The Relationship Between Mallampati Score And Obesity With the Risk of OSAHS in Down Syndrome Children

U. Gamayani, Agnes Christine Yolanda Sihite, Iin Pusparini, N. Lailiyya
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Abstract

Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS) has commonly occured in Down syndrome children caused by the abnormalities in upper respiratory tract anatomy and obesity. This study aims to identify the correlation between Mallampati score and obesity and the risk of OSAHS in Down syndrome children. This was an analytical descriptive cross-sectional study. This study was conducted in children with Down syndrome from September until November 2017. All parents filled the Indonesian Pediatric Sleep Questionnaire (PSQ), then all of the children were examined for Mallampati score and BMI. The correlation was analyzed by the Pearson Chi-Square model. Thirty-six subjects were included in this study. The number of male subjects were slightly more (61.1%), the mean age of the subjects was 8.42±4,449 years, with 52.8% (19 subjects) having OSAHS. There were 23 subjects (63.9%) who had Mallampati scores of 3 and 4, with 13 subjects (36.1%) were obese. This study concluded a statistically significant correlation between Mallampati score and obesity and the risk of OSAHS in Down syndrome children (p-value 0.001 and 0.029). Mallampati score and obesity had a significant correlation with the risk of OSAHS in Down syndrome children.  
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Mallampati评分与肥胖与唐氏综合征儿童OSAHS风险的关系
阻塞性睡眠呼吸暂停/低通气综合征(OSAHS)常见于唐氏综合征患儿,由上呼吸道解剖结构异常和肥胖引起。本研究旨在确定唐氏综合征儿童Mallampati评分与肥胖和OSAHS风险之间的相关性。这是一项分析描述性的横断面研究。这项研究于2017年9月至11月在唐氏综合症儿童中进行。所有家长填写了印度尼西亚儿童睡眠问卷(PSQ),然后对所有儿童进行Mallampati评分和BMI检查。采用皮尔逊-卡方模型对相关性进行分析。36名受试者被纳入本研究。男性受试者人数略多(61.1%),受试者的平均年龄为8.42±4449岁,其中52.8%(19名受试者)患有OSAHS。有23名受试者(63.9%)的Mallampati评分分别为3分和4分,其中13人(36.1%)肥胖。本研究得出结论,Mallampati评分与肥胖和唐氏综合征儿童OSAHS风险之间存在统计学显著相关性(p值0.001和0.029)。
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审稿时长
4 weeks
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