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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Home (Level 2) polysomnography is feasible in children with suspected sleep disorders
Kylie Russo1, Janet Greenhill2, Scott Burgess2
1Bond University, Australia.
Insights
Home polysomnography is a feasible and positive experience for children investigating sleep disorders. This method provides technically adequate studies, supporting its use as an alternative to hospital-based sleep studies.
Area of Science:
- Pediatric Sleep Medicine
- Diagnostic Technology Assessment
Background:
- Sleep disorders are common in children, requiring accurate diagnosis.
- In-patient polysomnography is the standard but can be burdensome for families.
Purpose of the Study:
- To evaluate the feasibility of home polysomnography for pediatric sleep disorder investigation.
- To assess the patient and guardian experience with home polysomnography.
Main Methods:
- A Level 2 home polysomnography study was conducted in 55 children (4 months to 18 years).
- Success was defined by sleep duration (≥6h) and channel availability (≥90%).
- Guardian and patient feedback was collected via questionnaire.
Main Results:
- 87% of home polysomnograms were successful on the first attempt.
- No significant differences in success rates were observed based on neurodevelopmental conditions, OSA severity, or age.
- The majority of guardians (76%) reported their child slept the same or better at home, with only 12% finding the process difficult.
Conclusions:
- Home polysomnography yields technically adequate studies for most pediatric patients.
- The home sleep study experience is largely positive for families.
- Home polysomnography is a viable alternative to in-patient studies for investigating pediatric sleep disorders.
Aim:
To audit the feasibility and patient experience of home polysomnography (sleep study) for the investigation of a sleep disorder in children.
Methods:
The signal quality and outcomes of a Level 2 (home) polysomnography in young people undergoing investigation between September 2020 and January 2021 in a single centre was reviewed. A successful home polysomnogram was defined as a study with ≥6 h of sleep and all channels (EEG, thoraco-abdominal bands, calculated airflow, and pulse oximetry) present for at least 90% of the study time. Feedback from the guardian and young person was collected following the study using a questionnaire.
Results:
Fifty-five patients, aged 4 months to 18 years, were included. A successful polysomnogram, on the first attempt, was achieved for 48/55 (87%) subjects. There were no differences in success when accounting for neurodevelopmental conditions, OSA severity or age. The majority (76%) of guardians felt that their child slept the same or better than normal and only 12% found having the study conducted at home difficult. Following the study, only 8% would have preferred a hospital sleep study in retrospect.
Conclusions:
Home polysomnography produced a technically adequate study for the majority of subjects. Most families also found the experience of having a home sleep study to be positive. These data support the use of home sleep studies as an alternative to an in-patient sleep study, in appropriate circumstances, for young people undergoing investigation of a sleep disorder.
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