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Sleep Outcomes in Children Born Prematurely

  • Kristie R. Ross
  • Susan Redline
Chapter
Part of the Respiratory Medicine book series (RM)

Abstract

Emergence of sleep states and maturation of control of breathing during sleep and wake are critical developmental milestones. These important developmental trajectories may be adversely affected by the direct impact of premature birth, by comorbid conditions, by neonatal treatments, and by environmental and treatment-related exposures in the perinatal period. Disorders of respiratory control, including sudden infant death syndrome and obstructive sleep apnea syndrome, are more common in infants and children born prematurely. The effects of prematurity on disordered breathing during sleep are most apparent in young children, while effects on circadian rhythm persist into adulthood.

Keywords

Prematurity Bronchopulmonary dysplasia Sleep-disordered breathing Obstructive sleep apnea Circadian rhythm Infancy Childhood Adolescence Adulthood 

Abbreviations

AHI

Apnea hypopnea index

AI

Apnea index

AS

Active sleep

BMI

Body mass index

BPD

Bronchopulmonary dysplasia

NREM

Nonrapid eye movement

OSAS

Obstructive sleep apnea syndrome

PSG

Polysomnogram

QS

Quiet sleep

RDI

Respiratory disturbance index

REM

Rapid eye movement

SDB

Sleep-disordered breathing

SIDS

Sudden infant death syndrome

UARS

Upper airway resistance syndrome

VLBW

Very low birth weight

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Kristie R. Ross
    • 1
  • Susan Redline
    • 2
  1. 1.Case Western Reserve University School of MedicineRainbow Babies and Children’s HospitalClevelandUSA
  2. 2.Harvard Medical SchoolBrigham and Women’s Hospital and Beth Israel Deaconess Medical CenterBostonUSA

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