Nasal cannula use during polysomnography in children aged under three with suspected sleep apnea
| Autor: | María José Jurado, Gabriel Sampol, Manuel Quintana, Odile Romero, Roser Cambrodí, Alex Ferré, Júlia Sampol |
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| Přispěvatelé: | Institut Català de la Salut, [Jurado MJ, Romero O, Cambrodí R] Unitat Docent de Neurofisiologia Clínica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Unitat del Son, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Centro de Investigación Biomédica en Red Enfermedades Respiratorias (CIBERES), Instituto de la Salud Carlos III (ISCIIII), Madrid, Spain. [Sampol G, Sampol J] Servei de Pneumologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Unitat del Son, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Centro de Investigación Biomédica en Red Enfermedades Respiratorias (CIBERES), Instituto de la Salud Carlos III (ISCIIII), Madrid, Spain. [Quintana M] Servei de Neurologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Ferré A] Unitat Docent de Neurofisiologia Clínica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Unitat del Son, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain, Vall d'Hebron Barcelona Hospital Campus |
| Rok vydání: | 2022 |
| Předmět: |
Sleep Apnea
Obstructive Diagnosis::Diagnostic Techniques and Procedures::Monitoring Physiologic::Polysomnography [ANALYTICAL DIAGNOSTIC AND THERAPEUTIC TECHNIQUES AND EQUIPMENT] Polysomnography enfermedades respiratorias::trastornos respiratorios::apnea::síndromes de apnea del sueño [ENFERMEDADES] Pediatric sleep apnea General Medicine Persons::Age Groups::Child::Child Preschool [NAMED GROUPS] diagnóstico::técnicas y procedimientos diagnósticos::monitorización fisiológica::polisomnografía [TÉCNICAS Y EQUIPOS ANALÍTICOS DIAGNÓSTICOS Y TERAPÉUTICOS] personas::Grupos de Edad::niño::niño preescolar [DENOMINACIONES DE GRUPOS] Respiratory Tract Diseases::Respiration Disorders::Apnea::Sleep Apnea Syndromes [DISEASES] OSA Nasal cannula Sleep Apnea Syndromes Thermistor Cannula Humans Síndromes d'apnea del son - Tractament Child Sleep Infants |
| Zdroj: | Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Scientia |
| Popis: | Nasal cannula; Pediatric sleep apnea; Polysomnography Cánula nasal; Apnea del sueño pediátrica; Polisomnografía Cànula nasal; Apnea del son pediàtrica; Polisomnografia Objective Early diagnosis of obstructive sleep apnea (OSA) in children is important. The use of a nasal cannula as an airflow sensor during polysomnography has not been evaluated in younger children. The study aims to evaluate the use of nasal cannula in detecting respiratory events in children under three with suspected OSA during daytime nap studies. Methods A total of 185 patients were prospectively included. Respiratory events were scored using nasal cannula alone, thermistor alone, and both methods simultaneously as the airflow sensor. Agreement and diagnostic accuracy were assessed. Results One hundred and seventy-two children were finally analyzed and 110 (64.0%) presented OSA. Total sleep time with an uninterpretable signal was longer with the nasal cannula than with the thermistor (17.8% vs 1.9%; p < 0.001), and was associated with poor sensor tolerance and adenotonsillar hypertrophy. In the estimation of the apnea-hypopnea index, the nasal cannula showed lower agreement than the thermistor with the joint use of the two sensors (intraclass correlation coefficient: 0.79 vs 0.996 with thermistor). Compared with the thermistor, the nasal cannula presented lower sensitivity for detecting OSA (82.7% vs 95.5%) and a lower negative predictive value (76.5% vs 92.4%). Overall, fewer children were diagnosed with severe OSA with the nasal cannula (19.8% vs 30.8% with the thermistor, and 32.6% with both). Conclusions In children under the age of three, the ability of the nasal cannula to detect obstructive events was relatively low. Therefore, other non-invasive measurements for identifying respiratory events during sleep may be of additional value. |
| Databáze: | OpenAIRE |
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