{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T13:56:00Z","timestamp":1779371760141,"version":"3.53.1"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2005,10,21]],"date-time":"2005-10-21T00:00:00Z","timestamp":1129852800000},"content-version":"vor","delay-in-days":3673,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[1995,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The objective of this study was to determine the accuracy and practicality of home testing for pediatric obstructive sleep apnea syndrome (OSAS) secondary to adenotonsillar hypertrophy. Twenty\u2010one children aged 2\u201012 years and referred for possible OSAS were studied twice, once at home and once in the sleep laboratory. The home test consisted of two parts: (1) a cardiorespiratory recording of saturation (SaO<jats:sub>2<\/jats:sub>), pulse rate, pulse waveform, electrocardiogram, and respiratory inductive plethysmography; and (2) an 8\u2010hour videotape recording of the sleeping child. In the laboratory, standard nocturnal polysomnography including electroencephalography was performed. Experiences with another 62 children who underwent home testing alone were also reviewed and are reported. At home, saturation, respiratory, and video data were obtained 96.4 \u00b1 13.3% (mean \u00b1 SD) 99.4 \u00b1 1.6%, and 90.0 \u00b1 7.8% of the time, respectively. The sleep efficiency was greater at home than in the laboratory, 91.1 \u00b1 3.9% vs. 86.1 \u00b1 7.2%, with a mean difference of 5.0% (<jats:italic>P<\/jats:italic> &lt; 0.01). The median environmentally induced movement\/arousal index was lower in the home than in the laboratory, 0.0 (inter\u2010quartile range, 0.0\u20100.3) vs. 2.4\/hr (inter\u2010quartile range 1.2\u20134.2), with a median difference of 2.4\/hr (<jats:italic>P<\/jats:italic> &lt; 0.001). Study duration, apne\/dhypopnea index, desaturation index, respiratory and spontaneous movement\/arousal indices, and oxygen saturation during sleep were similar for home and laboratory studies. Although neither sleep state nor PCO<jats:sub>2<\/jats:sub>, (transcutaneous or end\u2010tidal) was measured in the home, this information would have modified patient management in, at most, one case. In the second group of 62 children, exclusively studied at home, all studies were successfully recorded despite a wide range of sleep efficiencies, apne\/dhypopnea indices, and desaturation indices. We conclude that home testing, using a simplified cardiorespiratory montage plus video recording, is accurate and of practical use in the routine evaluation of OSAS in patients with adenotonsillar hypertrophy. <jats:bold>Pediatr Pulmonol. 1995; 20:241\u2013252<\/jats:bold>. \u00a9 1995 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ppul.1950200407","type":"journal-article","created":{"date-parts":[[2007,3,6]],"date-time":"2007-03-06T21:11:40Z","timestamp":1173215500000},"page":"241-252","source":"Crossref","is-referenced-by-count":128,"title":["Home testing for pediatric obstructive sleep apnea syndrome secondary to adenotonsillar hypertrophy"],"prefix":"10.1002","volume":"20","author":[{"given":"S. V.","family":"Jacob","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Morielli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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