Evidence map›Paper›PMID 33666166›Full record

Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021

The accuracy of a portable sleep monitor to diagnose obstructive sleep apnea in adolescent patients.

Rakesh Bhattacharjee, Adam Benjafield, Amy Blase, Gretchen Dever, Janelle Celso, Javan Nation, Raquel Good, Atul Malhotra

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 18% of its field
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.

NCT03748771 completednot on this map

Validation of ApneaLink Air Home Sleep Testing in the Diagnosis of Obstructive Sleep Apnea in Adolescent Children

TypeinterventionalSponsorResMedRan2018 to 2020Enrolled20ConditionsSleep Apnea, ObstructiveArmsApneaLink Air
NCT05516524 nacompletednot on this mapstarted 2022, after this paper: background citation

Home Sleep Apnea Testing for the Evaluation of Obstructive Sleep Apnea in Children Following Management With Adenotonsillectomy

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2022 to 2025Enrolled62ConditionsSleep Apnea, Obstructive, Sleep Disorder, Sleep Apnea Syndromes, Sleep DisturbanceArmsHome sleep apnea test, PSG
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Can portable sleep monitors replace polysomnography for diagnosis of pediatric OSA: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Pooled it
  3. Observational
  4. A photoplethysmography-based home sleep apnea test compared with polysomnography in children 2 to 6 years of age.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. [Undiagnosed sleep disorders in children from a hospital in Puebla, Mexico].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Observational
  10. Review
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Rakesh BhattacharjeeUniversity of California San Diego, La Jolla, California.
Adam BenjafieldResMed Science Center, San Diego, California.
Amy BlaseResMed Science Center, San Diego, California.
Gretchen DeverRady Children's Hospital, San Diego, California.
Janelle CelsoRady Children's Hospital, San Diego, California.
Javan NationUniversity of California San Diego, La Jolla, California.
Raquel GoodRady Children's Hospital, San Diego, California.
Atul MalhotraUniversity of California San Diego, La Jolla, California.
Rady Children's Hospital-San Diego · USResMed (United States) · USUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesThe efficacy of portable-monitor (PM) sleep testing in children is not well understood. While most studies have evaluated PM in a lab setting, the utility of PM in the home environment is relatively unknown. We sought to determine whether home PM accurately diagnoses obstructive sleep apnea in adolescents and to assess patient satisfaction with home PM sleep testing.

methodsWe evaluated adolescents (age 12-18 years) with suspected obstructive sleep apnea using a PM device. In addition to in-laboratory polysomnography (PSG), all participants had PM testing performed twice, once in their home and once concurrent to in-laboratory PSG. PM was compared to PSG using 2 primary outcomes: the apnea-hypopnea index and oxygen desaturation index. All participants were approached for interview to evaluate their experience with PM sleep testing.

resultsTwenty adolescents participated. Bland-Altman analysis comparing the apnea-hypopnea index and oxygen desaturation index determined by home or in-laboratory PM to in-laboratory PSG revealed mostly agreement; however, some deviations were observed when either parameter was markedly increased. While PM testing tended to underestimate the apnea-hypopnea index, the diagnostic agreement between home PM and PSG was 80% (by the White-Westbrook method). Most preferred PM to PSG and found PM easy to very easy to set up.

conclusionsIn a small cohort of adolescents, our study supports the application of home PM in the diagnosis of suspected obstructive sleep apnea. Until studies implementing PM using larger cohorts become readily available, the findings from this preliminary study could contribute to adolescents receiving sleep apnea therapy more promptly. CLINICAL

trial registrationRegistry: ClinicalTrials.gov; Identifier: NCT03748771. At the time of issue publication, this registration is not publicly available because the trial includes a device that is not approved or cleared for use in pediatric populations. Once the device is FDA cleared, the registration will become public.

Indexed as

Sleep Apnea, ObstructiveSleep Apnea SyndromesAdolescentChildHumansPolysomnographySensitivity and SpecificitySleepadolescentsdiagnosishome sleep apnea testingobstructive sleep apneapediatricspolysomnography

Identifiers

PMID33666166
PMCPMC8314631
OpenAlexW3134229716

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.