Feasibility of unattended home polysomnography in children with sleep-disordered breathing

作者：Brockmann Pablo E^*; Luis Perez Jose; Moya Ana

来源：International Journal of Pediatric Otorhinolaryngology, 2013, 77(12): 1960-1964.

DOI：10.1016/j.ijporl.2013.09.011

• Sleep apnea
• Children
• Snoring
• Screening
• Polysonmography

Objective: To investigate the technical feasibility of unattended polysomnography (HPSG) for diagnosis of obstructive sleep apnea (USA) in children. %26lt;br%26gt;Methods: A single-night HPSG was performed on children referred to the pediatric respiratory laboratory. Non-interpretable HPSGs were defined as: recordings with (i) loss of %26gt;= 2 of the following channels: nasal flow, or thoraco-abdominal belts, or (ii) HPSG with less than 4 h of artifact-free recording time or (iii) less than 4 h SpO2 signal. %26lt;br%26gt;Results: Of n = 101 included HPSGs, n = 75 were ambulatory and n = 26 in hospitalized subjects. Median (minimum-maximum) age was 2.8 (0-15.4) years. Interpretable and technically acceptable recordings were obtained in 94 subjects (93%). Only 7 recordings (4 at home versus 3 in hospitalized subjects, p-value = 0.254) were classified as non-interpretable and had to be repeated. Artifact-free recording time was 461 (23-766) min. Complete artifact-free pulse oximetry signal was obtained in 14% of the included subjects. Neither age, gender, AHI, nor place of performance was significantly associated with the interpretability of recordings. %26lt;br%26gt;Discussion: HPSG showed a high rate of interpretability and technical acceptance. The high technical feasibility obtained by HPSG may help to improve simple screening tests for OSA in children.

• 出版日期2013-12