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Abstract：
Objective This study aimed to investigate the potential relationship between laryngomalacia and obesity as well as explore the interplay between laryngomalacia and obstructive sleep apnea using the Kids\' Inpatient Database (KID) for the year 2016. Methods The Healthcare Cost and Utilization Project (HCUP) KID for 2016 provided a dataset for analysis. Patient demographics, diagnoses, and hospital characteristics were considered. Patients less than three years old were included due to the high prevalence of laryngomalacia in this age group. Results Among 4,512,196 neonatal admissions, 1,341 obesity cases and 11,642 laryngomalacia cases were analyzed. The frequency of laryngomalacia in patients with obesity was 578.1% higher than in the general population. Patients with obstructive sleep apnea (OSA) exhibited a 5,243.2% increase in laryngomalacia frequency compared to the overall population. Combining obesity and laryngomalacia resulted in a 6,738.5% increase in OSA frequency. Conclusions This study identified a significant correlation between obesity and increased laryngomalacia risk. The findings have important clinical implications for pediatric care, emphasizing the need to prevent childhood obesity to reduce laryngomalacia risk. Additionally, understanding these risk factors enables better risk stratification for laryngomalacia and potential OSA development.
摘要：
目的：利用2016年儿童住院患者数据库（KID），探讨喉软化与肥胖之间的潜在关系，并探讨喉软化与阻塞性睡眠呼吸暂停之间的相互作用。方法2016年医疗保健成本和利用项目(HCUP)KID提供了一个数据集进行分析。患者人口统计学，诊断,并考虑了医院的特点。由于该年龄组中喉软化症的患病率很高，因此纳入了小于三岁的患者。结果在4,512,196例新生儿入院中，分析1,341例肥胖和11,642例喉软化。肥胖患者的喉软化发生率比一般人群高578.1%。阻塞性睡眠呼吸暂停（OSA）患者的喉软化频率与总人口相比增加了5,243.2％。结合肥胖和喉软化导致OSA频率增加6,738.5%。结论这项研究发现肥胖与喉软化风险增加之间存在显著相关性。这些发现对儿科护理具有重要的临床意义，强调需要预防儿童肥胖，以降低喉软化的风险。此外,了解这些危险因素有助于更好地对喉软化症和潜在OSA发展进行风险分层.
