Hassinger Amanda B, Hand Mariana
Department of Pediatrics, Division of Pulmonology and Sleep Medicine, University at Buffalo School of Medicine and Biomedical Sciences, John R. Oishei Children's Hospital, Buffalo, NY, USA.
Department of Pediatrics, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA.
Sleep Breath. 2024 Oct;28(5):2143-2146. doi: 10.1007/s11325-024-03106-0. Epub 2024 Jul 12.
Pediatric sleep apnea begins in toddlerhood when sleep is vital for neurocognitive development and rapid somatic growth. As polysomnography (PSG) can be challenging in this age group, this study described the first PSG for children aged 2 to 6 years old in regards to completion and risk-factors for intolerance.
Single center chart review in a pediatric-only hospital-based sleep center.
Of the 342 children age 2 to 6 years old, 99.5% completed the study and 56% cooperated with the full hook-up; the nasal monitors were the least tolerated. Children who did not achieve a full hook-up slept 0.7 h fewer (p = 0.04), woke up more often (p = 0.015), and took 15 min longer to fall asleep (p = 0.012). Younger age and having autism were independent risk factors for poor tolerance.
The majority of pre-schoolers tolerated their first PSG. Interventional trials to increase PSG success in this population should prepare those under 3-years-old and with sensory processing issues to cooperate with nasal monitors.
小儿睡眠呼吸暂停始于幼儿期，而睡眠对神经认知发育和快速身体生长至关重要。由于多导睡眠图（PSG）在这个年龄组中可能具有挑战性，本研究描述了2至6岁儿童的首次PSG检查的完成情况及不耐受的风险因素。
在一家仅收治儿科患者的医院睡眠中心进行单中心病历回顾。
在342名2至6岁的儿童中，99.5%完成了研究，56%配合了完整的设备连接；鼻监测器的耐受性最差。未完成完整设备连接的儿童睡眠时间少0.7小时（p = 0.04），醒来更频繁（p = 0.015），入睡时间长15分钟（p = 0.012）。年龄较小和患有自闭症是耐受性差的独立风险因素。
大多数学龄前儿童耐受了他们的首次PSG检查。在这一人群中提高PSG成功率的干预试验应让3岁以下儿童和有感觉处理问题的儿童做好配合鼻监测器的准备。
