There's no place like home: Evaluation of obstructive sleep apnea in the child's home

Brouillette, Robert T.; Jacob, Sheila V.; Morielli, Angela; Mograss, Melodee; Lafontaine, Victoria M.; Ducharme, Francine M; Schloss, Melvin D.

doi:10.1002/ppul.1950191143

Cited by 16 publications

(13 citation statements)

References 3 publications

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“…27 Oxyhemoglobin desaturation episodes were defined as periods of at least 6 seconds that were associated with Ͼ5% Spo 2 reductions compared with the previous stable baseline values or Spo 2 measurements Ͻ90% in the presence of adequate pulse signal. 28 When no significant alterations in oxyhemoglobin saturation and Tcco 2 were recorded in the presence of a cumulative questionnaire score of Ն5, PS was considered to be present.…”

Section: Methodsmentioning

confidence: 99%

Sleep-Disordered Breathing and School Performance in Children

1998

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Section: Methodsmentioning

confidence: 99%

Sleep-Disordered Breathing and School Performance in Children

1998

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“…None of the reports have been in a community-based sample of children who had objectively determined sleep times as measured by full polysomnography (PSG). Ambulatory PSG, performed in the subject's customary sleep environment, may be a better approximation of a usual night's sleep than a laboratory study [19][20][21]. However, the concordance between parent report of usual sleep habits and actual sleep recorded on the night of an ambulatory PSG has not been reported.…”

mentioning

confidence: 99%

Comparison between reported and recorded total sleep time and sleep latency in 6- to 11-year-old children: the Tucson Children’s Assessment of Sleep Apnea Study (TuCASA)

et al. 2006

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Research comparing parental report of sleep times to objectively obtained polysomnographic evidence of sleep times in schoolchildren is lacking. This report compares habitual sleep time and objectively recorded sleep time and sleep latency with parental reports of sleep time immediately after a night of polysomnography in elementary schoolchildren. Unattended home polysomnograms (PSG) were obtained from 480 children. On the night of the PSG, a parent was asked to complete a Sleep Habits Questionnaire, which inquired about the habitual total sleep time (HABTST) and habitual sleep onset latency (HABSOL) of his/her child on both school days and nonschool days. On the morning after the PSG, the parent was asked to estimate the total sleep time (ESTTST) and sleep onset latency (ESTSOL) of his/her child on the night of the recording. Comparisons were made to actual total sleep time (PSGTST) and sleep latency (PSGSOL) on the PSG. The sample was comprised of 50% girls, 42.3% Hispanic, and 53% aged 6-8 years. The mean HABTST, ESTTST, and PSGTST were 578, 547, and 480 min, respectively. HABTST was greater than both ESTST and PSGTST (p < 0.001). Moreover, ESTTST was greater than PSGTST (p < 0.001). The mean HABSOL, ESTSOL, and PSGSOL were 15, 17, and 11 min. ESTSOL was longer than PSGSOL (p < 0.001). There were no gender differences. However, Hispanic parents reported significantly less HABTST in their children than Caucasian parents (566 vs 587 min, p < 0.001). Parents of schoolchildren in this population-based sample substantially overestimated their children's actual total sleep time and sleep onset latency.

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“…This is based on the assumption that if detection of rapid-eye-movement sleep (when OSA is usually present or most severe) is not possible, OSA cannot be reliably ruled out. Three validation studies on abbreviated HPSG showed conflicting results [53][54][55]. However, as previously discussed by MORIELLI et al [56] and JACOB et al [54] there is invariably rapid-eye-movement sleep present in an all night recordings, even though it may not be possible to determine which specific epochs are included.…”

Section: Sleep-related Disorders Ms Urschitz Et Almentioning

confidence: 68%

Population prevalence of obstructive sleep apnoea in a community of German third graders

Urschitz

Brockmann²,

Schlaud³

et al. 2010

European Respiratory Journal

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We aimed to estimate the population prevalence of obstructive sleep apnoea (OSA) in an urban community of German third graders (age range 7.3-12.4 yrs) and the diagnostic test accuracy of two OSA screening methods.Using a cross-sectional study design with a multi-stage sampling strategy, 27 out of 59 primary schools within the city limits of Hanover, Germany, were selected. 1,144 third graders were screened for symptoms and signs of OSA using questionnaires and nocturnal home pulse oximetry. 183 children underwent abbreviated nocturnal home polysomnography (OSA definition: apnoea/hypopnoea index o1) and 22 were diagnosed to suffer from OSA.In general, sensitivity for both screening methods was low (,0.6), while specificity was moderately high (mostly .0.7). Independent predictors for OSA were body mass index, history of allergy, a composite questionnaire score, and two oximetry-based criteria. Based on these variables and logistic regression, a prediction model (accuracy; 95% confidence interval: 0.86; 0.71-0.94) was constructed and applied to children who had not successfully undergone polysomnography. This resulted in nine additional OSA cases and an overall design-adjusted population prevalence (95% confidence interval) of 2.8% (1.5-4.1%).Clinical and oximetry findings may be helpful for screening and predicting OSA in primary school children.

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There's no place like home: Evaluation of obstructive sleep apnea in the child's home

Cited by 16 publications

References 3 publications

Sleep-Disordered Breathing and School Performance in Children

Sleep-Disordered Breathing and School Performance in Children

Comparison between reported and recorded total sleep time and sleep latency in 6- to 11-year-old children: the Tucson Children’s Assessment of Sleep Apnea Study (TuCASA)

Population prevalence of obstructive sleep apnoea in a community of German third graders

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