The watch-pat in pediatrics sleep disordered breathing: Pilot study on children with negative nocturnal pulse oximetry

作者：Serra Agostino; Cocuzza Salvatore; Maiolino Luigi; Abramo Alessandro; Spinato Giacomo; Tonoli Giovanni; Amadori Maurizio; Politi Doriano; Tirelli Giancarlo; Spinato Roberto; Di Mauro Paola^*

来源：International Journal of Pediatric Otorhinolaryngology, 2017, 97: 245-250.

DOI：10.1016/j.ijporl.2017.04.021

• Pediatric sleep disordered breathing
• Watch-pat
• Pulse oximetry
• Obstructive sleep hypopnea apnea
• syndrome

Objectives: The main purpose of this study was to determine the efficacy of Watch-PAT in Pediatric Sleep Disordered Breathing (PSDB) diagnosis in children with symptoms suggestive of PSDB, in which the nocturnal pulse oximetry was negative according to the Brouilette criteria.
Methods: We enrolled 28 patients aged between 5 and 12 years (mean age: 7.75 +/- 1.69), who underwent the registration with Watch-PAT, that utilizes the Peripheral Arterial Tone (PAT), AHI, RDI, body position, snoring, pulse oximetry and actigraphy.
Results: Recording Watch-PAT was indicative of PSDB in 10/28 (35.7%) patients; when it was placed the threshold of AHI > 1 the number of positive patients for PSDB increased to 17/28 (60.7%). Exists a positive correlation between pat-RDI (rho = 0.798, p = 0.005) and the snoring > 40% of the time (rho = 0.656, p < 0.001) were correlated with the pat-AHI values.
Conclusion: The recording Watch-PAT appears to permit the defection of a certain number of SDB that might escape to the clinical evaluation and pulse oximetry only.

• 出版日期2017-6