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The use of pulse transit time in diagnostics of sleep-disordered breathing in children

Marcin Kawalski1, Pawel Scierski2, Magdalena Marków3

  • 1I. Mościcki ENT Hospital Chorzów, Poland.

Otolaryngologia Polska = the Polish Otolaryngology
|May 29, 2024
PubMed

Insights

Pulse transit time shows promise as a screening tool for childhood sleep-disordered breathing. This non-invasive method correlates with the apnea/hypopnea index, aiding in early detection.

Area of Science:

  • Pediatric Sleep Medicine
  • Cardiovascular Physiology
  • Diagnostic Technology

Background:

  • Sleep is vital for physical and mental health.
  • Disordered breathing during sleep, like Obstructive Sleep Apnea Syndrome (OSAS), significantly impacts children.
  • Limited access to pediatric polysomnography necessitates accessible screening methods.

Purpose of the Study:

  • To assess the utility of pulse transit time (PTT) in diagnosing sleep-disordered breathing in children.
  • To explore PTT's potential as a screening parameter for pediatric sleep disorders.

Main Methods:

  • Retrospective analysis of 153 children (100 boys, 53 girls) suspected of OSAS.
  • Utilized polysomnography data alongside PTT measurements.
  • Evaluated PTT as a diagnostic and screening parameter.

Main Results:

  • A statistically significant relationship was found between the apnea/hypopnea index (AHI) and PTT across all age groups.
  • PTT demonstrated a negative correlation with AHI values.
  • These findings suggest PTT's potential as a reliable indicator.

Conclusions:

  • Pulse transit time measurements show potential for screening children with sleep-disordered breathing.
  • PTT offers a promising, accessible method for early identification of sleep breathing issues in pediatric populations.
Abstract

Keywords:
childrendiagnosticsobstructive sleep apnea syndromepulse transit time

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