American Academy of Sleep Medicine Position Paper for the Use of a Home Sleep Apnea Test for the Diagnosis of OSA in Children

Kirk, Valerie; Baughn, Julie; DʼAndrea, Lynn; Friedman, Norman R.; Galion, Anjalee; Garetz, Susan L.; Hassan, Fauziya; Wrede, Joanna E; Harrod, Christopher G.; Malhotra, Raman K.

doi:10.5664/jcsm.6772

Cited by 169 publications

(100 citation statements)

References 27 publications

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“…precluding HSAT, but current di culties with access to adult sleep laboratories and insurance denials for this service may force HSAT to be used as a rst-line investigation. HSAT is not recommended for the diagnoses of OSAS in children 11 .…”

Section: Resultsmentioning

confidence: 99%

Best Practice Guidelines in Managing the Craniofacial Aspects of Skeletal Dysplasia

Savarirayan

Tunkel

Sterni

et al. 2020

Preprint

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Background Recognition and appropriate management of the craniofacial manifestations of patients with skeletal dysplasia are challenging, due to the rarity of these conditions, and dearth of literature to support evidence-based clinical decision making. Methods Using the Delphi method, an international, multi-disciplinary group of individuals, with significant experience in the care of patients with skeletal dysplasia, convened to develop multi-disciplinary, best practice guidelines in the management of craniofacial aspects of these patients. Results After a comprehensive literature review, 23 initial statements were generated and critically discussed, with subsequent development of a list of 22 best practice guidelines after a second round voting. Conclusions The guidelines are presented and discussed to provide context and assistance for clinicians in their decision making in this important and challenging component of care for patients with skeletal dysplasia, in order standardize care and improve outcomes.

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Section: Resultsmentioning

confidence: 99%

Best Practice Guidelines in Managing the Craniofacial Aspects of Skeletal Dysplasia

Savarirayan

Tunkel

Sterni

et al. 2020

Preprint

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“…As such, the feasibility of home PSG studies for younger children, patients with complex medical background and neurodevelopmental delay still needs to be confirmed . Due to lack of the validation and feasibility testing of home‐based PSG in these populations, the American Academy of Sleep Medicine does not recommend the use of home sleep apnea testing for the diagnosis of OSA in children …”

Section: Home Sleep Studymentioning

confidence: 99%

Preoperative identification of children at high risk of obstructive sleep apnea

Ohn

Eastwood

Ungern‐Sternberg

2020

Pediatric Anesthesia

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Obstructive sleep apnea is a common childhood disorder which can lead to serious health problems if left untreated. Enlarged adenoid and tonsils are the commonest causes, and adenotonsillectomy is the recommended first line of treatment. Obstructive sleep apnea poses as an anesthetic challenge, and it is a well‐known risk factor for perioperative adverse events. The presence and severity of an obstructive sleep apnea diagnosis will influence anesthesia, pain management, and level of monitoring in recovery period. Preoperative obstructive sleep apnea assessment is necessary, and anesthetists are ideally placed to do so. Currently, there is no standardized approach to the best method of preoperative screening for obstructive sleep apnea. Focused history, clinical assessments, and knowledge regarding the strengths and limitations of available obstructive sleep apnea assessment tools will help recognize a child with obstructive sleep apnea in the preoperative setting.

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“…Alternatives to polysomnography are used in settings where polysomnography is limited or unavailable. A 2017 position statement from the American Academy of Sleep Medicine concluded that home sleep apnea testing is not recommended for the diagnosis of obstructive sleep apnea in children . Continuous overnight oximetry recording is more accessible though with multiple ways that the data can be analyzed and reported.…”

Section: Diagnostic Testingmentioning

confidence: 99%

American Thoracic Society 2019 Pediatric Core Curriculum

Moore

Boyer

Perkins

et al. 2019

Pediatric Pulmonology

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The American Thoracic Society Pediatric Core Curriculum updates clinicians annually in pediatric pulmonary disease in a 3 to 4 year recurring cycle of topics. The 2019 course was presented in May during the Annual International Conference. An American Board of Pediatrics Maintenance of Certification module and a continuing medical education exercise covering the contents of the Core Curriculum can be accessed online at http://www.thoracic.org.

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American Academy of Sleep Medicine Position Paper for the Use of a Home Sleep Apnea Test for the Diagnosis of OSA in Children

Cited by 169 publications

References 27 publications

Best Practice Guidelines in Managing the Craniofacial Aspects of Skeletal Dysplasia

Best Practice Guidelines in Managing the Craniofacial Aspects of Skeletal Dysplasia

Preoperative identification of children at high risk of obstructive sleep apnea

American Thoracic Society 2019 Pediatric Core Curriculum

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