Home Respiratory Polygraphy is Useful in the Diagnosis of Childhood Obstructive Sleep Apnea Syndrome
Abstract
:1. Introduction
2. Experimental Section
2.1. Study Design and Population
2.2. Clinical Protocol
2.3. Diagnostic Protocol
2.4. Patient Groups
2.5. Therapeutic Protocol
2.6. Sample Size Calculation
2.7. Statistical Analysis
2.8. Ethical Aspects
3. Results
3.1. Overal
3.2. Study Population
3.2.1. All Patients
3.2.2. Comparison between Groups
3.3. Treatment
3.4. Progress
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Parameter | Value |
---|---|
Age (years) | 7 ± 4 |
Weight (kg) | 28 ± 15 |
Height (cm) | 122 ± 22 |
BMI (kg/m2) | 19 ± 5 |
BMI percentile | 62 ± 38 |
Parameter | Value |
---|---|
Duration of recording (minutes) | 461 ± 95 |
AHI (h−1) | 10 ± 9 |
ODI (h−1) | 4 ± 7 |
Baseline SpO2 (%) | 97 ± 2 |
Minimum SpO2 (%) | 81 ± 8 |
CT90% (minutes) | 3 ± 5 |
Group A (HRP) | Group B (PSG) | p Value | |
---|---|---|---|
Sex | |||
- Boy - Girl | 46% (55) 35% (42) | 12% (15) 7% (9) | NS |
Concomitant disease | 20% (19) | 46% (11) | p < 0.001 |
Snoring | 100% (97) | 100% (24) | NS |
Apnea | 87% (84) | 88% (21) | NS |
Shortness of breath | 35% (34) | 46% (11) | NS |
Restless sleep | 36% (35) | 46% (11) | NS |
Rhinorrhea | 12% (12) | 0% (0) | NS |
Nasal obstruction | 32% (31) | 38% (9) | NS |
Mouth breathing | 32% (31) | 38% (9) | NS |
Tonsillitis | 53% (51) | 54% (13) | NS |
Vomiting/nausea | 3% (3) | 0% (0) | NS |
Swallowing disorder | 8% (8) | 25% (6) | p < 0.05 |
Night sweats | 3% (3) | 4% (1) | NS |
Hearing problems | 5% (5) | 8% (2) | NS |
Daytime drowsiness | 20% (19) | 21% (5) | NS |
Poor appetite | 13% (13) | 13% (3) | NS |
Frequent otitis media | 28% (27) | 33% (8) | NS |
Shyness | 4% (4) | 0% (0) | NS |
Attention deficit | 14% (14) | 13% (3) | NS |
Poor academic performance | 8% (8) | 13% (3) | NS |
Enuresis | 9% (9) | 8% (2) | NS |
Headaches | 3% (3) | 4% (1) | NS |
Heartburn | 1% (1) | 0% (0) | NS |
Wheezing | 8% (8) | 13% (3) | NS |
Failure to thrive | 18% (17) | 17% (4) | NS |
Group A (HRP) | Group B (PSG) | p Value | |
---|---|---|---|
Tonsillar hypertrophy | 93% (90) | 88% (21) | NS |
Adenoid hypertrophy | 87% (84) | 88% (21) | NS |
High-arched palate | 14% (14) | 13% (3) | NS |
Macroglossia | 1% (1) | 0% (0) | NS |
Facial skeleton abnormality | 3% (3) | 0% (0) | NS |
Micrognathia | 1% (1) | 0% (0) | NS |
Prognathism | 3% (3) | 8% (2) | NS |
Retrognathia | 16% (15) | 4% (1) | NS |
Malocclusion | 3% (3) | 8% (2) | NS |
Dolichocephaly | 7% (7) | 8% (2) | NS |
Adenoid facies | 34% (33) | 25% (6) | NS |
Obesity | 20% (19) | 21% (5) | NS |
Group A (HRP) (Mean ± SD) | Group B (PSG) (Mean ± SD) | p Value | |
---|---|---|---|
Age (years) | 7 ± 4 | 7 ± 4 | NS |
Weight (kg) | 28 ± 16 | 25 ± 11 | NS |
Height (cm) | 123 ± 22 | 118 ± 20 | NS |
BMI (kg/m2) | 18 ± 4 | 20 ± 5 | NS |
BMI percentile | 60 ± 40 | 72 ± 32 | NS |
Recording duration (mins) | 473 ± 92 | 411 ± 90 | NS |
AHI (h−1) | 8 ± 8 | 14 ± 11 | p < 0.01 |
ODI (h−1) | 3 ± 5 | 8 ± 10 | p < 0.001 |
Baseline SpO2 (%) | 97 ± 1 | 97 ± 1 | NS |
Minimum SpO2 (%) | 80 ± 8 | 83 ± 9 | NS |
CT90% | 3 ± 4 | 6 ± 8 | p < 0.01 |
Group A (HRP) % (n) | Group B (PSG) % (n) | p Value | |
---|---|---|---|
Adenotonsillectomy | 76% (74) | 79% (19) | NS |
Conservative | 17% (16) | 4% (1) | NS |
CPAP | 7% (7) | 13% (3) | NS |
BiPAP | 0% (0) | 4% (1) | NS |
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Chiner, E.; Cánovas, C.; Molina, V.; Sancho-Chust, J.N.; Vañes, S.; Pastor, E.; Martinez-Garcia, M.A. Home Respiratory Polygraphy is Useful in the Diagnosis of Childhood Obstructive Sleep Apnea Syndrome. J. Clin. Med. 2020, 9, 2067. https://doi.org/10.3390/jcm9072067
Chiner E, Cánovas C, Molina V, Sancho-Chust JN, Vañes S, Pastor E, Martinez-Garcia MA. Home Respiratory Polygraphy is Useful in the Diagnosis of Childhood Obstructive Sleep Apnea Syndrome. Journal of Clinical Medicine. 2020; 9(7):2067. https://doi.org/10.3390/jcm9072067
Chicago/Turabian StyleChiner, Eusebi, Cristina Cánovas, Virginia Molina, Jose N. Sancho-Chust, Sandra Vañes, Esther Pastor, and Miguel Angel Martinez-Garcia. 2020. "Home Respiratory Polygraphy is Useful in the Diagnosis of Childhood Obstructive Sleep Apnea Syndrome" Journal of Clinical Medicine 9, no. 7: 2067. https://doi.org/10.3390/jcm9072067