Clinical application of home sleep apnea testing in children: a prospective pilot study

Revana, Amee; Vecchio, Jason; Guffey, Danielle; Minard, Charles G.; Glaze, Daniel G.

doi:10.5664/jcsm.9650

Cited by 12 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results are essential, as they demonstrate a potential population that may be tested at home, creating more availability for children who need PSG for diagnosis. Additionally, the combination of HSAT with screening questionnaires has been beneficial in identifying (Revana et al, 2022), or excluding (Maggio et al, 2021), moderate to severe OSA, further supporting the use of alternate testing methods for improved accuracy.…”

Section: Home-based Psgmentioning

confidence: 90%

Evaluation and diagnosis of pediatric obstructive sleep apnea—An update

2023

View full text Add to dashboard Cite

PurposeFormal overnight polysomnography (PSG) is required to diagnose obstructive sleep apnea (OSA) in children with sleep disordered breathing (SDB). Most clinical guidelines do not recommend home-based tests for pediatric OSA. However, PSG is limited by feasibility, cost, availability, patient discomfort, and resource utilization. Additionally, the role of PSG in evaluating disease impact may need to be revised. There is a strong need for alternative testing that can stratify the need for PSG and improve the time to diagnosis of OSA. This narrative review aims to evaluate and discuss innovative approaches to pediatric SDB diagnosis.FindingsMethods to evaluate pediatric SDB outside of PSG include validated questionnaires, single-channel recordings, incorporation of telehealth, home sleep apnea testing (HSAT), and predictive biomarkers. Despite the promise, no individual metric has been found suitable to replace standard PSG. In addition, their use in combination to diagnose OSA diagnosis still needs to be defined.SummaryWhen combined with adjunct assessments, HSAT advancements may accurately evaluate SDB in children and thus minimize the need for overnight in-laboratory PSG. Further studies are required to confirm diagnostic validity vis-à-vis PSG as a reference standard.

show abstract

Section: Home-based Psgmentioning

confidence: 90%

Evaluation and diagnosis of pediatric obstructive sleep apnea—An update

2023

View full text Add to dashboard Cite

show abstract

“…In our study, we encountered practical challenges in accessing PSG for children due to its limited availability in the Czech Republic and long waiting times. In light of these limitations and considering that HSAT is recommended as a screening tool before the referral for PSG, when applied under controlled settings by sleep specialist [29,30] we opted for including HSAT, polygraphy, as a part of our validation process. Important fact is also that SEN CZ should only be used as the rst alert of generally disturbed nocturnal breathing with recommendation for further examinations, not to serve as a replacement for any sleep-monitoring or as a precise diagnostic tool.…”

Section: Discussionmentioning

confidence: 99%

Testing of the Czech questionnaire for identifying children at risk of obstructive sleep apnea

Vrankova,

Kratochvil,

Villa

et al. 2024

Preprint

View full text Add to dashboard Cite

This study aimed to create a Czech questionnaire for pediatric obstructive sleep apnea (POSA) risk screening, a first of its kind in the Czech Republic, where options for child polysomnography are limited. Compiling items from established English questionnaires and supplementing them with additional items, we designed the first version of the Czech questionnaire and tested it in a pilot study with parents of 30 children. After pilot feedback, a revised version with dichotomous and 5-item Likert scale questions was tested on another 70 children's parents. All children (7–12 years old) underwent a home sleep apnea test to record their apnea-hypopnea index (AHI). The second (40-item) version showed high reliability (93%), with 17 items identified as the most significant. Findings from the final 17-item SEN CZ questionnaire correlated positively with AHI (p < 0.001), demonstrating 84% sensitivity, 86% specificity, and 93% reliability. Three factors, namely breathing problems, inattention, and hyperactivity (characterized by multiple items), were identified to form a higher-order factor of POSA risk, which was further supported by the correlations of their total scores with AHI (p < 0.001). The resulting SEN CZ questionnaire can serve as a tool for POSA risk screening in the Czech Republic without the need to involve medical professionals.

show abstract

Obstructive Sleep Apnea and Hypertension in Children

Revana¹,

Acosta²

2023

Pediatric Hypertension

View full text Add to dashboard Cite

Clinical application of home sleep apnea testing in children: a prospective pilot study

Cited by 12 publications

References 18 publications

Evaluation and diagnosis of pediatric obstructive sleep apnea—An update

Evaluation and diagnosis of pediatric obstructive sleep apnea—An update

Testing of the Czech questionnaire for identifying children at risk of obstructive sleep apnea

Obstructive Sleep Apnea and Hypertension in Children

Contact Info

Product

Resources

About