Down syndrome and pediatric obstructive sleep apnea surgery: A national cohort.

Objectives/hypothesis: To analyze the trend of sleep surgeries in pediatric patients with Down syndrome (DS) and obstructive sleep apnea (OSA), and to compare this to nonsyndromic (NS) children with OSA.

Study Design: Retrospective cohort database analysis.

Methods: Analysis of the 1997 to 2012 editions of the Kid's Inpatient Database was conducted.

Assessment of weight gain following adenotonsillectomy in children with Down syndrome.

Introduction: Adenotonsillectomy (T&A) has been associated with postoperative weight gain in children. The purpose of this study is to determine whether a similar association exists in children with Down syndrome (DS).

Methods: The medical records of 311 DS patients were reviewed.

Adenotonsillectomy outcomes in patients with Down syndrome and obstructive sleep apnea.

Objective: To review the literature for studies examining polysomnography (PSG) outcomes in patients with Down syndrome (DS) and obstructive sleep apnea (OSA) following adenotonsillectomy (T&A), and to review our experience with these patients.

Data Sources: PubMed-NCBI, Scopus, Ovid, EBSCO, Cochrane, and EMBASE databases; tertiary academic center medical records.

Review Methods: A systematic review of the medical literature identified articles reporting objective outcomes following T&A for OSA treatment in patients with DS.

Developmental delay timely identification and assessment.

This paper outlines the prevalence of developmental delay in children and discusses the recent literature regarding the benefits of early identification and evidence based strategies for developmental surveillance and screening. We describe a systematic approach to the child with developmental delay and the optimal methodology for arriving at the etiologic basis for the delay. A review of the most upto date and relevant literature was completed using Pub Med, online databases, and texts.

Parental depressive symptoms: relationship to child development, parenting, health, and results on parent-reported screening tools.

Objective: To determine whether parents with depressive symptoms can accurately complete parent-reported developmental screens, and to explore effects of parental depressive symptoms on perceptions of children's health and parenting behaviors.

Study Design: A total of 382 parent-child (ages 0 to 2 years) dyads from pediatric sites across 17 U.S.