Evaluating the added-value of video recording in respiratory polygraphy for the diagnosis of obstructive sleep apnea in children

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2024-11-26 DOI:10.1016/j.sleep.2024.11.040

Yacine Touil , Cyril Schweitzer , Emeline Renard , Manon Maréchal , Sofia Da Mota , Patricia Franco , Laurianne Coutier , Iulia Ioan

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引用次数: 0

Abstract

Polysomnography (PSG) is the gold standard for diagnosing obstructive sleep apnea (OSA) in children but not always available. Abbreviated exams exist, such as respiratory polygraphy (RP), but are less accurate for OSA diagnosis. Video recording (video-RP) may provide a more precise estimation of the total sleep time (TST) compared to RP alone. The aim of this study was to evaluate the diagnostic power of video-RP compared to RP and PSG.

Overall, 68 PSG from 68 children (median [1st; 3rd quartile] age of 9 [7; 12]years) were included. After the interpretation of the initial PSG, the analysis was deleted, and the recording was analyzed by taking into account only the respiratory signals and video recording (video-RP). Finally, a third interpretation, after deleting the previous, was performed by considering only the respiratory signals (RP).

The median [1st; 3rd percentile] obstructive apnea-hypopnea index (OAHI) was underestimated in video-RP (4.1 [2.7; 6.5]/h) as well as RP (4.0 [2.7; 6.2]/h) compared to PSG (4.8 [2.9; 6.7]/h, p = 0.02 and p = 0.01, respectively). Bland-Altman analysis confirmed the underestimation of OAHI by video-RP and RP compared to PSG, the magnitude of the difference being −0.69 ± 2.16 and −0.78 ± 2.12, respectively. OSA severity grading was different when scored by video-RP and RP compared to PSG in 14 (21 %) children.

Video-RP underestimated the OAHI compared to PSG, similar to RP. Adding the video recording did not improve the diagnostic power of RP for the diagnosis of OSA. The use of video-RP at home should be investigated in future studies.

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评价视频记录在呼吸测谎术诊断儿童阻塞性睡眠呼吸暂停中的附加价值

多导睡眠图（PSG）是诊断儿童阻塞性睡眠呼吸暂停（OSA）的金标准，但并不总是可用。有一些简略的检查，如呼吸测谎（RP），但对OSA的诊断不太准确。与单纯的录像相比，录像（Video -RP）可以提供对总睡眠时间（TST）更精确的估计。本研究的目的是评估视频RP与RP和PSG的诊断能力。68名儿童共68例PSG(中位数[1；第三四分位数]9岁[7；[12]年)。在对初始PSG进行解释后，删除分析，只考虑呼吸信号和视频记录（video- rp）来分析记录。最后，在删除之前的解释后，通过只考虑呼吸信号（RP）进行第三次解释。中位数[1；视频- rp组阻塞性呼吸暂停低通气指数（OAHI）被低估(4.1 [2.7；6.5]/h)和RP (4.0 [2.7；6.2]/h)，与PSG (4.8 [2.9；6.7]/h, p = 0.02和p = 0.01)。Bland-Altman分析证实，与PSG相比，video-RP和RP低估了OAHI，差异幅度分别为- 0.69±2.16和- 0.78±2.12。在14名（21%）儿童中，视频-RP和RP与PSG评分时，OSA严重程度分级不同。与PSG相比，Video-RP低估了OAHI，与RP相似。添加视频记录并没有提高RP对OSA的诊断能力。在未来的研究中，应对家庭视频rp的使用进行调查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.