Clinical Pediatrics: Open Access
Open Access
ISSN: 2572-0775
ISSN: 2572-0775
Marco Carotenuto, Ilaria Bitetti, Francesco Precenzano and Maria Ruberto
University of Campania Luigi Vanvitelli, Italy
Santa Maria del Pozzo (NA), Italy
Scientific Tracks Abstracts: Clin Pediatr OA
Background & Aim: Traumatic Brain Injury (TBI) may be considered as one of the main causes for childhood morbidity and mortality. TBI increases the risk of psycho-social problems, intellectual disability and cognitive impairment, but the most common consequence of TBI is sleep troubles. Aim of study is to assess polysomnographic findings in pediatric patients with TBI. Materials & Methods: 37 children with TBI (mean age 9.69+/-1.81, 20 males and 17 females) were included in the study. The control group was composed by 37 children (mean age 9.34+/-1.78, 19 M and 18 F). Exclusion criteria were: psychiatric and neurological disorders, intellectual disability (IQâ?¤70) and psychoactive drug administration. All children in both group filled out a full overnight polysomnography (PSG). Statistical analysis t-studentâ??s analysis was used to verify the mean differences between groups for PSG parameters. Statistical software package (STATISTICA 8.0, StatSoft Inc.) was used. P value <0.05 were considered as statistically significant. Results: Children with TIB showed a statistically significant (p<0,001) reduction for TIB (Time in Bed) min, SPT (Sleep Period Time) min, TST (Total Sleep Time)-min, SE (Sleep Efficiency) % , N2 min, N3 min, REM min, N3 spt, REM spt , N2 tst, N3 tst, REM spt and a statistically significant increase in parameters such as SOL (Sleep Latency) min, SS-h (Stage Shifts/h), AWN (awakenings)-h, WASO (Wakefulness After Sleep Onset) min, N1 min, N1 spt, N1 tst (Table 1). Conclusions: Our study shows that pediatric TBI may alter sleep architecture consistently, although further studies are needed. The audience will take away from presentation are: importance of polysomnographic evaluation for pediatric traumatic brain injury (TBI); TBI may affect the sleep macrostructure consistently and; sleep disorders in pediatric TBI may be considered as a mandatory sign to consider and evaluate in TBI management.
Marco Carotenuto completed his Degree in Medicine and Surgery in 2000 and Specialist degree in Child Adolescent Neuropsychiatry in 2005. In 2008, he completed his Doctorate in Behavioural and Learning Disorders Sciences. From 2008 to 2011, he was a Junior Researcher and from 2011 to 2017, he was a Senior Researcher in Child and Adolescent Neuropsychiatry at Università della Campania Luigi Vanvitelli. In December 2017, he became Associate Professor at Università della Campania Luigi Vanvitelli. His main field of interest and research includes: “Child neurology, pediatric sleep disorders, polysomnography, pediatric primary headaches, and pediatric rehabilitation”.
E-mail: marco.carotenuto@unicampania.it