scholarly journals Overnight Polysomnography versus Respiratory Polygraphy in the Diagnosis of Pediatric Obstructive Sleep Apnea

SLEEP ◽  
2014 ◽  
Vol 37 (2) ◽  
pp. 255-260 ◽  
Author(s):  
Hui-Leng Tan ◽  
David Gozal ◽  
Helena Molero Ramirez ◽  
Hari P. R. Bandla ◽  
Leila Kheirandish-Gozal
2021 ◽  
Vol 4 (1) ◽  
pp. 9
Author(s):  
Esther Oceja ◽  
Paula Rodríguez ◽  
María Jurado ◽  
Maria Luz Alonso ◽  
Genoveva del Río ◽  
...  

Obstructive sleep apnea (OSA) in children is a prevalent, albeit largely undiagnosed disease associated with a large spectrum of morbidities. Overnight in-lab polysomnography remains the gold standard diagnostic approach, but is time-consuming, inconvenient, and expensive, and not readily available in many places. Simplified Home Respiratory Polygraphy (HRP) approaches have been proposed to reduce costs and facilitate the diagnostic process. However, evidence supporting the validity of HRP is still scarce, hampering its implementation in routine clinical use. The objectives were: Primary; to establish the diagnostic and therapeutic decision validity of a simplified HRP approach compared to PSG among children at risk of OSA. Secondary: (a) Analyze the cost-effectiveness of the HRP versus in-lab PSG in evaluation and treatment of pediatric OSA; (b) Evaluate the impact of therapeutic interventions based on HRP versus PSG findings six months after treatment using sleep and health parameters and quality of life instruments; (c) Discovery and validity of the urine biomarkers to establish the diagnosis of OSA and changes after treatment.


2019 ◽  
Vol 76 (11) ◽  
pp. 1190-1193
Author(s):  
Dobrivoje Novkovic ◽  
Gordana Cvetkovic ◽  
Slobodan Acimovic ◽  
Rade Milic ◽  
Sanja Sarac ◽  
...  

Bacground/Aim. Obstructive sleep apnea (OSA) involves repeated episodes of cessation of breathing that occur due to a decrease in pharyngeal muscle tone. This disorder is more common in men and represents a significant risk factor for serious cardiovascular and cerebrovascular events. The gold standard in the diagnosis of this disorder represents a polysomnography (PSG), which is technically a complex and multidisciplinary method. Respiratory polygraphy (RP) may constitute an adequate replacement for most uncomplicated cases of obstructive sleep apnea. The aim of the study was to examine the efficacy of using respiratory polygraphies in diagnosing of obstructive sleep apnea. Methods. On all the patients with suspected obstructive sleep apnea, RP and a retrospective analysis of the obtained results were performed. Results. By completing our examination, we proved that there was a positive correlation between the results obtained by using RP and the predictors of obstructive sleep apnea such as the Epworth sleepiness scale (EPWORTH) score, neck circumference and body mass index. Conclusion. Respiratory polygraphy represents a cheaper and simpler replacement for PSG, especially with uncomplicated obstructive breathing disorders during sleep.


2017 ◽  
Vol 13 (05) ◽  
pp. 693-702 ◽  
Author(s):  
Daniel Álvarez ◽  
María L. Alonso-Álvarez ◽  
Gonzalo C. Gutiérrez-Tobal ◽  
Andrea Crespo ◽  
Leila Kheirandish-Gozal ◽  
...  

2021 ◽  
Vol 143 ◽  
pp. 110635
Author(s):  
Albane B.R. Maggio ◽  
Maurice Beghetti ◽  
Hélène Cao Van ◽  
Carole Grasset Salomon ◽  
Constance Barazzone-Argiroffo ◽  
...  

2016 ◽  
Vol 146 (5) ◽  
pp. 194-198
Author(s):  
Ana Hernandez Voth ◽  
Gemma Mora Ortega ◽  
Raul Moreno Zabaleta ◽  
Javier Montoro Zulueta ◽  
Maria I. Verdugo Cartas ◽  
...  

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