referral criteria for children with obstructive sleep apnoea
Last reviewed 01/2018
referral of children with obstructive sleep apnoea
Referrals are usually indicated in the following patients:
- children with symptoms of persistent snoring plus any of the daytime or night time features of obstructive sleep apnoea together with clinical evidence of adenotonsillar hypertrophy
- children with features of obstructive sleep apnoea (OSA) and an underlying condition (e.g. - congenital or syndromal problems
- obese children with OSA (1)
The following children with suspected OSA must be referred paediatric respiratory assessment before further management:
- unclear or inconsistent diagnosis of obstructive sleep apnoea
- age <2 years
- weight <15 kg
- Down's syndrome
- cerebral palsy
- hypotonia or neuromuscular disorders
- craniofacial anomalies
- mucopolysaccharidoses
- obesity (body mass index >95th centile for age and sex)
- important comorbidity such as congenital heart disease, chronic lung disease
- residual symptoms after adenotonsillectomy (1)
Reference: