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腺样体扁桃体切除术患儿的无监督III型多导睡眠图:一项技术与经济报告

Unsupervised type III polygraphy in children undergoing adenotonsillectomy: a technical and economic report.

作者信息

Veloso Iury Lima, Corrêa Camila de Castro, Tagliarini José Vicente, Weber Silke Anna Theresa

机构信息

Botucatu Medical School - State University São Paulo, UNESP, Department of Ophthalmology and Otorhinolaryngology - Botucatu - Sao Paulo - Brazil.

University of Brasília, UnB - Brasília - Distrito Federal - Brazil.

出版信息

Sleep Sci. 2021 Jan-Mar;14(4):370-374. doi: 10.5935/1984-0063.20200094.

Abstract

OBJECTIVE

To evaluate the economic and technical viability of the sleep study (type III) in children with adenotonsilar hypertrophy.

METHODS

141 children were submitted to sleep study (type III), aged between three and 11, all with symptoms of OSA. The frequency of failed examinations and a comparison of cost analysis between complete polysomnography were described.

RESULTS

41 exams lost at least one sensor. The sensor with the highest number of losses was the oximetry, observed in 14.28%. The 100 valid sleep studies allowed the diagnosis of severe OSA in 36 children. Sleep study accounts for approximately 63% of the value of the PSG type I, thus, it showed to be cost effective even with the repetition of the failed one.

CONCLUSION

Sleep study (type III) may have high failure rates and it was a reliable exam for the identification of severe OSA. The cost analysis showed economic feasibility, even with a high failure rate and necessity of repetition.

摘要

目的

评估睡眠研究(III型)在腺样体扁桃体肥大儿童中的经济和技术可行性。

方法

141名年龄在3至11岁之间、均有阻塞性睡眠呼吸暂停(OSA)症状的儿童接受了睡眠研究(III型)。描述了检查失败的频率以及全夜多导睡眠图之间的成本分析比较。

结果

41项检查至少丢失了一个传感器。丢失数量最多的传感器是脉搏血氧饱和度仪,占14.28%。100项有效的睡眠研究使36名儿童被诊断为重度OSA。睡眠研究约占I型多导睡眠图价值的63%,因此,即使重复失败的检查,它也显示出具有成本效益。

结论

睡眠研究(III型)可能有较高的失败率,但它是识别重度OSA的可靠检查。成本分析显示了经济可行性,即使失败率高且有重复的必要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecc8/8776267/2dcef18b06df/ssci-14-04-0370-g01.jpg

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