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Sleep. 2005 Sep;28(9):1117-21.

Comparison of nasal pressure transducer and thermistor for detection of respiratory events during polysomnography in children.

Author information

1
Division of Pulmonary & Critical Care, Department of Medicine, Southern Arizona Veterans Affairs Health Care System, Tucson, AZ 85723, USA. rohit.budhiraja@med.va.gov

Abstract

STUDY OBJECTIVES:

The results of small studies have suggested that a nasal-cannula pressure transducer has a higher sensitivity than a thermistor in detecting hypopneas and diagnosing sleep-disordered breathing in both adults and children. We compared a thermistor alone, and in conjunction with a pressure transducer, for detection of sleep-disordered breathing in children during in-home polysomnography.

DESIGN:

Retrospective analysis of a subsample of a prospective cohort study.

SETTING:

Students attending elementary school in the Tucson Unified School District.

PARTICIPANTS:

A subsample of the Tucson Children's Assessment of Sleep Apnea study population.

MEASUREMENTS AND RESULTS:

Polysomnographic recordings of 40 children (24 girls and 16 boys, mean age 9.2 +/- 1.7 years; range 6-11 years) were analyzed to compare the detection of sleep-disordered breathing events by 2 different methods of measuring airflow: thermistor alone and thermistor with nasal-cannula pressure transducer (transducer) used simultaneously. The transducer detected all the respiratory events detected by the thermistor, but the thermistor detected only 84% of the transducer-defined events. Consequently, the transducer-derived mean respiratory disturbance index was higher than that detected by the thermistor (7.0 +/- 3.8 vs 5.9 +/- 3.4, P < .001). The bias error between transducer respiratory disturbance index and thermistor respiratory disturbance index on a Bland-Altman plot was 1.08 (95% confidence interval, 0.8 - 1.4). There was good agreement between the thermistor and the transducer for making the diagnosis of sleep apnea using a cutoff of a respiratory disturbance index greater than 5 (kappa = 0.69). The quality of the tracings with the transducer was comparable to that of the thermistor, but the transducer dislodged more frequently.

CONCLUSION:

The use of a nasal transducer in conjunction with a thermistor was more sensitive than the thermistor alone in detecting sleep-disordered breathing in children during unattended polysomnography.

PMID:
16268381
DOI:
10.1093/sleep/28.9.1117
[Indexed for MEDLINE]

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