{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T04:56:18Z","timestamp":1764910578841,"version":"3.46.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Positional obstructive sleep apnea, in which there is a\u2009\u2265\u20092:1 predominance of obstructive events in the supine position, is a sleep\u2010disordered breathing phenotype with a targeted treatment in the form of positional device therapy. We sought to determine the prevalence of positional obstructive sleep apnea in a cohort of children prescribed continuous positive airway pressure therapy, ascertain risk factors for the condition, and determine the associated continuous positive airway pressure treatment adherence rate. A retrospective cohort study of all children &gt; 2\u2009years old from a single tertiary paediatric centre prescribed continuous positive airway pressure therapy over an 8\u2010year period was conducted. Positional obstructive sleep apnea prevalence was established by analysing positional and respiratory event data from the participants' original diagnostic polysomnography. Continuous positive airway pressure therapy adherence was determined using data from machine download. Univariable and multivariable logistic regression modelling was used to determine participant demographic and clinical factors associated with positional obstruction. Positional obstructive sleep apnea (defined by Bignold's criteria modified for paediatric use) prevalence in the cohort of 237 analysed participants was 38%. Suboptimal continuous positive airway pressure adherence was noted in 30% of this group based on initial machine download, performed a median of 96\u2009days post\u2010treatment initiation. Higher age and lower obstructive apnea\u2013hypopnea index were independent predictors of positional obstructive sleep apnea, whereas neurodevelopmental diagnosis, presence\/absence of rapid eye movement\u2010related obstructive sleep apnea, overweight\/obesity status and history of adenoidectomy\/adenotonsillectomy were not. For children, positional device therapy is a treatment option worthy of further consideration and research.<\/jats:p>","DOI":"10.1111\/jsr.14443","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:32:21Z","timestamp":1736296341000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Positional obstructive sleep apnea in children prescribed continuous positive airway pressure therapy for obstructive sleep\u2010disordered breathing"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9881-6478","authenticated-orcid":false,"given":"Ajay","family":"Kevat","sequence":"first","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhruv","family":"Alwadhi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ai Xin","family":"Chew","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kartik","family":"Iyer","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5035-0744","authenticated-orcid":false,"given":"Jasneek","family":"Chawla","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadasivam","family":"Suresh","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Collaro","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland 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