Four independent reviewers selected studies, extracted data, and evaluated the risk of bias using ROBINS-I. (3) Results: Of 1027 potentially eligible articles, four studies (one retrospective, two prospective cohorts and one case-control) were included. (4) Conclusions: Exposure to lower airway infections may precede the diagnosis of pediatric OSA suggesting that respiratory viruses may play a mechanical role in the development of pediatric OSA. Further research is required to improve our understanding of the role of viral infections. Registration: PROSPERO CRD awaiting. MDPI 2023-03-02 /pmc/articles/PMC10047345/ /pubmed/36980046 http://dx.doi.org/10.3390/children10030487 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Aïem, Elody Leblais, Clémence Lupi, Laurence Doglio, Alain Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review |
title | Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review |
title_full | Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review |
title_fullStr | Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review |
title_full_unstemmed | Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review |
title_short | Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review |
title_sort | is there an association between viral infections and risk for pediatric obstructive sleep apnea? a systematic review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047345/ https://www.ncbi.nlm.nih.gov/pubmed/36980046 http://dx.doi.org/10.3390/children10030487 |
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