Home Respiratory Polygraphy in Childhood Sleep Apnea-Hypopnea Syndrome (CHILDSLEEP).

Study Overview
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Brief Summary
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The aims of the study is to assess the diagnostic utility of home respiratory polygraphy (HRP) complemented with polysomnography (PSG) in childhood Obstructive Sleep Apnea-Hypopnea Syndrome (OSAS), as well as its usefulness in the therapeutic decisions. Methods: Children referred with suspected OSAS will be evaluated during one year performing home respiratory polygraphy in all cases. PSG will be chosen in patients with concomitant pathology or according to medical criteria, or complemented with HRP in doubtful cases. Clinical and anthropometric data, severity, technical quality and treatment will be obtained. Patients will be divided in two groups (HRP vs PSG) and compared, and the accuracy from HRP to establish a therapeutic decision it wil calculated. The investigator's hypothesis is that PSG should be recommended only for complex or doubtful cases.

Official Title
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Usefulness of Home Respiratory Polygraphy in the Diagnosis and Therapeutic Decision of Childhood Sleep Apnea-Hypopnea Syndrome

Conditions
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Sleep Apnea, Home Respiratory Polygraphy Sleep Study, Childhood Sleep Apnea, Polysomnography, Therapeutic Decision

Intervention / Treatment
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* Diagnostic Test: Home respiratory polygraphy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Sleep apnea suspicion Exclusion Criteria: Other sleep conditions Non valid home respiratory polygraphy and non valid polysomnography in the same patient Non informated consent

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Home respiratory poligraphy<br>Group A: Children between 4 and 14 years-old with initial OSA suspicion there will be allocated to Home Respiratory Polygraphy (HRP) | Diagnostic Test: Home respiratory polygraphy<br>* Home respiratory polygraphy or Polysomnography to stablish a therapeutic decission<br>* Other names: Polysomnography;|
| Polysomnography<br>Group B: Children between 4 and 14 years-old with initial OSA suspicion and concommitant diseases and false negative suspicion from HRP there will allocated to Hospital Nocturnal Polysomnography | Diagnostic Test: Home respiratory polygraphy<br>* Home respiratory polygraphy or Polysomnography to stablish a therapeutic decission<br>* Other names: Polysomnography;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To assess the diagnostic utility of home respiratory polygraphy (HRP) complemented with polysomnography (PSG) in childhood Obstructive Sleep Apnea-Hypopnea Syndrome (OSAS), as well as its usefulness in the therapeutic decisions. | False negative and true positive diagnosis by home respiratory polygraphy | two years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To assess the prevalence of childhood sleep apnea in Pneumology hospital consultations | Number of chlidhood sleep consultations related to adult consultations | two years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obstructive apnea sleep, Childhood sleep apnea, Sleep apnea syndrome, Obstructive apnea syndrome