Advertisement

Abbreviated/Portable Recordings

  • Luigi Ferini-StrambiEmail author
Chapter
Part of the Respiratory Medicine book series (RM)

Abstract

Laboratory polysomnography (PSG) is considered the “gold standard” for diagnosis of obstructive sleep apnea (OSAS) both in adults and children; however, it is expensive and time consuming. Since history and physical examination are poor at predicting OSAS in children, other abbreviated or screening techniques could be helpful. Most studies have shown that diagnostic techniques, such as videotaping, nocturnal pulse oximetry, and daytime nap PSG, tend to be helpful if the results are positive but have a poor predictive value if results are negative. Thus, children with negative results in abbreviated or portable recordings should undergo a more comprehensive evaluation, such as overnight PSG. Further investigations must be conducted to test the suitability of these simplified monitoring in order to verify their cost efficacy. The more promising technique seems to be the unattended ambulatory 4- to 6-channel recording equipments that might assess the severity of OSAS, which is useful for determining treatment and follow-up.

Keywords

Obstructive Sleep Apnea Syndrome Respiratory Disturbance Index Obstructive Sleep Apnea Syndrome Patient Pulse Transit Time Desaturation Index 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Lumeng JC, Chervin RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc. 2008;5:242–52.PubMedCrossRefGoogle Scholar
  2. 2.
    Schechter MS. Section on pediatric pulmonology, subcommittee on obstructive sleep apnea syndrome. Technical report: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2002;109:704–12.CrossRefGoogle Scholar
  3. 3.
    Muzumdar H, Arens R. Diagnostic issues in pediatric obstructive sleep apnea. Proc Am Thorac Soc. 2008;5: 263–73.PubMedCrossRefGoogle Scholar
  4. 4.
    Goldstein NA, Sculerati N, Walsleben JA, Bhatia N, Friedman DM, Rapoport DM. Clinical diagnosis of pediatric obstructive sleep apnea validated by polysomnography. Otolaryngol Head Neck Surg. 1994; 111(5):611–7.PubMedCrossRefGoogle Scholar
  5. 5.
    Lamm C, Mandeli J, Kattan M. Evaluation of home audiotapes as an abbreviated test for obstructive sleep apnea syndrome (OSAS) in children. Pediatr Pulmonol. 1999;27:267–72.PubMedCrossRefGoogle Scholar
  6. 6.
    Sivan Y, Kornecki A, Schonfeld T. Screening obstructive sleep apnoea syndrome by home videotape recording in children. Eur Respir J. 1996;9(10): 2127–31.PubMedCrossRefGoogle Scholar
  7. 7.
    Gozal D, Kheirandish-Gozal L. New approaches to the diagnosis of sleep-disordered breathing in children. Sleep Med. 2010;11:708–13.PubMedCrossRefGoogle Scholar
  8. 8.
    Brouillette RT, Morielli A, Leimanis A, Walters KA, Luciano R, Ducharme FM. Nocturnal pulse oximetry as an abbreviated testing modality for pediatric obstructive sleep apnea. Pediatrics. 2000;105: 405–12.PubMedCrossRefGoogle Scholar
  9. 9.
    Kirk VG, Bohn SG, Flemons WW, Remmers JE. Comparison of home oximetry monitoring with laboratory polysomnography in children. Chest. 2003;124: 1702–8.PubMedCrossRefGoogle Scholar
  10. 10.
    Foo JY, Bradley AP, Wilson SJ, Williams GR, Dakin C, Cooper DMA. Screening of obstructive and central apnoea/hypopnoea in children using variability: a preliminary study. Acta Paediatr. 2006;95(5):561–4.PubMedCrossRefGoogle Scholar
  11. 11.
    Noehren A, Brockmann PE, Urschitz MS, Sokollik C, Schlaud M, Poets C. Detection of respiratory events using pulse rate in children with and without obstructive sleep apnea. Pediatr Pulmonol. 2010;45: 459–68.PubMedGoogle Scholar
  12. 12.
    Mograss MA, Ducharme F, Brouillette RT. Movement/arousal-description, classification, and relationship to sleep apnea in children. Am J Respir Crit Care Med. 1994;150:1690–6.PubMedGoogle Scholar
  13. 13.
    Marcus CL, Lutz J, Carroll JL, Bamford O. Arousal and ventilatory responses during sleep in children with obstructive sleep apnea. J Appl Physiol. 1998;84:1926–36.PubMedGoogle Scholar
  14. 14.
    Collop NA, Anderson WM, Boehlecke B, Claman D, Goldberg R, Gottlieb DJ. Portable monitoring task force of the American academy of sleep medicine. Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. J Clin Sleep Med. 2007;3:737–47.PubMedGoogle Scholar
  15. 15.
    Kirk VG, Flemons WW, Adams C, Rimmer KP, Montgomery MD. Sleep-disordered breathing in Duchenne muscular dystrophy: a preliminary study of the role of portable monitoring. Pediatr Pulmonol. 2000;29:135–40.PubMedCrossRefGoogle Scholar
  16. 16.
    Zucconi M, Calori G, Castronovo V, Ferini-Strambi L. Respiratory monitoring by means of an unattended device in children with suspected uncomplicated obstructive sleep apnea. A validation study Chest. 2003;124(2):602–7.Google Scholar
  17. 17.
    Yin M, Miyazaki S, Itasaka Y, et al. A preliminary study on application of portable monitoring for diagnosis of obstructive sleep apnea. Auris Nasus Larynx. 2005;32(2):151–6.PubMedCrossRefGoogle Scholar
  18. 18.
    Jacob SV, Morielli A, Mograss MA, Ducharme FM, Schloss MD, Brouillette RT. Home testing for pediatric obstructive sleep apnea syndrome secondary to adenotonsillar hypertrophy. Pediatr Pulmonol. 1995; 20:241–52.PubMedCrossRefGoogle Scholar
  19. 19.
    Marcus CL, Keens TG, Ward SL. Comparison of nap and overnight polysomnography in children. Pediatr Pulmonol. 1992;13(1):16–21.PubMedCrossRefGoogle Scholar
  20. 20.
    Saeed MM, Keens TG, Stabile MW, Bolokowicz J, Davidson Ward SL. Should children with suspected obstructive sleep apnea syndrome and normal nap sleep studies have overnight sleep studies? Chest. 2000;118(2):360–5.PubMedCrossRefGoogle Scholar
  21. 21.
    Verginis N, Jolley D, Horne RS, Davey MJ, Nixon GM. Sleep state distribution of obstructive events in children: is obstructive sleep apnoea really a rapid eye movement sleep-related condition? J Sleep Res. 2009; 18:411–414Google Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Sleep Disorders Center, Department of NeuroscienceUniversitá Vita-Salute San RaffaeleMilanItaly

Personalised recommendations