Abstract
To investigate the indications for conducting polysomnography studies and their outcomes.
Methods
Retrospective analysis of pediatric polysomnography studies performed over a four-year period (2009–2012).
Results
425 diagnostic studies and 100 non-invasive positive-pressure ventilation titration studies were conducted. Of these, 389 were performed in male children. Obstructive sleep apnea was the most common diagnosis; 49.6% (211 studies). Other diagnoses included central apnea, narcolepsy, and periodic limb movement disorder. Night time symptoms (snoring, frequent night awakenings, restless sleep) were present in 294 children, and 161 children had daytime symptoms (excessive daytime sleepiness, early morning fatigue, poor concentration at school). 13 studies (2.5%) were inadequate for analysis, reflecting the challenges of conducting studies in children.
Conclusion
Dedicated pediatric sleep laboratories with properly trained staff are important to minimize failure rates and diagnose these conditions accurately.
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References
Diekelmann S, Born J. The memory function of sleep. Nature Reviews Neuroscience. 2010;11:114–126.
Lim J, Dinges DF. Sleep deprivation and vigilant attention. Ann NYAcad Sci. 2008;1129:305–322.
Walker MP, van der Helm E. Overnight therapy? The role of sleep in emotional brain processing. Psychol Bull. 2009;135:731–748.
Ja O. Epidemiology of sleep disorders during childhood. In: SH S, editor. Principles and Practices of Pediatric Sleep Medicine. Philadelphia, PA: Elsevier Saunders; 2005.
Mahendran R, Subramaniam M, Cai Y, Chan YH. Survey of sleep problems amongst Singapore children in a psychiatric setting. Social Psychiatry Psychiatric Epidemiol. 2006;41:669–673.
American Thoracic Society. Standards and Indications for Cardiopulmonary Sleep Studies in Children. Am J Respiratory Crit Care Med. 1996;153:866–978.
Section on Pediatric Pulmonology SoOSASAAoP. Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. Pediatrics. 2002;109:704–712.
Aurora RN, Zak RS, Karippot A, Lamm CI, Morgenthaler TI, Auerbach SH, et al. Practice parameters for the respiratory indications for polysomnography in children. Sleep. 2011;34:379–388.
Kotagal S, Nichols CD, Grigg-Damberger MM, Marcus CL, Witmans MB, Kirk VG, et al. Non-respiratory indications for polysomnography and related procedures in children: an evidence-based review. Sleep. 2012;35:1451–1466.
Iber C A-IS, Chesson A, Quan SF. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology, and Technical Specification. First ed. Westchester, IL: American Academy of Sleep Medicine; 2007.
Certal V, Catumbela E, Winck JC, Azevedo I, Teixeira-Pinto A, Costa-Pereira A. Clinical assessment of pediatric obstructive sleep apnea: a systematic review and metaanalysis. Laryngoscope. 2012;122:2105–2114.
Mitchell RB. Adenotonsillectomy for obstructive sleep apnea in children: outcome evaluated by pre- and postoperative polysomnography. Laryngoscope. 2007;117:1844–1854.
Zaremba EK, Barkey ME, Mesa C, Sanniti K, Rosen CL. Making polysomnography more “child friendly:” a family-centered care approach. J Clinical Sleep Med. 2005;1:189–198.
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Reddy, K.R.B.K., Lim, M.T.C., Lee, T.J. et al. Pediatric polysomnographic studies at a tertiary-care hospital in Singapore. Indian Pediatr 51, 484–486 (2014). https://doi.org/10.1007/s13312-014-0433-9
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DOI: https://doi.org/10.1007/s13312-014-0433-9