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01-07-2022 | Polysomnography | Original Article

Comparing in-lab full polysomnography for diagnosing sleep apnea in children to home sleep apnea tests (HSAT) with an online video attending technician

Authors: Amit Green, Noam Nagel, Lilach Kemer, Yaron Dagan

Published in: Sleep and Biological Rhythms | Issue 3/2022

Abstract

The main study aim was to compare the validity of children sleep apnea data obtained from standard polysomnography (PSG) to a home sleep apnea test (HSAT) accompanied by an attending online video technician. Our study population was comprised of 100 children, 54 boys and 46 girls, ages 3–11 (average age 5.2, SD 1.2) assigned randomly either to in-lab full PSG or to a HSAT with real-time, online technical support to rule out obstructive sleep apnea (OSA). A t test comparison did not yield significant differences between data obtained from the in-lab PSG and HSAT with real-time, online, technical support for any of the following measures: Apnea–Hypopnea Index, Oxygen desaturation Index, baseline O2, or minimum O2 parameters. However, a significant difference was found for time in bed and total sleep time, which was significantly longer in the HAST. Online HSAT can provide a safe, convenient and a reliable way to perform sleep studies in young children for diagnosing OSA in their familiar home environment.

Bixler EO, Vgontzas AN, Lin HM, Liao D, Calhoun S, Vela-Bueno A, Fedok F, Vlasic V, Graff G. Sleep disordered breathing in children in a general population sample: prevalence and risk factors. Sleep. 2009;32(6):731–6. https://doi.org/10.1093/sleep/32.6.731.CrossRefPubMedPubMedCentral

Marcus CL, Brooks LJ, Draper KA, Gozal D, Halbower AC, Jones J, Schechter MS, Ward SD, Sheldon SH, Shiffman RN, Lehmann C, Spruyt K. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012;130(3):e714–55. https://doi.org/10.1542/peds.2012-1672.CrossRefPubMed

American Thoracic Society. Standards and indications for cardiopulmonary sleep studies in children. Am J Respir Crit Care Med. 1996;153(2):866–78. https://doi.org/10.1164/ajrccm.153.2.8564147.CrossRef

Budhiraja R, Quan SF. Outcomes from the tucson children’s assessment of sleep apnea study (TuCASA). Sleep Med Clin. 2009;4(1):9–18. https://doi.org/10.1016/j.jsmc.2008.11.002.CrossRefPubMedPubMedCentral

Xu Z, Wu Y, Tai J, Feng G, Ge W, Zheng L, Zhou Z, Ni X. Risk factors of obstructive sleep apnea syndrome in children. J Otolaryngol Head Neck Surg Le J d’oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale. 2020;49(1):11. https://doi.org/10.1186/s40463-020-0404-1.CrossRef

Carter K A, Hathaway N E, Lettieri CF. Common sleep disorders in children. Am Fam Phys 2014;89(5):68–377. https://www.aafp.org/afp/2014/0301/p368.html

Beebe DW. Neurobehavioral morbidity associated with disordered breathing during sleep in children: a comprehensive review. Sleep. 2006;29(9):1115–34. https://doi.org/10.1093/sleep/29.9.1115.CrossRefPubMed

Kirk V, Baughn J, D’Andrea L, Friedman N, Galion A, Garetz S, Hassan F, Wrede J, Harrod CG, Malhotra RK. American academy of sleep medicine position paper for the use of a home sleep apnea test for the diagnosis of OSA in children. J Clin Sleep Med. 2017;13(10):1199–203. https://doi.org/10.5664/jcsm.6772.CrossRefPubMedPubMedCentral

Murata E, Kato-Nishimura K, Taniike M, Mohri I. Evaluation of the validity of psychological preparation for children undergoing polysomnography. J Clin Sleep Med. 2020;16(2):167–74. https://doi.org/10.5664/jcsm.8158.CrossRefPubMedPubMedCentral

10.

Aurora RN, Zak RS, Karippot A, Lamm CI, Morgenthaler TI, Auerbach SH, Bista SR, Casey KR, Chowdhuri S, Kristo DA, Ramar K, American Academy of Sleep Medicine. Practice parameters for the respiratory indications for polysomnography in children. Sleep. 2011;34(3):379–88. https://doi.org/10.1093/sleep/34.3.379.CrossRefPubMedPubMedCentral

11.

Goodwin JL, Enright PL, Kaemingk KL, Rosen GM, Morgan WJ, Fregosi RF, Quan SF. Feasibility of using unattended polysomnography in children for research-report of the Tucson Children’s Assessment of Sleep Apnea study (TuCASA). Sleep. 2001;24(8):937–44. https://doi.org/10.1093/sleep/24.8.937.CrossRefPubMed

12.

Jacob SV, Morielli A, Mograss MA, Ducharme FM, Schloss MD, Brouillette RT. Home testing for pediatric obstructive sleep apnea syndrome secondary to adenotonsillar hypertrophy. Pediatr Pulmonol. 1995;20(4):241–52. https://doi.org/10.1002/ppul.1950200407.CrossRefPubMed

13.

Alonso-Álvarez ML, Terán-Santos J, Ordax Carbajo E, Cordero-Guevara JA, Navazo-Egüia AI, Kheirandish-Gozal L, Gozal D. Reliability of home respiratory polygraphy for the diagnosis of sleep apnea in children. Chest. 2015;147(4):1020–8. https://doi.org/10.1378/chest.14-1959.CrossRefPubMed

14.

Kapur VK, Auckley DH, Chowdhuri S, Kuhlmann DC, Mehra R, Ramar K, Harrod CG. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an american academy of sleep medicine clinical practice guideline. J Clin Sleep Med. 2017;13(3):479–504. https://doi.org/10.5664/jcsm.6506.CrossRefPubMedPubMedCentral

15.

Marino M, Li Y, Rueschman MN, Winkelman JW, Ellenbogen JM, Solet JM, Dulin H, Berkman LF, Buxton OM. Measuring sleep: accuracy, sensitivity, and specificity of wrist actigraphy compared to polysomnography. Sleep. 2013;36(11):1747–55. https://doi.org/10.5665/sleep.3142.CrossRefPubMedPubMedCentral

16.

Meltzer LJ, Walsh CM, Traylor J, Westin AM. Direct comparison of two new actigraphs and polysomnography in children and adolescents. Sleep. 2012;35(1):159–66. https://doi.org/10.5665/sleep.1608.CrossRefPubMedPubMedCentral

Title: Comparing in-lab full polysomnography for diagnosing sleep apnea in children to home sleep apnea tests (HSAT) with an online video attending technician
Authors: Amit Green
Noam Nagel
Lilach Kemer
Yaron Dagan
Publication date: 01-07-2022
Publisher: Springer Nature Singapore
Keywords: Polysomnography
Sleep Apnea
Snoring
Published in: Sleep and Biological Rhythms / Issue 3/2022
Print ISSN: 1446-9235
Electronic ISSN: 1479-8425
DOI: https://doi.org/10.1007/s41105-022-00384-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparing in-lab full polysomnography for diagnosing sleep apnea in children to home sleep apnea tests (HSAT) with an online video attending technician

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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