Nasal cannula use during polysomnography in children aged under three with suspected sleep apnea
Jurado, Maria José (Hospital Universitari Vall d'Hebron)
Sampol, Gabriel (Hospital Universitari Vall d'Hebron)
Quintana, Manuel (Hospital Universitari Vall d'Hebron)
Romero, Odile (Hospital Universitari Vall d'Hebron)
Cambrodí, Roser (Hospital Universitari Vall d'Hebron)
Ferré Masó, Alex (Hospital Universitari Vall d'Hebron)
Sampol, Júlia (Hospital Universitari Vall d'Hebron)

Data:	2022
Resum:	Objective: Early diagnosis of obstructive sleep apnea (OSA) in children is important. The use of a nasal cannula as an airflow sensor during polysomnography has not been evaluated in younger children. The study aims to evaluate the use of nasal cannula in detecting respiratory events in children under three with suspected OSA during daytime nap studies. Methods: A total of 185 patients were prospectively included. Respiratory events were scored using nasal cannula alone, thermistor alone, and both methods simultaneously as the airflow sensor. Agreement and diagnostic accuracy were assessed. Results: One hundred and seventy-two children were finally analyzed and 110 (64. 0%) presented OSA. Total sleep time with an uninterpretable signal was longer with the nasal cannula than with the thermistor (17. 8% vs 1. 9%; p < 0. 001), and was associated with poor sensor tolerance and adenotonsillar hypertrophy. In the estimation of the apnea-hypopnea index, the nasal cannula showed lower agreement than the thermistor with the joint use of the two sensors (intraclass correlation coefficient: 0. 79 vs 0. 996 with thermistor). Compared with the thermistor, the nasal cannula presented lower sensitivity for detecting OSA (82. 7% vs 95. 5%) and a lower negative predictive value (76. 5% vs 92. 4%). Overall, fewer children were diagnosed with severe OSA with the nasal cannula (19. 8% vs 30. 8% with the thermistor, and 32. 6% with both). Conclusions: In children under the age of three, the ability of the nasal cannula to detect obstructive events was relatively low. Therefore, other non-invasive measurements for identifying respiratory events during sleep may be of additional value.
Nota:	Altres ajuts: acords transformatius de la UAB
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Pediatric sleep apnea ; OSA ; Nasal cannula ; Thermistor ; Polysomnography
Publicat a:	Sleep Medicine, Vol. 99 (november 2022) , p. 41-48, ISSN 1878-5506

DOI: 10.1016/j.sleep.2022.07.009

8 p, 1.3 MB

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