Related Experiment Video
Updated: Jan 8, 2026

Application of an Amplitude-integrated EEG Monitor Cerebral Function Monitor to Neonates
Published on: September 6, 2017
Pediatric polysomnography-flagging etiologies and impact on the clinical timeline
Seema Rani1, John Schanz2, Kapil Chauhan3
1Department of Pulmonary Medicine, Nemours Children's Health, Wilmington, DE, United States.
Background/Objective:
There is a paucity of literature regarding "flagging" abnormal sleep studies for expedited review. This single-center retrospective analysis (n = 266) of flagged polysomnography studies from 2019 to 2022 aimed to investigate flagging and its impact on the clinical timeline.
Methods:
Two hundred sixty-six flagged polysomnography studies from 2019 to 2022 were retrospectively reviewed.
Results:
Flagged study etiologies included repetitive brief oxygen desaturations (46.6%), sustained desaturations (32.3%), sustained hypercapnia (5.6%), or other concerning events (15.5%). The median time between a flagged study and scoring report finalization, medical intervention, and surgical intervention were 0 (2) days, 2 (3) days, 5 (11.25) days, and 44 (73) days, respectively. Patients with apnea-hypopnea index >30 had less time between a flagged study and surgical intervention (65.3 ± 96.7 days vs. 112 ± 119 days, p = 0.044).
Conclusion:
As anticipated, the time to surgical intervention was longer than to medical intervention. Patients with a higher disease severity experienced quicker scoring, report finalization, and surgical intervention.
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Nightmares and Night Terrors
Nightmares...
Narcolepsy
Pharmacokinetics in Pediatric Patients: Drug Excretion

