小儿多导睡眠图检查提前终止的原因和预测因素：一家儿童医院的经验。

Reasons and predictors for early termination of pediatric polysomnography: one children's hospital's experience.

机构信息

Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, UT Southwestern Medical Center at Dallas, Dallas, Texas.

Sleep Medicine, Oklahoma Heart Institute, Tulsa, Oklahoma.

出版信息

J Clin Sleep Med. 2023 Oct 1;19(10):1711-1716. doi: 10.5664/jcsm.10646.

DOI:10.5664/jcsm.10646

PMID:37143378

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10546001/

Abstract

STUDY OBJECTIVES

We sought to identify reasons for early polysomnography termination in pediatric patients.

METHODS

We retrospectively reviewed all studies conducted at the Pediatric Sleep Center at UT Southwestern Medical Center from January 1, 2017, through December 31, 2019, that were terminated before study completion. We investigated reasons for early termination and gathered characteristics such as age, sex, presence of neurocognitive impairment, payor status, seasonal variability, and testing site location.

RESULTS

There were 137 patients who terminated their studies before completion, comprising 1.05% of all patients who arrived for their scheduled polysomnographies during that time frame. The 3 main categories of reasons were equipment intolerance (47%), acute illness (33%), and parental refusal (20%). Parental refusal reasons included the patient's becoming combative, a lack of specialized equipment, patient's inability to fall asleep, forgetting the patient's nighttime medications, and the parent's inability to stay the night. Males represented a greater proportion of those who terminated due to intolerance of equipment (75%). Patients who terminated early due to equipment intolerance consisted of more neurologically impaired patients compared with those who terminated due to acute illness (56% vs 24%). Termination due to acute illness occurred more during the wintertime (44%) than in the summer (7%). In those who terminated due to parental refusal, there was a greater proportion of children under 6 years of age (75%).

CONCLUSIONS

Determining factors that are associated with early polysomnography termination is an important step to help identify at-risk groups and implement strategies to improve study completion.

CITATION

Luong S, Culp M, McCreary M, Wani A, Caraballo M. Reasons and predictors for early termination of pediatric polysomnography: one children's hospital's experience. . 2023;19(10):1711-1716.

摘要

研究目的

我们旨在确定小儿患者早期多导睡眠图检查终止的原因。

方法

我们回顾性分析了 2017 年 1 月 1 日至 2019 年 12 月 31 日期间在德克萨斯西南医学中心儿科睡眠中心进行的所有研究，这些研究在完成前均已终止。我们调查了早期终止的原因，并收集了年龄、性别、是否存在神经认知障碍、支付者状态、季节性变化和测试地点等特征。

结果

共有 137 例患者在完成研究前终止，占该时间段内所有预定进行多导睡眠图检查患者的 1.05%。终止研究的主要原因有 3 类，分别为设备不耐受（47%）、急性疾病（33%）和家长拒绝（20%）。家长拒绝的原因包括患者变得好斗、缺乏专用设备、患者无法入睡、忘记患者夜间用药以及家长无法过夜。因设备不耐受而终止检查的患者中，男性比例较高（75%）。与因急性疾病而终止检查的患者相比，因设备不耐受而终止检查的患者中神经认知障碍患者比例更高（56%比 24%）。因急性疾病而终止检查的患者更多出现在冬季（44%），夏季（7%）较少。因家长拒绝而终止检查的患者中，6 岁以下儿童比例较高（75%）。