Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea

Taylor B Teplitzky; Audrey J Zauher; Amal Isaiah

doi:10.3390/diagnostics13111956

Alternatives to Polysomnography for the Diagnosis of Pediatric Obstructive Sleep Apnea

Diagnostics (Basel). 2023 Jun 3;13(11):1956. doi: 10.3390/diagnostics13111956.

Authors

Taylor B Teplitzky¹, Audrey J Zauher¹, Amal Isaiah^{1

2

3}

Affiliations

¹ Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
² Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
³ Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.

Abstract

Diagnosis of obstructive sleep apnea (OSA) in children with sleep-disordered breathing (SDB) requires hospital-based, overnight level I polysomnography (PSG). Obtaining a level I PSG can be challenging for children and their caregivers due to the costs, barriers to access, and associated discomfort. Less burdensome methods that approximate pediatric PSG data are needed. The goal of this review is to evaluate and discuss alternatives for evaluating pediatric SDB. To date, wearable devices, single-channel recordings, and home-based PSG have not been validated as suitable replacements for PSG. However, they may play a role in risk stratification or as screening tools for pediatric OSA. Further studies are needed to determine if the combined use of these metrics could predict OSA.

Keywords: obstructive sleep apnea; polysomnography; sleep disordered breathing.

Publication types

Review

Grants and funding

R01 HL167012/HL/NHLBI NIH HHS/United States