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Titolo:
Feasibility of using unattended polysomnography in children for research -Report of the Tucson Children's Assessment of Sleep Apnea study (TuCASA)
Autore:
Goodwin, JL; Enright, PL; Kaemingk, KL; Rosen, GM; Morgan, WJ; Fregosi, RF; Quan, SF;
Indirizzi:
Univ Arizona, Coll Med, Dept Med, Resp Ctr, Tucson, AZ USA Univ Arizona Tucson AZ USA Coll Med, Dept Med, Resp Ctr, Tucson, AZ USA Univ Arizona, Coll Med, Dept Med, Sleep Disorders Ctr, Tucson, AZ USA UnivArizona Tucson AZ USA Dept Med, Sleep Disorders Ctr, Tucson, AZ USA Univ Arizona, Coll Med, Dept Pediat, Tucson, AZ USA Univ Arizona Tucson AZ USA rizona, Coll Med, Dept Pediat, Tucson, AZ USA Univ Minnesota, Sch Med, Dept Pediat, Minneapolis, MN 55455 USA Univ Minnesota Minneapolis MN USA 55455 Pediat, Minneapolis, MN 55455 USA
Titolo Testata:
SLEEP
fascicolo: 8, volume: 24, anno: 2001,
pagine: 937 - 944
SICI:
0161-8105(200112)24:8<937:FOUUPI>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
AIRWAY-RESISTANCE SYNDROME; RESPIRATORY EVENTS; NIGHT; VARIABILITY; ENOUGH;
Keywords:
sleep; polysomnography; children; obstructive sleep apnea; sleep-disordered breathing;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Goodwin, JL Univ Arizona, Coll Med, Resp Sci Ctr, 1501 N Campbell,Room 2305B, Tucson, AZ 85724 USA Univ Arizona 1501 N Campbell,Room 2305B Tucson AZ USA 85724 SA
Citazione:
J.L. Goodwin et al., "Feasibility of using unattended polysomnography in children for research -Report of the Tucson Children's Assessment of Sleep Apnea study (TuCASA)", SLEEP, 24(8), 2001, pp. 937-944

Abstract

Study Objectives: The Tucson Children's Assessment of Sleep Apnea study (TuCASA) is designed to investigate the prevalence and correlates of objectively measured sleep-disordered breathing in pre-adolescent children. This paper documents the methods and feasibility of attaining quality unattended polysomnograms in the first 162 TuCASA children recruited. Design: A prospective cohort study projected to enroll 500 children between 5 and 12 years of age who will undergo unattended polysomnography, neurocognitive evaluation, and physiological and anatomical measurements thought to be associated with sleep-disordered breathing. Setting: Children are recruited through the Tucson Unified School District. Polysomnograms and anthropometric measurements are completed in the child's home. Participants: Of the 157 children enrolled in TuCASA, there were 100 children (64%) between 5-8 years old and 57 children (36%) between the ages of 9to 12. There were 74 (47%) Hispanic children, and 68 (43%) female participants. Interventions: N/AMeasurements & Results: Technically acceptable studies were obtained in 157 children (97%). The initial pass rate was 91%, which improved to 97% when9 children who failed on the first night of recording completed a second study which was acceptable. In 152 studies (97%), greater than 5 hours of interpretable respiratory, electroencephalographic, and oximetry signals wereobtained. The poorest signal quality was obtained from the chin electromyogram and from the combination thermister/nasal cannula. Parents reported that 54% of children slept as well as, or better than usual, while 40% reported that their child slept somewhat worse than usual. Only 6% were observed to sleep much worse than usual. Night-to-night variability in key polysomnographic parameters (n=10) showed a high degree of reproducibility on 2 different nights of study using identical protocols in the same child. In 5 children, polysomnograms done in the home were comparable to those recorded ina sleep laboratory. Conclusions: The high quality of data collected in TuCASA demonstrates that multi-channel polysomnography data can be successfully obtained in children aged 5-12 years in an unattended setting under a research protocol.

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Documento generato il 05/07/20 alle ore 12:52:33