Related Experiment Video
Updated: Jun 16, 2026
Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Pediatric obstructive sleep apnea diagnosis using a smartphone home sleep video score
N Saroul1, J E Petersen1, C Lambert2
1Department of Otolaryngology-Head and Neck Surgery, CHU de Clermont-Ferrand, University of Auvergne, INRAE, UNH, 58, rue Montalembert, 63000 Clermont-Ferrand, France.
Insights
A new smartphone video scoring system shows promise for diagnosing pediatric obstructive sleep apnea-hypopnea syndrome (OSAHS). This home sleep video recording (HSVR) method offers a potential accessible tool for identifying this common childhood sleep disorder.
Area of Science:
- Pediatric Sleep Medicine
- Respiratory Medicine
- Diagnostic Technologies
Background:
- Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a significant pediatric condition.
- Traditional diagnosis relies on polysomnography (PSG), which can be resource-intensive.
- Home sleep video recordings (HSVR) offer a more accessible alternative.
Purpose of the Study:
- To evaluate the reliability of a smartphone-based video scoring system for diagnosing pediatric OSAHS.
- To assess the diagnostic accuracy of HSVR compared to established clinical methods.
Main Methods:
- A prospective multicenter clinical trial involving children suspected of OSAHS.
- Respiratory polygraphy (RP) was performed for diagnosis.
- Parents recorded 10-minute HSVRs, with a specific minute marked for symptom severity.
- A 10-minute (VS10) and 1-minute (VS1) video score were derived and compared to RP results.
Main Results:
- The VS10 achieved an Area Under the Curve (AUC) of 0.76 for OSAHS diagnosis and 0.85 for moderate-to-severe OSAHS.
- The VS1 demonstrated an AUC of 0.71 for OSAHS and 0.81 for moderate-to-severe OSAHS.
- Results were compared against clinical examination, sleep questionnaires, and the apnea-hypopnea index (AHI) from RP.
Conclusions:
- A smartphone HSVR-based video score is a promising tool for detecting pediatric OSAHS.
- This method could improve accessibility to OSAHS diagnosis in children.
- Further research with pre- and post-intervention comparisons is recommended to enhance clinical utility.
Objective:
A video score applied to polysomnography recordings for diagnosing pediatric obstructive sleep apnea-hypopnea syndrome (OSAHS) was previously described. Given the accessibility of smartphone home sleep video recordings (HSVR), this study aimed to assess the reliability of an HSVR-based scoring system for pediatric OSAHS diagnosis.
Methods:
We conducted a prospective multicenter clinical trial. Children suspected of OSAHS without comorbidities underwent respiratory polygraphy (RP). Within four days before or after RP, parents recorded a 10-minute HSVR, marking the minute they perceived as worst for obstructive sleep-disordered breathing symptoms. A 10-minute (VS10) and 1-minute (VS1) video score were established using seven parameters and compared to clinical examination, a sleep questionnaire, and the obstructive-apnea-hypopnea index (OAHI) from RP. The STROBE guidelines were followed.
Results:
Fifty-six children (mean age: 5.1±1.6 years) were included. The VS10 (n=53) diagnosed OSAHS with an Area Under the Curve (AUC) of 0.76 (95% CI: 0.61-0.90) and moderate-to-severe OSAHS with an AUC of 0.85 (95% CI: 0.74-0.97). The VS1 (n=26) diagnosed OSAHS with an AUC of 0.71 (95% CI: 0.46-0.96) and moderate-to-severe OSAHS with an AUC of 0.81 (95% CI: 0.64-0.99).
Conclusion:
A smartphone HSVR-based video score shows promise for detecting OSAHS in children. Further studies with pre- and post-intervention comparisons could enhance its clinical utility.
