Sleep-disordered breathing is common among term and near term infants in the NICU

Meera S. Meerkov, Fauziya Hassan, Ronald D. Chervin, John D. Barks, Martha D. Carlson, Renée A. Shellhaas

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective: Among older infants and children, sleep-disordered breathing (SDB) has negative neurocognitive consequences. We evaluated the frequency and potential impact of SDB among newborns who require intensive care. Study Design: Term and near-term newborns at risk for seizures underwent 12-h attended polysomnography in the neonatal intensive care unit (NICU). Bayley Scales of Infant Development, third edition (Bayley-III) were administered at 18-22 months. Result: The 48 newborns (EGA 39.3 ± 1.6) had a median pediatric apnea-hypopnea index (AHI) of 10.1 (3.3-18.5) and most events were central (vs obstructive). Maternal and prenatal factors were not associated with AHI. Moreover, neonatal PSG results were not associated with Bayley-III scores (P > 0.05). Conclusion: SDB is common among term and near-term newborns at risk for seizures. Follow-up at ages when more nuanced testing can be performed may be necessary to establish whether neonatal SDB is associated with long-term neurodevelopmental disability.

Original languageEnglish
Pages (from-to)557-562
Number of pages6
JournalPediatric Pulmonology
Issue number5
StatePublished - May 2019


  • epidemiology
  • neonatal pulmonary medicine
  • sleep medicine


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