便携式睡眠监测仪对小儿睡眠呼吸暂停的诊断准确性:系统综述。

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Sleep Medicine Reviews Pub Date : 2024-08-08 DOI:10.1016/j.smrv.2024.101991
Vivianne Landry , Koorosh Semsar-Kazerooni , Tanya Chen , Joshua Gurberg , Lily H.P. Nguyen , Evelyn Constantin
{"title":"便携式睡眠监测仪对小儿睡眠呼吸暂停的诊断准确性:系统综述。","authors":"Vivianne Landry ,&nbsp;Koorosh Semsar-Kazerooni ,&nbsp;Tanya Chen ,&nbsp;Joshua Gurberg ,&nbsp;Lily H.P. Nguyen ,&nbsp;Evelyn Constantin","doi":"10.1016/j.smrv.2024.101991","DOIUrl":null,"url":null,"abstract":"<div><p>In recent years, a plethora of new type III and IV portable sleep monitors (PSM) have been developed, although evidence regarding their diagnostic accuracy for use in children remains heterogeneous. This study systematically reviews the literature addressing the diagnostic accuracies of type III and IV PSM for pediatric sleep apnea. Publications indexed in Medline, Embase, or Web of Science were reviewed using the PRISMA framework. Of 1054 studies, 62 fulfilled the inclusion criteria. Of the studies evaluating oximetry-based type IV PSM, one (6.25 %) demonstrated a balanced set of high (≥80 %) sensitivities and specificities for the diagnosis of any pediatric sleep apnea, while five studies (27.8 %) showed similar accuracies for moderate-to-severe sleep apnea. For non-oximetry-based type IV PSM, two studies (40 %) reported a balanced set of high diagnostic accuracies for moderate-to-severe sleep apnea. Type III PSM repeatedly demonstrated higher diagnostic accuracies, with six studies (66.7 %) reporting a balanced set of high diagnostic accuracies for moderate-to-severe sleep apnea. This review highlights the potential of type III PSM to detect moderate-to-severe pediatric sleep apnea, although current evidence is limited to support the stand-alone use of type IV PSM for the diagnosis of sleep apnea in most children.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"78 ","pages":"Article 101991"},"PeriodicalIF":11.2000,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1087079224000959/pdfft?md5=cb4b0c810422d9e65502ecd742836be1&pid=1-s2.0-S1087079224000959-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Diagnostic accuracy of portable sleep monitors in pediatric sleep apnea: A systematic review\",\"authors\":\"Vivianne Landry ,&nbsp;Koorosh Semsar-Kazerooni ,&nbsp;Tanya Chen ,&nbsp;Joshua Gurberg ,&nbsp;Lily H.P. Nguyen ,&nbsp;Evelyn Constantin\",\"doi\":\"10.1016/j.smrv.2024.101991\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>In recent years, a plethora of new type III and IV portable sleep monitors (PSM) have been developed, although evidence regarding their diagnostic accuracy for use in children remains heterogeneous. This study systematically reviews the literature addressing the diagnostic accuracies of type III and IV PSM for pediatric sleep apnea. Publications indexed in Medline, Embase, or Web of Science were reviewed using the PRISMA framework. Of 1054 studies, 62 fulfilled the inclusion criteria. Of the studies evaluating oximetry-based type IV PSM, one (6.25 %) demonstrated a balanced set of high (≥80 %) sensitivities and specificities for the diagnosis of any pediatric sleep apnea, while five studies (27.8 %) showed similar accuracies for moderate-to-severe sleep apnea. For non-oximetry-based type IV PSM, two studies (40 %) reported a balanced set of high diagnostic accuracies for moderate-to-severe sleep apnea. Type III PSM repeatedly demonstrated higher diagnostic accuracies, with six studies (66.7 %) reporting a balanced set of high diagnostic accuracies for moderate-to-severe sleep apnea. This review highlights the potential of type III PSM to detect moderate-to-severe pediatric sleep apnea, although current evidence is limited to support the stand-alone use of type IV PSM for the diagnosis of sleep apnea in most children.</p></div>\",\"PeriodicalId\":49513,\"journal\":{\"name\":\"Sleep Medicine Reviews\",\"volume\":\"78 \",\"pages\":\"Article 101991\"},\"PeriodicalIF\":11.2000,\"publicationDate\":\"2024-08-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1087079224000959/pdfft?md5=cb4b0c810422d9e65502ecd742836be1&pid=1-s2.0-S1087079224000959-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep Medicine Reviews\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1087079224000959\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Medicine Reviews","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1087079224000959","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

摘要

近年来,新型 III 型和 IV 型便携式睡眠监测仪(PSM)层出不穷,但有关其在儿童中使用的诊断准确性的证据仍然参差不齐。本研究系统回顾了有关 III 型和 IV 型便携式睡眠监测仪对儿童睡眠呼吸暂停诊断准确性的文献。采用 PRISMA 框架对 Medline、Embase 或 Web of Science 索引的文献进行了审查。在 1054 项研究中,有 62 项符合纳入标准。在对基于血氧仪的 IV 型 PSM 进行评估的研究中,有一项研究(6.25%)对任何小儿睡眠呼吸暂停的诊断都显示出了一组均衡的高(≥80%)灵敏度和特异性,而有五项研究(27.8%)对中度至重度睡眠呼吸暂停显示出了类似的准确性。对于非氧饱和度测量法的 IV 型 PSM,有两项研究(40%)对中度至重度睡眠呼吸暂停的诊断准确率较高。III 型 PSM 的诊断准确率较高,有六项研究(66.7%)报告了中重度睡眠呼吸暂停的高诊断准确率。本综述强调了 III 型 PSM 检测中重度儿科睡眠呼吸暂停的潜力,尽管目前的证据有限,不足以支持单独使用 IV 型 PSM 诊断大多数儿童的睡眠呼吸暂停。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Diagnostic accuracy of portable sleep monitors in pediatric sleep apnea: A systematic review

In recent years, a plethora of new type III and IV portable sleep monitors (PSM) have been developed, although evidence regarding their diagnostic accuracy for use in children remains heterogeneous. This study systematically reviews the literature addressing the diagnostic accuracies of type III and IV PSM for pediatric sleep apnea. Publications indexed in Medline, Embase, or Web of Science were reviewed using the PRISMA framework. Of 1054 studies, 62 fulfilled the inclusion criteria. Of the studies evaluating oximetry-based type IV PSM, one (6.25 %) demonstrated a balanced set of high (≥80 %) sensitivities and specificities for the diagnosis of any pediatric sleep apnea, while five studies (27.8 %) showed similar accuracies for moderate-to-severe sleep apnea. For non-oximetry-based type IV PSM, two studies (40 %) reported a balanced set of high diagnostic accuracies for moderate-to-severe sleep apnea. Type III PSM repeatedly demonstrated higher diagnostic accuracies, with six studies (66.7 %) reporting a balanced set of high diagnostic accuracies for moderate-to-severe sleep apnea. This review highlights the potential of type III PSM to detect moderate-to-severe pediatric sleep apnea, although current evidence is limited to support the stand-alone use of type IV PSM for the diagnosis of sleep apnea in most children.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
期刊最新文献
Editorial Board Proposing a definition for sleep disorders: An epistemological review Effectiveness of digital cognitive behavioral therapy for insomnia on professional activity: A systematic review and meta-analysis of randomized controlled trials Designing sleep disruption: The digital persuasion underlying screen use and sleep Reliability and validity of instruments containing reported sleep measures among children from birth to <5 years of age: A systematic review
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1