Successful home respiratory polygraphy to investigate sleep-disordered breathing in children.

Details

Serval ID
serval:BIB_75701A330A1D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Successful home respiratory polygraphy to investigate sleep-disordered breathing in children.
Journal
Sleep medicine
Author(s)
Michelet M., Blanchon S., Guinand S., Ruchonnet-Métrailler I., Mornand A., Cao Van H., Barazzone-Argiroffo C., Corbelli R.
ISSN
1878-5506 (Electronic)
ISSN-L
1389-9457
Publication state
Published
Issued date
04/2020
Peer-reviewed
Oui
Volume
68
Pages
146-152
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Sleep-disordered breathing (SDB) in children is common. Interest in sleep tests, such as polygraphy (PG), which can be performed in a non-attended setting, are gaining is increasing. PG has, however, been little studied in children with co-morbidities other than obstructive sleep apnea (OSA), and in particular, if performed in a non-attended setting. We report on the feasibility and interpretability of implementing PGs at home versus in hospital.
PGs were analyzed according to the setting (hospital or home) and sequence (initial or subsequent) in which they were performed. Non-interpretability was defined as absent or unreliable oxygen saturation by pulse oximetry (SpO <sub>2</sub> ), or airflow and respiratory inductance plethysmography flow trace signals during the time analyzed.
We retrospectively analyzed 400 PGs; 332/400 were initial PGs. Indications were: suspected OSA (65%), obesity (13%), craniofacial malformations (5%), neuromuscular disease (4%), and other (13%) which included prematurity. 16% were recorded in hospitals and 84% at home. The mean age was 5.7 ± 5.8 years and 7.3 ± 4.5 years for the hospital and home groups, respectively. Interpretability was similar in both settings (87%). In the 68 subsequent PGs, interpretability was 84% when performed for follow-up and 96% when repeated for non-interpretability. Non-interpretability was predominantly due to a failure of the SpO <sub>2</sub> channel.
PG performed at home is both feasible and interpretable for a variety of indications. Non-interpretability was not predictable in association with the setting, anthropometric data, or indication, independently of the sequence (initial or subsequent PG) in which the parameters were analyzed.
Keywords
General Medicine, Feasibility, Home sleep apnea testing, Non-interpretability, Polygraphy, Sleep-disordered breathing
Pubmed
Web of science
Create date
15/05/2020 16:27
Last modification date
16/05/2020 5:26
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