Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea

Diagnosis of obstructive sleep apnea (OSA) in children with sleep-disordered breathing (SDB) requires hospital-based, overnight level I polysomnography (PSG). Obtaining a level I PSG can be challenging for children and their caregivers due to the costs, barriers to access, and associated discomfort....

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Main Authors: Taylor B. Teplitzky, Audrey J. Zauher, Amal Isaiah
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/11/1956
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author Taylor B. Teplitzky
Audrey J. Zauher
Amal Isaiah
author_facet Taylor B. Teplitzky
Audrey J. Zauher
Amal Isaiah
author_sort Taylor B. Teplitzky
collection DOAJ
description Diagnosis of obstructive sleep apnea (OSA) in children with sleep-disordered breathing (SDB) requires hospital-based, overnight level I polysomnography (PSG). Obtaining a level I PSG can be challenging for children and their caregivers due to the costs, barriers to access, and associated discomfort. Less burdensome methods that approximate pediatric PSG data are needed. The goal of this review is to evaluate and discuss alternatives for evaluating pediatric SDB. To date, wearable devices, single-channel recordings, and home-based PSG have not been validated as suitable replacements for PSG. However, they may play a role in risk stratification or as screening tools for pediatric OSA. Further studies are needed to determine if the combined use of these metrics could predict OSA.
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spelling doaj.art-b70d9037031647d6a3cf86634aac87192023-11-18T07:43:21ZengMDPI AGDiagnostics2075-44182023-06-011311195610.3390/diagnostics13111956Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep ApneaTaylor B. Teplitzky0Audrey J. Zauher1Amal Isaiah2Department of Otorhinolaryngology–Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Otorhinolaryngology–Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Otorhinolaryngology–Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USADiagnosis of obstructive sleep apnea (OSA) in children with sleep-disordered breathing (SDB) requires hospital-based, overnight level I polysomnography (PSG). Obtaining a level I PSG can be challenging for children and their caregivers due to the costs, barriers to access, and associated discomfort. Less burdensome methods that approximate pediatric PSG data are needed. The goal of this review is to evaluate and discuss alternatives for evaluating pediatric SDB. To date, wearable devices, single-channel recordings, and home-based PSG have not been validated as suitable replacements for PSG. However, they may play a role in risk stratification or as screening tools for pediatric OSA. Further studies are needed to determine if the combined use of these metrics could predict OSA.https://www.mdpi.com/2075-4418/13/11/1956obstructive sleep apneasleep disordered breathingpolysomnography
spellingShingle Taylor B. Teplitzky
Audrey J. Zauher
Amal Isaiah
Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea
Diagnostics
obstructive sleep apnea
sleep disordered breathing
polysomnography
title Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea
title_full Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea
title_fullStr Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea
title_full_unstemmed Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea
title_short Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea
title_sort alternatives to polysomnography for the diagnosis of pediatric obstructive sleep apnea
topic obstructive sleep apnea
sleep disordered breathing
polysomnography
url https://www.mdpi.com/2075-4418/13/11/1956
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