Tracheal sounds for the scoring of sleep respiratory events in children
| Autor: | Alessandro Amaddeo, Lucie Griffon, Sonia Khirani, Jorge Olmo Arroyo, Brigitte Fauroux, AbdelKebir Sabil, Guillaume Baffet, Livio De Sanctis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Polysomnography medicine.disease_cause Respiratory polygraphy 03 medical and health sciences 0302 clinical medicine Sleep Apnea Syndromes otorhinolaryngologic diseases medicine Humans Respiratory system Child Sleep Apnea Obstructive business.industry Sleep in non-human animals Scientific Investigations Plethysmography 030228 respiratory system Neurology Anesthesia sense organs Neurology (clinical) business Sleep Nasal cannula 030217 neurology & neurosurgery |
| Zdroj: | J Clin Sleep Med |
| Popis: | STUDY OBJECTIVES: Oronasal thermistor and nasal cannula are recommended for the scoring of respiratory events (RE) but these sensors are poorly tolerated in children. The aim of the study was to evaluate tracheal sounds (TS) and suprasternal pressure (SSP) for the scoring of RE during sleep in children. METHODS: We compared the detection and characterization of RE by AASM-recommended sensors (“AASM” scoring), with the detection and characterization of RE by the combination of TS and SSP with respiratory inductance plethysmography-sum (TS-RIP scoring), and TS and SSP only (TS scoring). RESULTS: The recordings of 17 patients were analyzed. The TS, SSP, and RIP flow signals were present during 95%, 95%, and 99% of the validated recording time, respectively, as compared to 79% and 86% for nasal cannula and oronasal thermistor. A total of 1,456 RE were scored with the “AASM” scoring, 1,335 with the TS-RIP scoring, and 1,311 with the TS scoring. Sensitivity for apnea and hypopnea detection was 88% and 84% for the TS-RIP scoring, and 86% and 77% for the TS scoring. For apnea characterization, the TS-RIP scoring sensitivities and specificities were 97% and 100%, 76% and 98%, and 95% and 97%, for obstructive, mixed, and central apnea, respectively. For the TS scoring, they were 95% and 100%, 95% and 97%, and 91% and 97%, respectively. CONCLUSIONS: TS and SSP + RIP-sum has a good sensitivity and specificity for the detection and characterization of apnea and hypopnea in children. TS and SSP alone have good sensitivity and specificity for apnea detection and characterization but lower sensitivity for hypopnea detection. CITATION: Amaddeo A, Sabil A, Arroyo JO et al. Tracheal sounds for the scoring of sleep respiratory events in children. J Clin Sleep Med. 2020;16(3):361–369. |
| Databáze: | OpenAIRE |
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