Özet:

Obstructive sleep apnea syndrome is frequently observed in children with Down syndrome and is a major cause of morbidity. This study was aimed at assessing the demographic characteristics of patients who were monitored with the diagnosis of Down syndrome and using respiratory support device for the cause of sleep apnea, the polysomnographic characteristics and the level of conformity to non-invasive respiratory support therapy. NEEDS AND METHODS: Patients who were diagnosed with Down syndrome between 2016-2019 and who were recommended respiratory support device after polysomnography performed at the University of Hacettepe and who had a device for at least a year were included in the study. The records were reviewed retrospectively and the demographic characteristics, the polyumagraphic characteristics and the compatibility of the respiratory support device were studied. 20 Down Syndrome Patients, who have had a respiratory support device for at least a year, have been included in the shock. The average age of patients was 4.45±4.09 years. In 14 patients (60.9 percent) there was swelling, in 11 there was apnea (47.8 percent) and in 11 there was a frequent night awakening complaint (47.8). In 5 patients (25%) there was a history of pre-PSG adenotonsillectomy. According to polysomnography, 3 of the patients in the middle and 17 were diagnosed with severe obstructive sleep apnea syndrome. The average apne-hypopne index was 33.26±46.87. During a year period, 30% of patients found that non-invasive sleep was good (>4 hours/night). NOTE: Our study shows that sleep apnea is observed in children with down syndrome that requires respiratory support at all ages and that this condition may be asymptomatic in some patients. In our study, only 30% of patients should see that non-invasive instruments in a long-term conformity is sufficient.

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