Laboratory polysomnography is the gold standard for objective sleep measurement. With hospital waiting times becoming increasingly long, outpatient polysomnography seems a good solution. Children are at greater risk of developing sleep disorders and polysomnography in the hospital laboratory can be a stressful examination for these children and their parents. This can be even more the case in populations of children with neurodevelopmental disorders, such as Attention Deficit Disorder with or without Hyperactivity (ADHD), or dys- learning disorders. Several studies have already demonstrated the feasibility of ambulatory, in a home setting, polysomnography in children. The objective of this study is to demonstrate the acceptability and satisfaction of performing polysomnography at home on a large cohort of children, including children with neurodevelopmental disorders.
Study Type
OBSERVATIONAL
Enrollment
563
All successive patients who underwent polysomnography
UPNOS
Garches, France
Acceptability of Home Unattended Polysomnography
Parents and children completed 10 cm visual analog scales (VAS) to assess their satisfaction with the home recording (scored from 0 (not enjoyed) to 10 (very satisfied) and preference for home versus laboratory PSG (scored from 0 preference for H-PSG to 10 preference for L-PSG).
Time frame: One day after the polysomnography
List of symptoms prompting polysomnographic examination
The following symptoms are collected through a standardized questionnaires completed by participants. Only the presence or absence of each symptom is recorded: Disturbed attention; Fatigue;Snoring; Nocturnal sweating; Kick; Enuresis; Nocturnal awakening; Sleepiness PPDS \> 16; Morning headache; Difficulty staying asleep.
Time frame: During the polysomnography analysis
Global signal quality across all channels of the polysomnographic recording.
Global assessment of signal integrity across all polysomnography channels, expressed as a percentage over the course of a full-night recording.
Time frame: One night of polysomnography.
SpO₂ signal quality of the polysomnographic recording.
SpO₂ signal quality expressed as a percentage over the course of a full-night recording.
Time frame: One night of polysomnography.
Nasal cannula signal quality of the polysomnography recording.
Nasal cannula signal quality expressed as a percentage over the course of a full-night recording.
Time frame: One night of polysomnography.
RIP (Respiratory Inductance Plethysmography) quality of the polysomnography recording.
RIP (Respiratory Inductance Plethysmography) quality expressed as a percentage over the course of a full-night recording.
Time frame: One night of polysomnography.
Sleep latency assessed by Polysomnography.
Time from lights-off to the onset of sleep in minutes
Time frame: One night of polysomnography.
Sleep Efficiency assessed by Polysomnography.
Sleep efficiency=total sleep time/total bed rest time x 100% according to the Polysomnography, expressed as a percentage.
Time frame: One night of polysomnography.
REM latency assessed by Polysomnography.
Time from sleep onset to the first epoch of Rapid Eyes Movement (REM) sleep in minutes.
Time frame: One night of polysomnography.
Arousal Index assessed by Polysomnography.
Number of electroencephalography arousals per hour of sleep assessed by Polysomnography.
Time frame: One night of polysomnography.
Sleep Stage Distribution assessed by Polysomnography
Sleep stage distribution during nocturnal sleep, defined as the percentage of total sleep time spent in N1, N2, N3, and REM stages, assessed by polysomnography
Time frame: One night of polysomnography.
Number of Periodic Limb Movements per Hour of Sleep (PLMS Index), measured by Polysomnography.
Number of periodic limb movements per hour of sleep (PLMS Index), assessed by Polysomnographic recording of bilateral anterior tibialis electromyography.
Time frame: One night of polysomnography.
Respiratory events during sleep assessed by Polysomnography
Respiratory events during nocturnal sleep. This includes saturation, nasal air flow and movement of the stomach and chest, together showing the number of apneas and hypopneas per hour of sleep assessed by full-night polysomnographic recording.
Time frame: One night of polysomnography.
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