Cardio-Respiratory Sleep Studies at Home: Experience in Research and Clinical Cohorts

Ruth N Kingshott, Florian Gahleitner, Heather E Elphick, Paul Gringras, Michael Farquhar, Ruth M. Pickering, Jane Martin, Janine Reynolds, Anna Joyce, Johanna C Gavlak, Hazel Evans, Catherine M. Hill

    Research output: Contribution to journalArticle

    1 Citation (Scopus)
    26 Downloads (Pure)

    Abstract

    Objective To evaluate the success rates of home cardiorespiratory polygraphy in children under investigation for sleep-disordered breathing and parent perspectives on equipment use at home. Design Prospective observational study. Setting Sheffield, Evelina London and Southampton Children's Hospitals. Patients Data are reported for 194 research participants with Down syndrome, aged 0.5-5.9 years across the three centres and 61 clinical patients aged 0.4-19.5 years from one centre, all of whom had home cardiorespiratory polygraphy including respiratory movements, nasal pressure flow, pulse oximetry, body position and motion. Main outcome measures Percentage of home cardiorespiratory studies successfully acquiring ≥4 hours of artefact-free data at the first attempt. Parental report of ease of use of equipment and preparedness to repeat home diagnostics in the future. Results 143/194 (74%; 95% CI 67% to 79%) of research participants and 50/61 (82%; 95% CI 71% to 90%) of clinical patients had successful home cardiorespiratory polygraphy at the first attempt. Some children required multiple attempts to achieve a successful study. Overall, this equated to 1.3 studies per research participant and 1.2 studies per clinical child. The median artefact-free sleep time for successful research studies was 515 min (range 261-673) and for clinical studies 442 min (range 291-583). 84% of research and 87% of clinical parents expressed willingness to repeat home cardiorespiratory polygraphy in the future. 67% of research parents found the equipment 'easy or okay' to use, while 64% of clinical parents reported it as 'easy' or 'very easy'. Conclusions Home cardiorespiratory polygraphy offers an acceptable approach to the assessment of sleep-disordered breathing in children.

    Original languageEnglish
    Pages (from-to)476-481
    Number of pages6
    JournalArchives of Disease in Childhood
    Volume104
    Issue number5
    Early online date19 Nov 2018
    DOIs
    Publication statusPublished - 18 Apr 2019

    Fingerprint

    Sleep
    Research
    Parents
    Sleep Apnea Syndromes
    Equipment and Supplies
    Artifacts
    Oximetry
    Down Syndrome
    Nose
    Observational Studies
    Outcome Assessment (Health Care)
    Prospective Studies
    Pressure
    Clinical Studies

    Bibliographical note

    Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.

    Keywords

    • cardiorespiratory polygraphy
    • home
    • obstructive sleep apnoea
    • screening
    • sleep-disordered breathing

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health

    Cite this

    Kingshott, R. N., Gahleitner, F., Elphick, H. E., Gringras, P., Farquhar, M., Pickering, R. M., ... Hill, C. M. (2019). Cardio-Respiratory Sleep Studies at Home: Experience in Research and Clinical Cohorts. Archives of Disease in Childhood, 104(5), 476-481. https://doi.org/10.1136/archdischild-2018-315676

    Cardio-Respiratory Sleep Studies at Home : Experience in Research and Clinical Cohorts. / Kingshott, Ruth N; Gahleitner, Florian; Elphick, Heather E; Gringras, Paul; Farquhar, Michael; Pickering, Ruth M.; Martin, Jane; Reynolds, Janine; Joyce, Anna; Gavlak, Johanna C; Evans, Hazel; Hill, Catherine M.

    In: Archives of Disease in Childhood, Vol. 104, No. 5, 18.04.2019, p. 476-481.

    Research output: Contribution to journalArticle

    Kingshott, RN, Gahleitner, F, Elphick, HE, Gringras, P, Farquhar, M, Pickering, RM, Martin, J, Reynolds, J, Joyce, A, Gavlak, JC, Evans, H & Hill, CM 2019, 'Cardio-Respiratory Sleep Studies at Home: Experience in Research and Clinical Cohorts' Archives of Disease in Childhood, vol. 104, no. 5, pp. 476-481. https://doi.org/10.1136/archdischild-2018-315676
    Kingshott RN, Gahleitner F, Elphick HE, Gringras P, Farquhar M, Pickering RM et al. Cardio-Respiratory Sleep Studies at Home: Experience in Research and Clinical Cohorts. Archives of Disease in Childhood. 2019 Apr 18;104(5):476-481. https://doi.org/10.1136/archdischild-2018-315676
    Kingshott, Ruth N ; Gahleitner, Florian ; Elphick, Heather E ; Gringras, Paul ; Farquhar, Michael ; Pickering, Ruth M. ; Martin, Jane ; Reynolds, Janine ; Joyce, Anna ; Gavlak, Johanna C ; Evans, Hazel ; Hill, Catherine M. / Cardio-Respiratory Sleep Studies at Home : Experience in Research and Clinical Cohorts. In: Archives of Disease in Childhood. 2019 ; Vol. 104, No. 5. pp. 476-481.
    @article{eaf3ca8f433347cdb3c2fef0e90671f7,
    title = "Cardio-Respiratory Sleep Studies at Home: Experience in Research and Clinical Cohorts",
    abstract = "Objective To evaluate the success rates of home cardiorespiratory polygraphy in children under investigation for sleep-disordered breathing and parent perspectives on equipment use at home. Design Prospective observational study. Setting Sheffield, Evelina London and Southampton Children's Hospitals. Patients Data are reported for 194 research participants with Down syndrome, aged 0.5-5.9 years across the three centres and 61 clinical patients aged 0.4-19.5 years from one centre, all of whom had home cardiorespiratory polygraphy including respiratory movements, nasal pressure flow, pulse oximetry, body position and motion. Main outcome measures Percentage of home cardiorespiratory studies successfully acquiring ≥4 hours of artefact-free data at the first attempt. Parental report of ease of use of equipment and preparedness to repeat home diagnostics in the future. Results 143/194 (74{\%}; 95{\%} CI 67{\%} to 79{\%}) of research participants and 50/61 (82{\%}; 95{\%} CI 71{\%} to 90{\%}) of clinical patients had successful home cardiorespiratory polygraphy at the first attempt. Some children required multiple attempts to achieve a successful study. Overall, this equated to 1.3 studies per research participant and 1.2 studies per clinical child. The median artefact-free sleep time for successful research studies was 515 min (range 261-673) and for clinical studies 442 min (range 291-583). 84{\%} of research and 87{\%} of clinical parents expressed willingness to repeat home cardiorespiratory polygraphy in the future. 67{\%} of research parents found the equipment 'easy or okay' to use, while 64{\%} of clinical parents reported it as 'easy' or 'very easy'. Conclusions Home cardiorespiratory polygraphy offers an acceptable approach to the assessment of sleep-disordered breathing in children.",
    keywords = "cardiorespiratory polygraphy, home, obstructive sleep apnoea, screening, sleep-disordered breathing",
    author = "Kingshott, {Ruth N} and Florian Gahleitner and Elphick, {Heather E} and Paul Gringras and Michael Farquhar and Pickering, {Ruth M.} and Jane Martin and Janine Reynolds and Anna Joyce and Gavlak, {Johanna C} and Hazel Evans and Hill, {Catherine M.}",
    note = "Copyright {\circledC} and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.",
    year = "2019",
    month = "4",
    day = "18",
    doi = "10.1136/archdischild-2018-315676",
    language = "English",
    volume = "104",
    pages = "476--481",
    journal = "Archives of Disease in Childhood",
    issn = "0003-9888",
    publisher = "BMJ Publishing Group Ltd",
    number = "5",

    }

    TY - JOUR

    T1 - Cardio-Respiratory Sleep Studies at Home

    T2 - Experience in Research and Clinical Cohorts

    AU - Kingshott, Ruth N

    AU - Gahleitner, Florian

    AU - Elphick, Heather E

    AU - Gringras, Paul

    AU - Farquhar, Michael

    AU - Pickering, Ruth M.

    AU - Martin, Jane

    AU - Reynolds, Janine

    AU - Joyce, Anna

    AU - Gavlak, Johanna C

    AU - Evans, Hazel

    AU - Hill, Catherine M.

    N1 - Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.

    PY - 2019/4/18

    Y1 - 2019/4/18

    N2 - Objective To evaluate the success rates of home cardiorespiratory polygraphy in children under investigation for sleep-disordered breathing and parent perspectives on equipment use at home. Design Prospective observational study. Setting Sheffield, Evelina London and Southampton Children's Hospitals. Patients Data are reported for 194 research participants with Down syndrome, aged 0.5-5.9 years across the three centres and 61 clinical patients aged 0.4-19.5 years from one centre, all of whom had home cardiorespiratory polygraphy including respiratory movements, nasal pressure flow, pulse oximetry, body position and motion. Main outcome measures Percentage of home cardiorespiratory studies successfully acquiring ≥4 hours of artefact-free data at the first attempt. Parental report of ease of use of equipment and preparedness to repeat home diagnostics in the future. Results 143/194 (74%; 95% CI 67% to 79%) of research participants and 50/61 (82%; 95% CI 71% to 90%) of clinical patients had successful home cardiorespiratory polygraphy at the first attempt. Some children required multiple attempts to achieve a successful study. Overall, this equated to 1.3 studies per research participant and 1.2 studies per clinical child. The median artefact-free sleep time for successful research studies was 515 min (range 261-673) and for clinical studies 442 min (range 291-583). 84% of research and 87% of clinical parents expressed willingness to repeat home cardiorespiratory polygraphy in the future. 67% of research parents found the equipment 'easy or okay' to use, while 64% of clinical parents reported it as 'easy' or 'very easy'. Conclusions Home cardiorespiratory polygraphy offers an acceptable approach to the assessment of sleep-disordered breathing in children.

    AB - Objective To evaluate the success rates of home cardiorespiratory polygraphy in children under investigation for sleep-disordered breathing and parent perspectives on equipment use at home. Design Prospective observational study. Setting Sheffield, Evelina London and Southampton Children's Hospitals. Patients Data are reported for 194 research participants with Down syndrome, aged 0.5-5.9 years across the three centres and 61 clinical patients aged 0.4-19.5 years from one centre, all of whom had home cardiorespiratory polygraphy including respiratory movements, nasal pressure flow, pulse oximetry, body position and motion. Main outcome measures Percentage of home cardiorespiratory studies successfully acquiring ≥4 hours of artefact-free data at the first attempt. Parental report of ease of use of equipment and preparedness to repeat home diagnostics in the future. Results 143/194 (74%; 95% CI 67% to 79%) of research participants and 50/61 (82%; 95% CI 71% to 90%) of clinical patients had successful home cardiorespiratory polygraphy at the first attempt. Some children required multiple attempts to achieve a successful study. Overall, this equated to 1.3 studies per research participant and 1.2 studies per clinical child. The median artefact-free sleep time for successful research studies was 515 min (range 261-673) and for clinical studies 442 min (range 291-583). 84% of research and 87% of clinical parents expressed willingness to repeat home cardiorespiratory polygraphy in the future. 67% of research parents found the equipment 'easy or okay' to use, while 64% of clinical parents reported it as 'easy' or 'very easy'. Conclusions Home cardiorespiratory polygraphy offers an acceptable approach to the assessment of sleep-disordered breathing in children.

    KW - cardiorespiratory polygraphy

    KW - home

    KW - obstructive sleep apnoea

    KW - screening

    KW - sleep-disordered breathing

    UR - http://www.scopus.com/inward/record.url?scp=85057027802&partnerID=8YFLogxK

    U2 - 10.1136/archdischild-2018-315676

    DO - 10.1136/archdischild-2018-315676

    M3 - Article

    VL - 104

    SP - 476

    EP - 481

    JO - Archives of Disease in Childhood

    JF - Archives of Disease in Childhood

    SN - 0003-9888

    IS - 5

    ER -