Evaluation of a new device for home cardiorespiratory recording in children.
OBJECTIVE
To evaluate the feasibility of using a new home cardiorespiratory recording device (HCRD) in children.


METHODS
Cross-sectional study.


METHODS
Consecutive children scheduled for adenotonsillectomy to treat habitual snoring and/or apneas at otorhinolaryngology clinics in 2 academic and 7 general hospitals.


METHODS
Single-night unattended home cardiorespiratory recording prior to adenotonsillectomy using the HCRD.


METHODS
Number of technically acceptable recordings and successful recordings with artifact-free signals (respiration, saturation, and nasal flow) present for sufficient duration to allow scoring of the polysomnogram and to make a diagnosis.


RESULTS
Of 53 eligible children, 24 participated in the study. The main reason for nonparticipation was refusal of caregivers (n = 16). Mean (SD) age of participants was 4.2 (1.6) years; median Brouillette obstructive sleep apnea score was 2.54. Technically acceptable recordings were obtained in 18 children (75%). Only 7 recordings (29%) were classified as successful. The poorest signal quality was obtained from the nasal cannula.


CONCLUSIONS
Based on strict scoring criteria in this study, the results of single-night unattended recordings at home with the HCRD fell short of expectations.
Poels
Patrick J P
PJ
Julius Center for Health Sciences and General Practice, the Department of Otorhinolaryngology, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508 AB Utrecht, the Netherlands.
Schilder
Anne G M
AG
van den Berg
Sandra
S
Hoes
Arno W
AW
Joosten
Koen F M
KF
D000233:Adenoidectomy; D000367:Age Factors; D016477:Artifacts; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005240:Feasibility Studies; D005260:Female; D006699:Home Care Services / Q000191:economics; D006801:Humans; D008297:Male; D009426:Netherlands; D015588:Observer Variation; D017286:Polysomnography / Q000191:economics / Q000295:instrumentation* / Q000592:standards; D011300:Preoperative Care; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012913:Snoring / Q000209:etiology*; D013997:Time Factors; D014068:Tonsillectomy