Normative values of polysomnographic parameters in childhood and adolescence: Cardiorespiratory parameters

Scholle, Sabine; Wiater, Alfred; Scholle, Hans‐Christoph

doi:10.1016/j.sleep.2011.05.006

Cited by 126 publications

(100 citation statements)

References 27 publications

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“…34 Because other diagnostic PSG-based criteria are used around the world, we sought to reconcile our current fi ndings with frequently used PSG criteria for diagnosis and severity classifi cation elsewhere. [35][36][37][38] For this reason, we assessed the validity indexes for RDI Ն 1, Ն 3, and Ն 5; ORDI Ն 1, Ն 3, and Ն 5; and OAHI Ն 1, Ն 3, and Ն 5 and thus enable comparisons across multiple studies. Th e area under the curve performance of HRP remained good for all the cutoff values considered and was .…”

Section: Discussionmentioning

confidence: 99%

Reliability of Home Respiratory Polygraphy for the Diagnosis of Sleep Apnea in Children

Alonso-Álvarez

Terán-Santos

Carbajo

et al. 2015

Chest

135

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OBJECTIVE:Th e objective of this study was to evaluate the diagnostic reliability of home respiratory polygraphy (HRP) in children with a clinical suspicion of OSA-hypopnea syndrome (OSAS). METHODS:A prospective blind evaluation was performed. Children between the ages of 2 to 14 years with clinical suspicion of OSAS who were referred to the Sleep Unit were included. An initial HRP followed by a later date , same night, in-laboratory overnight respiratory polygraphy and polysomnography (PSG) in the sleep laboratory were performed. Th e apneahypopnea index (AHI)-HRP was compared with AHI-PSG, and therapeutic decisions based on AHI-HRP and AHI-PSG were analyzed using intraclass correlation coeffi cients, BlandAltman plots, and receiver operator curves (ROCs). RESULTS:Twenty-seven boys and 23 girls, with a mean age of 5.3 Ϯ 2.5 years, were studied, and 66% were diagnosed with OSAS based on a PSG-defi ned obstructive respiratory disturbance index Ն 3/h total sleep time. Based on the availability of concurrent HRP-PSG recordings, the optimal AHI-HRP corresponding to the PSG-defi ned OSAS criterion was established as Ն 5.6/h Th e latter exhibited a sensitivity of 90.9% (95% CI, 79.6%-100%) and a specifi city of 94.1% (95% CI, 80%-100%).CONCLUSIONS: HRP recordings emerge as a potentially useful and reliable approach for the diagnosis of OSAS in children. However, more research is required for the diagnosis of mild OSAS using HRP in children. ENT 5 ear, nose, and throat; HRP 5 home respiratory polygraphy; ICC 5 interclass correlation coeffi cient; LRP 5 in-laboratory respiratory polygraphy; OAHI 5 obstructive apnea-hypopnea index; ORDI 5 obstructive respiratory disturbance index; OSAS 5 OSAhypopnea syndrome; PSG 5 polysomnography; RDI 5 respiratory disturbance index; ROC 5 receiver operating characteristic; RP 5 respiratory polygraphy; Sp o 2 5 oxygen saturation using pulse oximetry; SU 5 Sleep Unit AFFILIATIONS: From the Sleep Unit (Drs Alonso-Álvarez, Terán-Santos, Ordax Carbajo, Cordero-Guevara, and Navazo-Egüia), the CIBER of Respiratory Diseases (Drs Alonso-Álvarez and Terán-Santos), Instituto Carlos III, CIBERES, and the

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Section: Discussionmentioning

confidence: 99%

Reliability of Home Respiratory Polygraphy for the Diagnosis of Sleep Apnea in Children

Alonso-Álvarez

Terán-Santos

Carbajo

et al. 2015

Chest

135

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“…c, d) In a class III multicentre study, median, 10th and 90th percentile values of polysomnography parameters for 1-18 year-old healthy, non-obese children without symptoms of SDB were reported. Values presented in statement 4.2, point d above have been adjusted to the AASM scoring rules [135]. Reference values have also been provided in older studies prior to publication of the AASM scoring rules [136][137][138][139][140][141][142][143][144].…”

Section: 2mentioning

confidence: 99%

“…A child with negative/inconclusive oximetry undergoing adenotonsillectomy for SDB has a low risk of post-operative respiratory complications (class III) [152,162]. Normative values for oxygen desaturation index (⩾3% drop) in healthy children have been provided in a class III study [135]. Oxygen desaturation (⩾4%) of haemoglobin index >2 episodes·h −1 in children with snoring may be a predictor of AHI >1 episode·h −1 in polysomnography (class III) [163].…”

Section: 4mentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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“…[6][7][8] Th e majority of the studies examining either the polysomnography (PSG) or the respiratory and oxygen saturation (Sp o 2 ) normative patterns during sleep in children have been conducted at sea level or at a low altitude level, and of those studies, only a few have specifi cally examined younger infants. [9][10][11][12][13][14][15][16][17][18] Furthermore, only a very small portion of these studies have used comprehensive PSG assessments, with most of them limiting their measurements and conclusions to oxyhemoglobin saturation trends.…”

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confidence: 99%

Overnight Polysomnographic Characteristics and Oxygen Saturation of Healthy Infants, 1 to 18 Months of Age, Born and Residing At High Altitude (2,640 Meters)

Duenas-Meza

Bazurto-Zapata

Gozal

et al. 2015

Chest

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Normative values of polysomnographic parameters in childhood and adolescence: Cardiorespiratory parameters

Cited by 126 publications

References 27 publications

Reliability of Home Respiratory Polygraphy for the Diagnosis of Sleep Apnea in Children

Reliability of Home Respiratory Polygraphy for the Diagnosis of Sleep Apnea in Children

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Overnight Polysomnographic Characteristics and Oxygen Saturation of Healthy Infants, 1 to 18 Months of Age, Born and Residing At High Altitude (2,640 Meters)

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