Pediatric Home Sleep Apnea Testing

Tan, Hui-Leng; Kheirandish‐Gozal, Leila; Gozal, David

doi:10.1378/chest.15-1365

Cited by 108 publications

(76 citation statements)

References 39 publications

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“…Although overnight, attended, in‐lab PSG is considered the gold standard test for the diagnosis of OSAS, other diagnostic modalities are recommended when in‐lab PSG is not available . Polygraphy has been shown to be feasible and has been used as alternative to in‐lab PSG in typically developing children . Current study showed that HPG was feasible with a high rate of technically acceptable studies in children with DS aged 6 to 18 years.…”

Section: Discussionmentioning

confidence: 88%

“…Home sleep apnea testing with portable devices has been considered as an alternative as it is potentially more cost‐effective, convenient, and accessible. The majority of studies report that it is feasible to perform home studies in children who are being investigated for OSAS, even in young pre‐school children . Currently the evidence on home testing with portable polygraphy devices in the diagnosis of OSAS in patients with DS is limited.…”

Section: Introductionmentioning

confidence: 99%

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Are home sleep studies useful in diagnosing obstructive sleep apnea in children with down syndrome?

İkizoğlu

Kıyan

Polat

et al. 2019

Pediatric Pulmonology

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Introduction and Aim Obstructive sleep apnea syndrome (OSAS) is frequent in children with Down syndrome (DS) and polysomnography (PSG) is recommended for all children with DS. However PSG is not always available and alternative diagnostic methods are needed. The aim of the study was to evaluate the feasibility and validity of home polygraphy (HPG) in children with DS. Methods A national DS association was contacted and children aged 6 to 18 years who accepted to participate were recruited. Otorhinolaryngologic evaluation, in‐lab PSG and HPG were performed. OSAS was diagnosed by PSG with an apnea‐hypopnea index (AHI) more than or equal to 1. OSAS severity was classified as moderate‐to‐severe if AHI was more than or equal to 5. Receiver operating characteristic curves were calculated for HPG using PSG as the gold standard. Results Nineteen children (12 girls) completed the study. Median age was 11.3 years. Demographic and clinical characteristics were similar in children with and without OSAS. Eighty‐nine percent of HPG studies were technically acceptable at the initial night and the success rate was 100% when two failed studies were repeated. PSG revealed OSAS in six (32%) children, two had mild and four had moderate‐to‐severe OSAS. All four patients with moderate‐to‐severe OSAS diagnosed with PSG have been diagnosed with the same severity on HPG. HPG had 100% sensitivity and 83% specificity when AHI ≥ 3 was set as diagnostic criteria. Conclusion HPG is a feasible and reliable test of OSAS in children with DS and may be useful in diagnosis and treatment of patients with moderate‐to‐severe OSAS in this patient group.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Are home sleep studies useful in diagnosing obstructive sleep apnea in children with down syndrome?

İkizoğlu

Kıyan

Polat

et al. 2019

Pediatric Pulmonology

View full text Add to dashboard Cite

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“…For instance, most home testing devices do not include measurement of carbon dioxide (transcutaneous or endtidal CO 2 channel). As such, a home sleep study cannot be recommended for children at risk of nocturnal hypoventilation since CO 2 monitoring is necessary (eg, in cases of suspected obesity hypoventilation or neuromuscular diseases) …”

Section: Home Sleep Studymentioning

confidence: 99%

“…Further, estimation of OSA severity by a limited channel PSG study may underestimate OAHI when based on total recording time (ie, without an EEG‐based measure of sleep), rather than total sleep time . In addition, while home sleep studies are less expensive than in‐lab PSG, they still require the setup of technically complex diagnostic equipment as well as expert interpretation of the acquired data.…”

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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“…They found a sensitivity of 91% and a specificity of 94% and concluded that HRP emerges as a potentially useful and reliable approach for the diagnosis of moderate/severe OSAS in children. Meanwhile, Tan et al reviewed existing evidence on the feasibility and diagnostic accuracy of using HRP for OSAS diagnosis in children. The authors concluded that HRP is feasible and can provide a viable option for diagnosing moderate to severe OSAS in otherwise healthy children.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Pulmonologyyear in review 2015: Part 2

Praud

2016

Pediatr Pulmonol.

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Pediatric Pulmonology covers a broad range of research and scholarly topics related to children's respiratory disorders. For updated perspectives on the rapidly expanding knowledge in our field, we will summarize the past year's publications in our major topic areas, as well as selected publications in these areas from the core clinical journal literature outside our own pages. The current review (Part 2) covers articles on sleep-disordered breathing. Pediatr Pulmonol. 2016;51:740-746. © 2016 Wiley Periodicals, Inc.

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Pediatric Home Sleep Apnea Testing

Cited by 108 publications

References 39 publications

Are home sleep studies useful in diagnosing obstructive sleep apnea in children with down syndrome?

Are home sleep studies useful in diagnosing obstructive sleep apnea in children with down syndrome?

Preoperative identification of children at high risk of obstructive sleep apnea

Pediatric Pulmonologyyear in review 2015: Part 2

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