Department of Respiratory Medicine and Sleep Medicine, The Children's Hospital at Westmead, Sydney NSW, Australia.
Discipline of Child and Adolescent Health, Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
J Clin Sleep Med. 2022 Dec 1;18(12):2803-2812. doi: 10.5664/jcsm.10222.
Limited data exist concerning the indications, parameters, utility of daytime polysomnography, and treatment of infants with suspected sleep-related breathing disorders.
We retrospectively reviewed all polysomnography undertaken in a quaternary pediatric hospital for term infants up to 6 months of age between January 2017 and December 2019. Outcomes were evaluated, including a comparison among diagnostic groups.
Of 161 infants (58% male), 77 (48%) were ≤ 2 months old, and 103 (61%) were referred for either craniofacial abnormalities or an airway malformation. Daytime (n = 100) vs nighttime (n = 61) studies showed no differences in sleep architecture or treatment rates. Apnea-hypopnea index was > 10 events/h in 137 (85%) and was similar across different diagnostic groups, and 97 (78%) were prescribed noninvasive ventilation, with a mean treatment duration of 13.4 ± 9 months. Of the infants who were commenced on noninvasive ventilation 75% did not require it beyond 24 months.
Polysomnographic sleep parameters and the number of treatments prescribed were equivalent whether the polysomnography was performed during daytime or nighttime. Treatment with noninvasive ventilation was required in the short term for most infants with sleep-related breathing disorders, regardless of the indication for referral.
Singh J, Yeoh E, Castro C, Uy C, Waters K. Polysomnography in infants with clinical suspicion of sleep-related breathing disorders. . 2022;18(12):2803-2812.
关于疑似与睡眠相关的呼吸障碍的婴儿的日间多导睡眠图的适应证、参数、效用和治疗，相关数据有限。
我们回顾性分析了 2017 年 1 月至 2019 年 12 月期间，在一家四级儿科医院进行的所有足月婴儿（6 个月以下）多导睡眠图检查。评估了各项结果，包括比较各诊断组。
161 例婴儿中（58%为男性），77 例（48%）≤ 2 个月大，103 例（61%）因颅面异常或气道畸形而接受检查。日间（n = 100）和夜间（n = 61）研究在睡眠结构或治疗率方面无差异。137 例（85%）呼吸暂停低通气指数> 10 次/小时，且不同诊断组之间相似，97 例（78%）接受了无创通气治疗，平均治疗时间为 13.4±9 个月。开始接受无创通气治疗的婴儿中，75%在 24 个月后不再需要。
无论多导睡眠图是在白天还是夜间进行，睡眠参数和开具的治疗数量都相同。大多数患有与睡眠相关的呼吸障碍的婴儿都需要短期的无创通气治疗，而与转诊的原因无关。
Singh J, Yeoh E, Castro C, Uy C, Waters K. 疑似睡眠相关呼吸障碍婴儿的多导睡眠图检测。儿科 2022;18(12):2803-2812.
