@article{ref1,
title="Obstructive Sleep Apnea Syndrome Increases Pedestrian Injury Risk in Children",
journal="Journal of pediatrics",
year="2014",
author="Avis, Kristin T. and Gamble, Karen L. and Schwebel, David C.",
volume="166",
number="1",
pages="109-114",
abstract="OBJECTIVES: To evaluate pedestrian behavior, including reaction time, impulsivity, risk-taking, attention, and decision-making, in children with obstructive sleep apnea syndrome (OSAS) compared with healthy controls. STUDY DESIGN: Using a case control design, 8- to 16-year-olds (n = 60) with newly diagnosed and untreated OSAS engaged in a virtual reality pedestrian environment. Sixty-one healthy children matched using a yoke-control procedure by age, race, sex, and household income served as controls. <br><br>RESULTS: Children with OSAS were riskier pedestrians than healthy children of the same age, race, and sex. Children with OSAS waited less time to cross (P < .01). The groups did not differ in looking at oncoming traffic or taking longer to decide to cross. <br><br>CONCLUSIONS: Results suggest OSAS may have significant consequences on children's daytime functioning in a critical domain of personal safety, pedestrian skills. Children with OSAS appeared to have greater impulsivity when crossing streets. <br><br>RESULTS highlight the need for heightened awareness of the consequences of untreated sleep disorders and identify a possible target for pediatric injury prevention.<p /><p>Language: en</p>",
language="en",
issn="0022-3476",
doi="10.1016/j.jpeds.2014.09.032",
url="http://dx.doi.org/10.1016/j.jpeds.2014.09.032"
}