Evidence map›Paper›PMID 30518444›Full record

Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2018

The Accuracy of an Ambulatory Level III Sleep Study Compared to a Level I Sleep Study for the Diagnosis of Sleep-Disordered Breathing in Children With Neuromuscular Disease.

Haley Fishman, Colin Massicotte, Rhonda Li, Weeda Zabih, Laura C McAdam, Suhail Al-Saleh, Reshma Amin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Comparing home polysomnography with transcutaneous COJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  3. Article
  4. Review
  5. Validation of home portable monitoring for the diagnosis of sleep-disordered breathing in adolescents and adults with neuromuscular disorders.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  6. Best and Safest Care Versus Care Closer to Home.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Haley FishmanDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Colin MassicotteDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Rhonda LiDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Weeda ZabihDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Laura C McAdamDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Suhail Al-SalehDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Reshma AminDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesPolysomnography (PSG) surveillance recommendations are not being met for children with neuromuscular disease (NMD) because of limited diagnostic facilities. We evaluated the diagnostic accuracy of an ambulatory level III device as compared to a level I PSG.

methodsA cross-sectional study was conducted at a tertiary pediatric institution. Eligibility criteria included: (1) children with NMD; (2) age 6 to 18 years; (3) booked for a clinically indicated overnight level I PSG. Participants were randomized to an overnight level I PSG followed by an ambulatory level III study with end tidal carbon dioxide (etCO

resultsModerate to severe SDB was found in 46% of participants (13/28). The device's sensitivity and specificity to detect SDB was 61.5% and 86.7%, respectively. The positive predictive value of the level III study was 80.0% and the negative predictive value was 72.0%. Fifty percent of the cohort were either missing or had incomplete or falsely low ambulatory etCO

conclusionsA level III device with etCO COMMENTARY: A commentary on this article appears in this issue on page 1973.

Indexed as

Ambulatory CareAdolescentCarbon DioxideChildCross-Sectional StudiesEquipment DesignFemaleHumansMaleNeuromuscular DiseasesOntarioPolysomnographyProspective StudiesSensitivity and SpecificitySleep Apnea SyndromesCarbon Dioxideambulatorychildrenhypoventilationneuromuscularobstructive sleep apneapediatricspolysomnogramsleep-disordered breathing

Identifiers

PMID30518444
PMCPMC6287726

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.