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Updated: Jul 15, 2025

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

Multi-Modal Home Sleep Monitoring in Older Adults

Published on: January 26, 2019

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Finnish children who needed long-term home respiratory support had severe sleep-disordered breathing and complex

Mervi Järvelä1,2,3, Maija Katila1,4, Vesa Eskola1,4

  • 1Tampere University, Tampere, Finland.

Acta Paediatrica (Oslo, Norway : 1992)
|September 28, 2023
PubMed

Insights

This study describes long-term home respiratory support for children in Nordic countries. Most children had complex conditions and severe sleep-disordered breathing, requiring prolonged non-invasive ventilation.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Respiratory Care

Background:

  • Limited data exists on long-term pediatric home respiratory support in Nordic countries.
  • Home respiratory support is crucial for managing complex pediatric respiratory conditions.

Purpose of the Study:

  • To characterize clinical features and long-term outcomes of pediatric patients receiving home respiratory support.
  • To analyze the use of continuous positive airway pressure, non-invasive ventilation, and invasive ventilation in this population.

Main Methods:

  • Retrospective data collection from Tampere University Hospital (2010-2020).
  • Inclusion of 93 pediatric patients with various underlying conditions and polysomnography-confirmed sleep-disordered breathing (SDB).
  • Analysis of treatment duration, interface type, and disease resolution.

Main Results:

  • The study included 93 patients, with a median age of 8.4 years, predominantly boys.
  • Common conditions included developmental disabilities, congenital syndromes, and severe sleep-disordered breathing (66.7%), particularly obstructive sleep apnea.
  • Most patients (92.5%) received long-term therapy (>3 months), primarily non-invasive ventilation, with a mean treatment duration of 3.3 years.

Conclusions:

  • Children requiring long-term home respiratory support often present with complex medical conditions.
  • Severe and persistent sleep-disordered breathing is a significant factor in the need for prolonged respiratory support in pediatric patients.
  • Non-invasive ventilation is the predominant mode of support, with a minority requiring tracheostomy.
Abstract

Keywords:
continuous positive airway pressurehome respiratory supportnon-invasive positive-pressure ventilationpaediatric sleep apnoeasleep-disordered breathing

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