The watch-pat in pediatrics sleep disordered breathing: Pilot study on children with negative nocturnal pulse oximetry. (June 2017)

• Record Type: Journal Article
• Authors: Serra, Agostino; Cocuzza, Salvatore; Maiolino, Luigi; Abramo, Alessandro; Spinato, Giacomo; Tonoli, Giovanni; Amadori, Maurizio; Politi, Doriano; Tirelli, Giancarlo; Spinato, Roberto; Di Mauro, Paola
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 97(2017:Jun.)
• Page Start: 245
• Page End: 250
• Publication Date: 2017-06
• Subjects: Pediatric sleep disordered breathing -- Watch-pat -- Pulse oximetry -- Obstructive sleep hypopnea apnea syndrome; PSDB pediatric sleep disordered breathing -- OSAHS obstructive sleep apnea hypopnea syndrome -- PAT peripheral arterial tonometry signals -- AHI apnea/hypopnea index -- RDI respiratory disturbance index -- SDB Sleep Disordered Breathing; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2017.04.021
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Objectives: The main purpose of this study was to determine the efficacy of Watch-PAT in Pediatric Sleep Disordered Breathing (PSDB) diagnosis in children with symptoms suggestive of PSDB, in which the nocturnal pulse oximetry was negative according to the Brouilette criteria. Methods: We enrolled 28 patients aged between 5 and 12 years (mean age: 7.75 ± 1.69), who underwent the registration with Watch-PAT, that utilizes the Peripheral Arterial Tone (PAT), AHI, RDI, body position, snoring, pulse oximetry and actigraphy. Results: Recording Watch-PAT was indicative of PSDB in 10/28 (35.7%) patients; when it was placed the threshold of AHI > 1 the number of positive patients for PSDB increased to 17/28 (60.7%). Exists a positive correlation between pat-RDI ( rho = 0.798, p = 0.005) and the snoring > 40% of the time ( rho = 0.656, p < 0.001) were correlated with the pat-AHI values. Conclusion: The recording Watch-PAT appears to permit the defection of a certain number of SDB that might escape to the clinical evaluation and pulse oximetry only.