P003 Home-based sleep study paediatric model of care

Abstract

Abstract Introduction An innovative service that was developed within a tertiary paediatric centre, involved the use of a home-based sleep study model of care (MOC) between March 2022 to September 2022. This MOC allowed low risk children to be able to undergo a sleep study earlier than, when compared to the traditional in-house sleep studies conducted within the hospital setting. Methods The MOC involved a sleep technician travelling to the patients’ home and then attaching sensors onto the child’s body. The at home sleep system used is a full, portable polysomnography system that gently simplifies the task of performing a sleep study while delivery secure and precise measurements from the comfort of the patient’s home. The system provides data collection via the use of electrocardiogram (ECG), electroencephalography (EEG), oximeter, plethsmography belts and facial electroculargraphs which are attached comfortably onto the patient’s body. An outpatient’s service run by Clinical Nurse Consultants then provided 24 hour support to families for troubleshooting overnight. Results A total of 49 home based sleep studies were performed during this period. Almost 90% of children tested had an abnormal sleep study result and 1 in 3 had moderate to severe findings. Eight studies (19%) were below the expected quality. This is comparable to in-hospital poor quality sleep study rates. Discussion The MOC reduced hospital admission for a diagnostic sleep study, provided quicker assessment and in the comfort of the child’s home.