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Tolerance of polysomnography in children with neurodevelopmental disorders compared to neurotypical peers

Daniela Lanzlinger1, Ajay Kevat2,3, Andrew Collaro2

  • 1Child Development Service, Children's Health Queensland, Brisbane, Australia.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|May 15, 2023
PubMed

Insights

Children with neurodevelopmental disorders (NDD) tolerate polysomnography (PSG) less than neurotypical children. This suggests a need for alternative sleep disorder evaluations for NDD patients.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders
  • Medical Device Tolerance

Background:

  • Polysomnography (PSG) is the standard for diagnosing pediatric sleep-disordered breathing.
  • Limited data exists on how children with neurodevelopmental disorders (NDD) tolerate PSG equipment compared to neurotypical children.

Purpose of the Study:

  • To compare the tolerance of PSG monitoring in children with NDD versus neurotypical children.
  • To identify specific sensors or electrodes that are poorly tolerated.
  • To explore tolerance differences within NDD subgroups.

Main Methods:

  • Retrospective cohort study of children aged >12 months undergoing diagnostic PSG.
  • Analysis of sleep technician and physician reports to assess tolerance.
  • Inclusion of subanalyses for individual sensors and NDD subgroups like Trisomy 21.

Main Results:

  • Children with NDD were over 3 times more likely to have difficulty tolerating PSG leads (OR 3.1).
  • Nasal prongs were the most poorly tolerated sensor (30% of all children), followed by thermistor (14%) and EEG electrodes (6%).
  • Children with Trisomy 21 showed the most significant challenges with PSG setup and leads.

Conclusions:

  • Children with NDD exhibit lower tolerance for PSG compared to neurotypical peers.
  • The findings underscore the necessity for developing alternative methods to assess sleep disorders in children with NDD.
Abstract

Keywords:
childneurodevelopmental disorderspolysomnographysleep

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