Evidence map›Paper›PMID 34323688›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2022

Comparison of home ambulatory type 2 polysomnography with a portable monitoring device and in-laboratory type 1 polysomnography for the diagnosis of obstructive sleep apnea in children.

Adelaide Withers, Jennifer Maul, Ellen Rosenheim, Anne O'Donnell, Andrew Wilson, Stephen Stick

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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.

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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. 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
  2. Observational
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  6. Comparing home polysomnography with transcutaneous COJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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  9. Unfolding the role of exercise in the management of sleep disorders.European journal of applied physiology · 2024
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  10. Long-term outcomes of sphincter pharyngoplasty in patients with cleft palate.Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2024
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  14. Device-based and subjective measurements of sleep in children with cerebral palsy: a comparison of sleep diary, actigraphy, and bed sensor data.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
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  15. Review
  16. Telehealth-supported level 2 pediatric home polysomnography.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  17. Review
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

6 authors at 5 institutions in 1 country.

Adelaide WithersDepartment of Respiratory and Sleep Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.
Jennifer MaulDepartment of Respiratory and Sleep Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.
Ellen RosenheimRoyal Children's Hospital, Melbourne, Victoria, Australia.
Anne O'DonnellDepartment of Respiratory and Sleep Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.
Andrew WilsonDepartment of Respiratory and Sleep Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.
Stephen StickDepartment of Respiratory and Sleep Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.
Princess Margaret Hospital for Children · AUCurtin University · AUPerth Children's HospitalRoyal Children's Hospital · AUThe Kids Research Institute Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo compare type 2 polysomnography (T2PSG) to the gold standard type 1 in-laboratory polysomnography (T1PSG) for diagnosing obstructive sleep apnea (OSA) in children; validate home T2PSG in children with suspected OSA.

methodsEighty-one participants (ages 6-18) with suspected OSA had simultaneous T1PSG and T2PSG in the sleep laboratory, 47 participants (ages 5-16) had T1PSG in the sleep laboratory and T2PSG performed at home. Sleep scientists staged and scored polysomnography data, and pediatric sleep physicians assigned a diagnosis of normal or OSA. Participant demographics, polysomnography variables, and diagnoses were compared using chi-square and Fisher's exact tests for nominal variables,

resultsAcceptable recordings were obtained for every home T2PSG. When T1PSG and T2PSG were simultaneous, correlation between the number of arousals, respiratory disturbance index, and sleep stages was excellent. T2PSG at home demonstrated less stage 2 sleep, more rapid eye movement sleep, and higher sleep efficiency. Comparison of home T2PSG to T1PSG for diagnosing OSA showed a false-positive rate of 6.6% and false-negative rate of 3% for those performed at home.

conclusionsT2PSG in the home is feasible with excellent concordance with T1PSG for the purposes of diagnosing OSA in children aged 5-18 years. Home T2PSG may be more representative of a "normal" night for children and could benefit those suspected of having OSA by reducing waiting times for laboratory PSG, improving access to PSG and possibly reducing costs of investigating and treating OSA. CITATION: Withers A, Maul J, Rosenheim E, O'Donnell A, Wilson A, Stick S. Comparison of home ambulatory type 2 polysomnography with a portable monitoring device and in-laboratory type 1 polysomnography for the diagnosis of obstructive sleep apnea in children.

Indexed as

LaboratoriesSleep Apnea, ObstructiveAdolescentChildChild, PreschoolHumansMonitoring, AmbulatoryPolysomnographySleephome sleep apnea testingpediatric obstructive sleep apneapolysomnography

Identifiers

PMID34323688
PMCPMC8804994
OpenAlexW3185415933

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.