Prognosis for spontaneous resolution of OSA in children

Ronald D. Chervin, Susan S. Ellenberg, Xiaoling Hou, Carole L. Marcus, Susan L. Garetz, Eliot S. Katz, Elise K. Hodges, Ron B. Mitchell, Dwight T. Jones, Raanan Arens, Raouf Amin, Susan Redline, Carol L. Rosen

Research output: Contribution to journalArticle

40 Scopus citations


BACKGROUND: Adenotonsillectomy (AT) is commonly performed for childhood OSA syndrome (OSAS), but little is known about prognosis without treatment. METHODS: Th e Childhood Adenotonsillectomy Trial (CHAT) randomized 50% of eligible children with OSAS to a control arm (watchful waiting), with 7-month follow-up symptom inventories, physical examinations, and polysomnography. Polysomnographic and symptomatic resolution were defi ned respectively by an apnea/hypopnea index (AHI), 2 and obstructive apnea index (OAI), 1 and by an OSAS symptom score (Pediatric Sleep Questionnaire [PSQ]), 0.33 with 25% improvement from baseline. RESULTS: Aft er 194 children aged 5 to 9 years underwent 7 months of watchful waiting, 82 (42%) no longer met polysomnographic criteria for OSAS. Baseline predictors of resolution included lower AHI, better oxygen saturation, smaller waist circumference or percentile, higherpositioned soft palate, smaller neck circumference, and non-black race (each P

Original languageEnglish (US)
Pages (from-to)1204-1213
Number of pages10
Issue number5
StatePublished - Nov 1 2015


ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Chervin, R. D., Ellenberg, S. S., Hou, X., Marcus, C. L., Garetz, S. L., Katz, E. S., Hodges, E. K., Mitchell, R. B., Jones, D. T., Arens, R., Amin, R., Redline, S., & Rosen, C. L. (2015). Prognosis for spontaneous resolution of OSA in children. Chest, 148(5), 1204-1213.