Prevalence of High Blood Pressure in Pediatric Patients with Sleep-Disordered Breathing, Reversibility after Treatment: The KIDS TRIAL Study Protocol.
María Castillo-GarcíaEsther Solano-PérezSofía Romero-PeraltaMaría Esther Viejo-AyusoLaura Silgado-MartínezLeticia Álvarez-BaladoRosa Mediano San AndrésPilar Resano-BarrioFrancisco García-RíoIrene Cano-PumaregaManuel Sánchez-de-la-TorreAlfonso OrtigadoAna López-DueñasLaura FidalgoÁngel RodríguezOlga MedianoSpanish Sleep NetworkPublished in: Children (Basel, Switzerland) (2022)
Current data support an increase in the prevalence of high blood pressure (HBP) in pediatric patients with sleep-disordered breathing (SDB). Adeno-tonsillectomy has been shown to be an effective treatment for most patients. Our objective was to determine the prevalence of HBP in pediatric patients with SDB and the impact of adeno-tonsillectomy with a multicenter, longitudinal, and prospective study that included 286 children referred for suspected SDB. The diagnosis of SDB was established by polysomnography (PSG) and the diagnosis of HBP by 24-h ambulatory blood pressure monitoring (ABPM). In patients without SDB and SDB without treatment indication, these tests were repeated six months after the baseline visit. For patients with medical treatment for SDB, the tests were repeated six months after the treatment initiation. Finally, in patients with surgery indication, ABPM was performed just before surgical treatment and ABPM and PSG six months after the intervention. The study contributes to elucidating the association between SDB and HBP in pediatric patients. Moreover, it contributes to determining if intervention with adeno-tonsillectomy is associated with BP reduction. The results have direct implications for the management of SDB, providing essential information on treatment indications for existing clinical guidelines. NCT03696654.
Keyphrases
- blood pressure
- randomized controlled trial
- study protocol
- end stage renal disease
- healthcare
- type diabetes
- ejection fraction
- risk factors
- minimally invasive
- obstructive sleep apnea
- prognostic factors
- peritoneal dialysis
- skeletal muscle
- coronary artery disease
- patient reported outcomes
- deep learning
- phase iii
- social media
- clinical practice
- health information
- open label
- blood glucose
- childhood cancer