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Can telemetry data obviate the need for sleep studies in Pierre Robin Sequence?

Abstract This study looks to correlate telemetry data gathered on patients with Pierre Robin Sequence (PRS) with sleep study data. Strong correlation might allow obstructive sleep apnea (OSA) to be reasonably predicted without the need for sleep study.
PMID
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Authors

Mayor MeshTerms
Keywords

Obstructive sleep apnea

Pierre Robin Sequence

Polysomnography

Telemetry

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 28802380
OWN - NLM
STAT- MEDLINE
DA  - 20170813
DCOM- 20170907
LR  - 20170907
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 100
DP  - 2017 Sep
TI  - Can telemetry data obviate the need for sleep studies in Pierre Robin Sequence?
PG  - 238-241
LID - S0165-5876(17)30328-2 [pii]
LID - 10.1016/j.ijporl.2017.07.015 [doi]
AB  - OBJECTIVE: This study looks to correlate telemetry data gathered on patients with
      Pierre Robin Sequence (PRS) with sleep study data. Strong correlation might allow
      obstructive sleep apnea (OSA) to be reasonably predicted without the need for
      sleep study. METHODS: Charts from forty-six infants with PRS who presented to our
      children's hospital between 2005 and 2015 and received a polysomnogram (PSG)
      prior to surgical intervention were retrospectively reviewed. Correlations and
      scatterplots were used to compare average daily oxygen nadir, overall oxygen
      nadir, and average number of daily desaturations from telemetry data with
      apnea-hypopnea index (AHI) and oxygen nadir on sleep study. Results were also
      categorized into groups of AHI >/= or <10 and oxygen nadir >/= or <80% for
      chi-squared analysis. RESULTS: Our data did not show significant correlations
      between telemetry data and sleep study data. Patients with O2 nadir below 80% on 
      telemetry were not more likely to have an O2 nadir below 80% on sleep study.
      Patients with an average O2 nadir below 80% did show some correlation with having
      an AHI greater than 10 on sleep study but this relationship did not reach
      significance. Of 22 patients who did not have any desaturations on telemetry
      below 80%, 16 (73%) had an AHI >10 on sleep study. CONCLUSIONS: In the workup of 
      infants with PRS, the index of suspicion is high for OSA. In our series,
      telemetry data was not useful in ruling out severe OSA. Thus our data do not
      support forgoing sleep study in patients with PRS and concern for OSA despite
      normal telemetry patterns.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Aaronson, Nicole Leigh
AU  - Aaronson NL
AD  - Children's Hospital of Pittsburgh of UPMC, Department of Otolaryngology,
      University of Pittsburgh, 4401 Penn Avenue, Faculty Pavilion, 7th Floor,
      Pittsburgh, PA 15224, United States. Electronic address: [email protected]
FAU - Jabbour, Noel
AU  - Jabbour N
AD  - Children's Hospital of Pittsburgh of UPMC, Department of Otolaryngology,
      University of Pittsburgh, 4401 Penn Avenue, Faculty Pavilion, 7th Floor,
      Pittsburgh, PA 15224, United States.
LA  - eng
PT  - Journal Article
DEP - 20170714
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
RN  - S88TT14065 (Oxygen)
SB  - IM
MH  - Child
MH  - Female
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Male
MH  - Oxygen/physiology
MH  - Pierre Robin Syndrome/*physiopathology
MH  - Polysomnography/*methods
MH  - Retrospective Studies
MH  - Sleep Apnea, Obstructive/*physiopathology
MH  - Telemetry/*methods
OTO - NOTNLM
OT  - Obstructive sleep apnea
OT  - Pierre Robin Sequence
OT  - Polysomnography
OT  - Telemetry
EDAT- 2017/08/15 06:00
MHDA- 2017/09/08 06:00
CRDT- 2017/08/14 06:00
PHST- 2017/05/24 [received]
PHST- 2017/07/09 [revised]
PHST- 2017/07/12 [accepted]
AID - S0165-5876(17)30328-2 [pii]
AID - 10.1016/j.ijporl.2017.07.015 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Sep;100:238-241. doi:
      10.1016/j.ijporl.2017.07.015. Epub 2017 Jul 14.