OBJECTIVE: To evaluate the feasibility of using a new home cardiorespiratory recording device (HCRD) in children. DESIGN: Cross-sectional study. PATIENTS: Consecutive children scheduled for adenotonsillectomy to treat habitual snoring and/or apneas at otorhinolaryngology clinics in 2 academic and 7 general hospitals. INTERVENTION: Single-night unattended home cardiorespiratory recording prior to adenotonsillectomy using the HCRD. MAIN OUTCOME MEASURES: Number of technically acceptable recordings and successful recordings with artifact-free signals (respiration, saturation, and nasal flow) present for sufficient duration to allow scoring of the polysomnogram and to make a diagnosis. RESULTS: Of 53 eligible children, 24 participated in the study. The main reason for nonparticipation was refusal of caregivers (n = 16). Mean (SD) age of participants was 4.2 (1.6) years; median Brouillette obstructive sleep apnea score was 2.54. Technically acceptable recordings were obtained in 18 children (75%). Only 7 recordings (29%) were classified as successful. The poorest signal quality was obtained from the nasal cannula. CONCLUSION: Based on strict scoring criteria in this study, the results of single-night unattended recordings at home with the HCRD fell short of expectations.
OBJECTIVE: To evaluate the feasibility of using a new home cardiorespiratory recording device (HCRD) in children. DESIGN: Cross-sectional study. PATIENTS: Consecutive children scheduled for adenotonsillectomy to treat habitual snoring and/or apneas at otorhinolaryngology clinics in 2 academic and 7 general hospitals. INTERVENTION: Single-night unattended home cardiorespiratory recording prior to adenotonsillectomy using the HCRD. MAIN OUTCOME MEASURES: Number of technically acceptable recordings and successful recordings with artifact-free signals (respiration, saturation, and nasal flow) present for sufficient duration to allow scoring of the polysomnogram and to make a diagnosis. RESULTS: Of 53 eligible children, 24 participated in the study. The main reason for nonparticipation was refusal of caregivers (n = 16). Mean (SD) age of participants was 4.2 (1.6) years; median Brouillette obstructive sleep apnea score was 2.54. Technically acceptable recordings were obtained in 18 children (75%). Only 7 recordings (29%) were classified as successful. The poorest signal quality was obtained from the nasal cannula. CONCLUSION: Based on strict scoring criteria in this study, the results of single-night unattended recordings at home with the HCRD fell short of expectations.
Authors: Carole L Marcus; Joel Traylor; Sarah N Biggs; Robin S Roberts; Gillian M Nixon; Indra Narang; Rakesh Bhattacharjee; Margot J Davey; Rosemary S C Horne; Maureen Cheshire; K Jeremy Gibbons; Joanne Dix; Elizabeth Asztalos; Lex W Doyle; Gillian F Opie; Judy D'ilario; Lorrie Costantini; Ruth Bradford; Barbara Schmidt Journal: J Clin Sleep Med Date: 2014-08-15 Impact factor: 4.062
Authors: Mark B Norman; Sally Middleton; Odette Erskine; Peter G Middleton; John R Wheatley; Colin E Sullivan Journal: Sleep Date: 2014-09-01 Impact factor: 5.849
Authors: Daniel Álvarez; María L Alonso-Álvarez; Gonzalo C Gutiérrez-Tobal; Andrea Crespo; Leila Kheirandish-Gozal; Roberto Hornero; David Gozal; Joaquín Terán-Santos; Félix Del Campo Journal: J Clin Sleep Med Date: 2017-05-15 Impact factor: 4.062