Evidence map›Paper›PMID 40123540›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2025

Accuracy and acceptability of home sleep apnea testing with electroencephalography compared to in-lab polysomnography for the diagnosis of obstructive sleep apnea in children.

Darko Stefanovski, Mahalakshmi Somayaji, Michelle Ward, Jennifer Falvo, Mary Anne Cornaglia, Ignacio E Tapia, Yaelis Roman, Melissa Xanthopoulos, Christopher M Cielos

Abstract readComparative Study
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Home sleep testing in children: we probably can, but should we?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    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

9 authors.

Darko StefanovskiSchool of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Mahalakshmi SomayajiDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Michelle WardDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Jennifer FalvoDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Mary Anne CornagliaDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Ignacio E TapiaDivision of Pediatric Pulmonary Medicine, University of Miami, Miami, Florida.
Yaelis RomanDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Melissa XanthopoulosDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Christopher M CielosDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesIn-laboratory polysomnography is recommended for the evaluation of obstructive sleep apnea (OSA) in children, but availability is limited. We hypothesized that home sleep apnea testing including electroencephalogram (HSAT with EEG) could accurately detect OSA in children and be an alternative to polysomnography.

methodsChildren clinically referred for polysomnography underwent testing with the HSAT with EEG device twice: once in their home as well as concurrently with in-lab polysomnography (portable lab testing). HSAT with EEG and portable lab testing were compared to reference polysomnography for OSA diagnosis using an obstructive apnea-hypopnea index (OAHI) > 2 events/h. OAHI cutoffs of 1 and 5 events/h were explored. The diagnostic accuracy was further analyzed using the area under the receiver operating characteristic curve.

resultsAll 15 participants, median (range) age 8.1 (2.9-17.1) years, completed in-lab testing and HSAT with EEG. OSA was identified by polysomnography in 7 (47%) participants. HSAT with EEG correctly identified OSA status from polysomnography in 14 (93%) participants. OAHI was similar between polysomnography (1.7 [0-26] events/h) and portable lab testing (1.6 [0.3-24.4]) and HSAT with EEG (1.8 [0.3-23]),

conclusionsHSAT with EEG was accurate compared to polysomnography for the diagnosis of pediatric OSA. Electroencephalography may improve the diagnostic accuracy of HSAT in children, particularly for mild OSA and younger children. CITATION: Stefanovski D, Somayaji M, Ward M, et al. Accuracy and acceptability of home sleep apnea testing with electroencephalography compared to in-lab polysomnography for the diagnosis of obstructive sleep apnea in children.

Indexed as

ElectroencephalographyMonitoring, AmbulatoryPatient Acceptance of Health CarePolysomnographySleep Apnea, ObstructiveAdolescentChildChild, PreschoolFemaleHumansMaleReproducibility of ResultsSensitivity and Specificityhome sleep apnea testingobstructive sleep apneapediatricpolysomnography

Identifiers

PMID40123540
PMCPMC12320684

What OpenQuestion holds

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Registered trials

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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.