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The watch-pat in pediatrics sleep disordered breathing: Pilot study on children with negative nocturnal pulse

Agostino Serra1, Salvatore Cocuzza1, Luigi Maiolino1

  • 1ENT Department, University of Catania, Italy.

International Journal of Pediatric Otorhinolaryngology
|May 10, 2017
PubMed

Insights

Watch-PAT effectively diagnoses Pediatric Sleep Disordered Breathing (PSDB) in children when initial pulse oximetry is negative. This device detects cases that might otherwise be missed, improving diagnostic accuracy for PSDB.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Physiology
  • Diagnostic Technology

Background:

  • Pediatric Sleep Disordered Breathing (PSDB) presents diagnostic challenges.
  • Nocturnal pulse oximetry can yield false-negative results.
  • Accurate diagnosis is crucial for timely intervention in children.

Purpose of the Study:

  • To evaluate the efficacy of Watch-PAT for diagnosing PSDB in children with negative pulse oximetry.
  • To assess the utility of Watch-PAT in identifying PSDB cases missed by standard screening.

Main Methods:

  • 28 children (5-12 years) with suspected PSDB underwent Watch-PAT monitoring.
  • Watch-PAT recorded Peripheral Arterial Tone (PAT), Apnea-Hypopnea Index (AHI), Respiratory Disturbance Index (RDI), body position, snoring, pulse oximetry, and actigraphy.
  • Brouilette criteria were used for initial pulse oximetry assessment.

Main Results:

  • Watch-PAT indicated PSDB in 35.7% (10/28) of patients.
  • Increasing the AHI threshold to >1 identified PSDB in 60.7% (17/28) of patients.
  • A significant positive correlation was found between pat-RDI and snoring duration, and pat-AHI values.

Conclusions:

  • Watch-PAT is effective in detecting PSDB in children with initially negative pulse oximetry.
  • The device can identify a subset of PSDB cases missed by clinical evaluation and pulse oximetry alone.
  • Watch-PAT enhances diagnostic capabilities for pediatric sleep breathing disorders.
Abstract

Keywords:
Obstructive sleep hypopnea apnea syndromePediatric sleep disordered breathingPulse oximetryWatch-pat

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