Use of Pulse Oximetry to Screen for Infant Obstructive Sleep Apnoea
Introduction: Pulse oximetry is currently used to screen for obstructive sleep apnoea (OSA) in children. However, its use in infant has not yet been well studied. Aim: The aim of this study was to develop a screening criterion using pulse oximetry to identify infant with probable OSA. Materials and...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-10-01
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| Series: | Pediatric Respirology and Critical Care Medicine |
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| Online Access: | https://journals.lww.com/10.4103/prcm.prcm_3_22 |
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| author | Andy Cheuk-ting Hou Eric Yat-tung Chan Ka-li Kwok Mei-yee Lau Shuk-yu Leung |
| author_facet | Andy Cheuk-ting Hou Eric Yat-tung Chan Ka-li Kwok Mei-yee Lau Shuk-yu Leung |
| author_sort | Andy Cheuk-ting Hou |
| collection | DOAJ |
| description | Introduction:
Pulse oximetry is currently used to screen for obstructive sleep apnoea (OSA) in children. However, its use in infant has not yet been well studied.
Aim:
The aim of this study was to develop a screening criterion using pulse oximetry to identify infant with probable OSA.
Materials and Methods:
This was a retrospective cross-sectional study including infants <1 year of age with features of upper airway obstruction or requiring home oxygen to find associations between obstructive apnoea hypopnoea index (OAHI) in infant polysomnography (PSG) and parameters in pulse oximetry by Spearman Rho’s correlation. The factor with the strongest correlation is further analysed by receiver-operating characteristic (ROC) curve to identify a cutoff with highest Youden index to screen for probable OSA (OAHI >2 per hour).
Results:
A total of 27 infants were studied. The index of oxygen desaturation with SpO2 <90% per sampled hour (ODI<90%) had the best correlation with OAHI (r = 0.52, P = 0.005). Using the cutoff of ODI<90% more than 1.3 per hour, the sensitivity and specificity for identifying OAHI >2 per hour was 77% and 71%, respectively.
Conclusion:
Infant pulse oximetry can be a useful tool to screen for probable infant OSA especially for paediatric units not offering infant PSG service. |
| format | Article |
| id | doaj-art-d769110b700a4870979c03debc32f5c1 |
| institution | DOAJ |
| issn | 2543-0343 2543-0351 |
| language | English |
| publishDate | 2021-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Pediatric Respirology and Critical Care Medicine |
| spelling | doaj-art-d769110b700a4870979c03debc32f5c12025-08-20T03:13:42ZengWolters Kluwer Medknow PublicationsPediatric Respirology and Critical Care Medicine2543-03432543-03512021-10-0154707610.4103/prcm.prcm_3_22Use of Pulse Oximetry to Screen for Infant Obstructive Sleep ApnoeaAndy Cheuk-ting HouEric Yat-tung ChanKa-li KwokMei-yee LauShuk-yu LeungIntroduction: Pulse oximetry is currently used to screen for obstructive sleep apnoea (OSA) in children. However, its use in infant has not yet been well studied. Aim: The aim of this study was to develop a screening criterion using pulse oximetry to identify infant with probable OSA. Materials and Methods: This was a retrospective cross-sectional study including infants <1 year of age with features of upper airway obstruction or requiring home oxygen to find associations between obstructive apnoea hypopnoea index (OAHI) in infant polysomnography (PSG) and parameters in pulse oximetry by Spearman Rho’s correlation. The factor with the strongest correlation is further analysed by receiver-operating characteristic (ROC) curve to identify a cutoff with highest Youden index to screen for probable OSA (OAHI >2 per hour). Results: A total of 27 infants were studied. The index of oxygen desaturation with SpO2 <90% per sampled hour (ODI<90%) had the best correlation with OAHI (r = 0.52, P = 0.005). Using the cutoff of ODI<90% more than 1.3 per hour, the sensitivity and specificity for identifying OAHI >2 per hour was 77% and 71%, respectively. Conclusion: Infant pulse oximetry can be a useful tool to screen for probable infant OSA especially for paediatric units not offering infant PSG service.https://journals.lww.com/10.4103/prcm.prcm_3_22infantobstructive sleep apnoeaoximetry |
| spellingShingle | Andy Cheuk-ting Hou Eric Yat-tung Chan Ka-li Kwok Mei-yee Lau Shuk-yu Leung Use of Pulse Oximetry to Screen for Infant Obstructive Sleep Apnoea Pediatric Respirology and Critical Care Medicine infant obstructive sleep apnoea oximetry |
| title | Use of Pulse Oximetry to Screen for Infant Obstructive Sleep Apnoea |
| title_full | Use of Pulse Oximetry to Screen for Infant Obstructive Sleep Apnoea |
| title_fullStr | Use of Pulse Oximetry to Screen for Infant Obstructive Sleep Apnoea |
| title_full_unstemmed | Use of Pulse Oximetry to Screen for Infant Obstructive Sleep Apnoea |
| title_short | Use of Pulse Oximetry to Screen for Infant Obstructive Sleep Apnoea |
| title_sort | use of pulse oximetry to screen for infant obstructive sleep apnoea |
| topic | infant obstructive sleep apnoea oximetry |
| url | https://journals.lww.com/10.4103/prcm.prcm_3_22 |
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