Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea

被引：5
作者：
Teplitzky, Taylor B. [1 ]
Zauher, Audrey J. [1 ]
Isaiah, Amal [1 ,2 ,3 ]
机构：
[1] Univ Maryland, Dept Otorhinolaryngol Head & Neck Surg, Sch Med, Baltimore, MD 21201 USA
[2] Univ Maryland, Dept Pediat, Sch Med, Baltimore, MD 21201 USA
[3] Univ Maryland, Dept Diagnost Radiol & Nucl Med, Sch Med, Baltimore, MD 21201 USA
来源：
DIAGNOSTICS | 2023年 / 13卷 / 11期
基金：
美国国家卫生研究院;
关键词：
obstructive sleep apnea; sleep disordered breathing; polysomnography; QUALITY-OF-LIFE; FREQUENCY INSPIRATORY SOUNDS; NOCTURNAL PULSE OXIMETRY; ADENOTONSILLAR HYPERTROPHY; LABORATORY POLYSOMNOGRAPHY; AMBULATORY POLYSOMNOGRAPHY; FAMILIAL AGGREGATION; PRESCHOOL-CHILDREN; GENE-EXPRESSION; NASAL CANNULA;
D O I：
10.3390/diagnostics13111956
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Diagnosis of obstructive sleep apnea (OSA) in children with sleep-disordered breathing (SDB) requires hospital-based, overnight level I polysomnography (PSG). Obtaining a level I PSG can be challenging for children and their caregivers due to the costs, barriers to access, and associated discomfort. Less burdensome methods that approximate pediatric PSG data are needed. The goal of this review is to evaluate and discuss alternatives for evaluating pediatric SDB. To date, wearable devices, single-channel recordings, and home-based PSG have not been validated as suitable replacements for PSG. However, they may play a role in risk stratification or as screening tools for pediatric OSA. Further studies are needed to determine if the combined use of these metrics could predict OSA.
引用
收藏
页数：14
相关论文
共 114 条
[71]   Outcome of adenotonsillectomy for obstructive sleep apnea in obese and normal-weight children [J].
Mitchell, Ron B. ;
Kelly, James .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2007, 137 (01) :43-48
[72]   Sleep-disordered breathing in children: Survey of current practice [J].
Mitchell, Ron B. ;
Pereira, Kevin D. ;
Friedman, Norman R. .
LARYNGOSCOPE, 2006, 116 (06) :956-958
[73]   Clinical Practice Guideline: Tonsillectomy in Children (Update) [J].
Mitchell, Ron B. ;
Archer, Sanford M. ;
Ishman, Stacey L. ;
Rosenfeld, Richard M. ;
Coles, Sarah ;
Finestone, Sandra A. ;
Friedman, Norman R. ;
Giordano, Terri ;
Hildrew, Douglas M. ;
Kim, Tae W. ;
Lloyd, Robin M. ;
Parikh, Sanjay R. ;
Shulman, Stanford T. ;
Walner, David L. ;
Walsh, Sandra A. ;
Nnacheta, Lorraine C. .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2019, 160 :S1-S42
[74]  
Morell-Garcia D, 2021, ARCH BRONCONEUMOL, V57, P387, DOI [10.1016/j.arbres.2020.01.006, 10.1016/j.arbr.2020.01.014]
[75]   Altered cardiovascular variability in obstructive sleep apnea [J].
Narkiewicz, K ;
Montano, N ;
Cogliati, C ;
van de Borne, PJH ;
Dyken, ME ;
Somers, VK .
CIRCULATION, 1998, 98 (11) :1071-1077
[76]   Snoring and obstructive sleep apnea in children -: A 6-month follow-up study [J].
Nieminen, P ;
Tolonen, U ;
Löppönen, H .
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2000, 126 (04) :481-486
[77]   Nocturnal autonomic function in preschool children with sleep-disordered breathing [J].
Nisbet, Lauren C. ;
Yiallourou, Stephanie R. ;
Nixon, Gillian M. ;
Biggs, Sarah N. ;
Davey, Margot J. ;
Trinder, John ;
Walter, Lisa M. ;
Horne, Rosemary S. C. .
SLEEP MEDICINE, 2013, 14 (12) :1310-1316
[78]   Planning adenotonsillectomy in children with obstructive sleep apnea: The role of overnight oximetry [J].
Nixon, GM ;
Kermack, AS ;
Davis, GM ;
Manoukian, JJ ;
Brown, KA ;
Brouillette, RT .
PEDIATRICS, 2004, 113 (01) :E19-E25
[79]   Measurement of snoring and stertor using the Sonomat to assess effectiveness of upper airway surgery in children [J].
Norman, Mark B. ;
Harrison, Henley C. ;
Sullivan, Colin E. ;
Milross, Maree A. .
JOURNAL OF CLINICAL SLEEP MEDICINE, 2022, 18 (06) :1649-1656
[80]   Snoring and stertor are associated with more sleep disturbance than apneas and hypopneas in pediatric SDB [J].
Norman, Mark B. ;
Harrison, Henley C. ;
Waters, Karen A. ;
Sullivan, Colin E. .
SLEEP AND BREATHING, 2019, 23 (04) :1245-1254
3456789101112