Journal article
Pediatric polysomnography-flagging etiologies and impact on the clinical timeline
Frontiers in sleep, v 2
18 Jan 2024
Abstract
Background/objective There is a paucity of literature regarding “flagging” abnormal sleep studies for expedited review. This single-center retrospective analysis ( n = 266) of flagged polysomnography studies from 2019 to 2022 aimed to investigate flagging and its impact on the clinical timeline. Methods Two hundred sixty-six flagged polysomnography studies from 2019 to 2022 were retrospectively reviewed. Results Flagged study etiologies included repetitive brief oxygen desaturations (46.6%), sustained desaturations (32.3%), sustained hypercapnia (5.6%), or other concerning events (15.5%). The median time between a flagged study and scoring report finalization, medical intervention, and surgical intervention were 0 (2) days, 2 (3) days, 5 (11.25) days, and 44 (73) days, respectively. Patients with apnea–hypopnea index >30 had less time between a flagged study and surgical intervention (65.3 ± 96.7 days vs. 112 ± 119 days, p = 0.044). Conclusion As anticipated, the time to surgical intervention was longer than to medical intervention. Patients with a higher disease severity experienced quicker scoring, report finalization, and surgical intervention.
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Details
- Title
- Pediatric polysomnography-flagging etiologies and impact on the clinical timeline
- Creators
- Seema Rani - Nemours Children's Health SystemJohn Schanz - Johns Hopkins HospitalKapil ChauhanAugust KolbVictoria Gatta - Nemours Children's Health SystemAbigail Strang - Nemours Children's Health SystemAaron C. Chidekel - Nemours Children's Health System
- Publication Details
- Frontiers in sleep, v 2
- Publisher
- Frontiers
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Scopus ID
- 2-s2.0-85205552574
- Other Identifier
- 991021838699404721