Night-to-night variability of polysomnography in children with suspected obstructive sleep apnea
| Autor: | Eliot S. Katz, Gerald M. Loughlin, Kathryn A. Carson, Carole Marcus, John L. Carroll, Patricia Galster, Mary G. Greene |
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| Rok vydání: | 2002 |
| Předmět: |
Male
Polysomnography Statistics Nonparametric medicine Humans Prospective Studies Child Sleep Apnea Obstructive Sleep disorder Sleep Stages medicine.diagnostic_test business.industry Infant Reproducibility of Results Apnea Sleep apnea medicine.disease Obstructive sleep apnea Apnea–hypopnea index Child Preschool Anesthesia Pediatrics Perinatology and Child Health Respiratory Mechanics Female medicine.symptom business Hypopnea |
| Zdroj: | The Journal of Pediatrics. 140:589-594 |
| ISSN: | 0022-3476 |
| Popis: | Objectives: To determine whether a single polysomnographic night was a valid measure of obstructive sleep apnea syndrome (OSAS) in children with symptoms of sleep-disordered breathing. Study design: The night-to-night variability of respiratory and sleep parameters was measured prospectively in 30 snoring children aged 1.6 to 11.3 years (mean ± SD, 4.1 ± 2) by using 2 nocturnal polysomnograms performed 7 to 27 days apart (14 ± 5 days). Results: The mean of the respiratory variables including apnea index, apnea/hypopnea index, arterial oxygen saturation, and end-tidal partial pressure of carbon dioxide were not significantly different from night to night. Among the sleep parameters, there was no significant night-to-night difference in sleep efficiency, arousal index, percent rapid eye movement, or percent of slow wave sleep. Only the percentage of stage 2 was significantly different between the nights. The polysomnographic clinical diagnosis remained the same on both nights for all children, although the disease severity differed slightly in 2 patients. Conclusions: There is little clinically significant night-to-night variability in pediatric polysomnography, and no first-night effect. These data suggest that a single polysomnographic night is an adequate measure of the OSAS in children with symptoms of sleep-disordered breathing. (J Pediatr 2002;140:589-94.) |
| Databáze: | OpenAIRE |
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