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Updated: Oct 23, 2025

Multi-Modal Home Sleep Monitoring in Older Adults
07:40

Multi-Modal Home Sleep Monitoring in Older Adults

Published on: January 26, 2019

7.8K

Telemedicine-based sleep services for a complex child: optimizing care during a pandemic and beyond

Innessa Donskoy1, Darius Loghmanee1, Barry G Fields2,3

  • 1Advocate Children's Hospital, Park Ridge, Illinois.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|August 17, 2021
PubMed

Insights

Telemedicine and home sleep apnea testing effectively diagnosed obstructive sleep apnea and irregular sleep-wake disorder in a nonverbal autistic child with obesity. Remote care offers significant benefits for pediatric sleep medicine, even post-pandemic.

Area of Science:

  • Pediatric Sleep Medicine
  • Autism Spectrum Disorder
  • Telehealth

Background:

  • A 12-year-old nonverbal male with autism and morbid obesity presented with snoring, tonsillar hypertrophy, and sleep onset difficulties.
  • The family's social challenges had previously prevented in-person medical consultations.

Observation:

  • The patient's symptoms suggested potential sleep-disordered breathing and circadian rhythm issues.
  • The SARS-CoV-2 pandemic necessitated alternative healthcare delivery models.

Findings:

  • Telemedicine consultations facilitated remote assessment and management.
  • Home sleep apnea testing enabled accurate diagnosis of obstructive sleep apnea.
  • An irregular sleep-wake disorder was also identified, highlighting complex sleep issues.

Implications:

  • This case demonstrates the successful application of remote pediatric sleep care for complex patients.
  • Telehealth and home testing are valuable tools for diagnosing and managing pediatric sleep disorders.
  • Continued utilization of these remote methods can improve access and outcomes in pediatric sleep medicine beyond the pandemic.

Keywords:
autismchildrenhome sleep apnea testinginsomniasleepsleep apneatelemedicine

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