Pulse Transit Time Improves Detection of Sleep Respiratory Events and Microarousals in Children
To evaluate the additional information provided by pulse transit time (PTT), a noninvasive tool, when using during polysomnography for the diagnosis of sleep breathing disorders in a pediatric population Respiratory and microarousals events were scored twice. The first scoring was performed using na...
Gespeichert in:
| Veröffentlicht in: | Chest 2005-03, Vol.127 (3), p.722-730 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 730 |
|---|---|
| container_issue | 3 |
| container_start_page | 722 |
| container_title | Chest |
| container_volume | 127 |
| creator | Pèpin, Jean-Louis Delavie, Nadeège Pin, Isabelle Deschaux, Chrysteèle Argod, Jèroôme Bost, Michel Levy, Patrick |
| description | To evaluate the additional information provided by pulse transit time (PTT), a noninvasive tool, when using during polysomnography for the diagnosis of sleep breathing disorders in a pediatric population
Respiratory and microarousals events were scored twice. The first scoring was performed using nasal pressure, thermistors, thoracic and abdominal movements, and oxygen saturation. The second scoring, blinded to the first scoring, was performed using PTT in combination with all the other signals. Microarousals were scored once visually on the EEG trace (cortical arousals [CAs]) and once using the PTT signal (autonomic arousals [AAs]) blinded to EEG. For the whole group of 16 children studied (mean age, 9.5 years), there was no significant difference between the respiratory disturbance index (RDI) with or without PTT analysis (22.4 ± 13.5/h vs 20.4 ± 14.3/h; not significant [mean ± SD]). Among the children exhibiting a “without PTT” RDI < 30/h, 5 of 12 children (41.66%) showed a clinically significant ≥ 5/h increase in RDI when using PTT. AAs detected by PTT were significantly more frequent than CAs during rapid eye movement (REM) sleep (7.4 ± 3.9/h vs 3.2 ± 2.3/h; p < 0.001) and slow wave sleep (SWS) [6.0 ± 4.3/h vs 0.6 ± 0.5/h; p < 0.0001]
The quantification of respiratory effort using PTT improves the detection of respiratory events in children. The detection of microarousals is improved particularly in REM and SWS |
| doi_str_mv | 10.1378/chest.127.3.722 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67513711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0012369215310771</els_id><sourcerecordid>813669211</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-d93c34f0bd1307f65745af607c0a76959ac8f539c265939b10b37312d52d081a3</originalsourceid><addsrcrecordid>eNp1kF1rFDEUhoModq1eeydB0LvZJjmTZHMpa6uFFkXX65BNzrgp87EmM1v67xvdgRXBq5DwvOe8eQh5zdmSg15d-B3mccmFXsJSC_GELLgBXoGs4SlZMMZFBcqIM_Ii5ztW7tyo5-SMS61qLdmC2K9Tm5FukutzHOkmdkivu30aDpjpRxzRj3Ho6dDQ7y3inn7DvI_JjUN6oJcH7MdMXR_obfRpcGmYsmszjT1d72IbEvYvybOmPOGr-TwnP64uN-vP1c2XT9frDzeVr2sxVsGAh7ph28CB6UZJXUvXKKY9c1oZaZxfNRKMF0oaMFvOtqCBiyBFYCvu4Jy8P84t1X9NRYrtYvbYtq7H0soqLYswzgv49h_wbphSX7pZwVita70SBbo4QuVXOSds7D7FzqUHy5n9Ld7-EW-LeAu2iC-JN_PYadthOPGz6QK8mwGXvWubItzHfOKUAgCjTqt38efuPia0uXNtW8bCcelc9-_V5pjA4vcQMdnsI_YeQ0n70YYh_rf2I7aesAA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>200474782</pqid></control><display><type>article</type><title>Pulse Transit Time Improves Detection of Sleep Respiratory Events and Microarousals in Children</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Pèpin, Jean-Louis ; Delavie, Nadeège ; Pin, Isabelle ; Deschaux, Chrysteèle ; Argod, Jèroôme ; Bost, Michel ; Levy, Patrick</creator><creatorcontrib>Pèpin, Jean-Louis ; Delavie, Nadeège ; Pin, Isabelle ; Deschaux, Chrysteèle ; Argod, Jèroôme ; Bost, Michel ; Levy, Patrick</creatorcontrib><description>To evaluate the additional information provided by pulse transit time (PTT), a noninvasive tool, when using during polysomnography for the diagnosis of sleep breathing disorders in a pediatric population
Respiratory and microarousals events were scored twice. The first scoring was performed using nasal pressure, thermistors, thoracic and abdominal movements, and oxygen saturation. The second scoring, blinded to the first scoring, was performed using PTT in combination with all the other signals. Microarousals were scored once visually on the EEG trace (cortical arousals [CAs]) and once using the PTT signal (autonomic arousals [AAs]) blinded to EEG. For the whole group of 16 children studied (mean age, 9.5 years), there was no significant difference between the respiratory disturbance index (RDI) with or without PTT analysis (22.4 ± 13.5/h vs 20.4 ± 14.3/h; not significant [mean ± SD]). Among the children exhibiting a “without PTT” RDI < 30/h, 5 of 12 children (41.66%) showed a clinically significant ≥ 5/h increase in RDI when using PTT. AAs detected by PTT were significantly more frequent than CAs during rapid eye movement (REM) sleep (7.4 ± 3.9/h vs 3.2 ± 2.3/h; p < 0.001) and slow wave sleep (SWS) [6.0 ± 4.3/h vs 0.6 ± 0.5/h; p < 0.0001]
The quantification of respiratory effort using PTT improves the detection of respiratory events in children. The detection of microarousals is improved particularly in REM and SWS</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.127.3.722</identifier><identifier>PMID: 15764750</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Adolescent ; Arousal ; Biological and medical sciences ; Cardiology. Vascular system ; Child ; children ; Electrocardiography ; Electroencephalography ; Esophagus ; Eye movements ; Female ; Humans ; Male ; Medical sciences ; microarousal ; nasal pressure ; Oxygen saturation ; Pneumology ; Polysomnography ; Pulse ; pulse transit time ; Respiration ; Respiratory system : syndromes and miscellaneous diseases ; sleep apnea ; Sleep Apnea Syndromes - diagnosis ; Sleep Apnea Syndromes - physiopathology ; Sleep disorders ; Sleep, REM</subject><ispartof>Chest, 2005-03, Vol.127 (3), p.722-730</ispartof><rights>2005 The American College of Chest Physicians</rights><rights>2005 INIST-CNRS</rights><rights>Copyright American College of Chest Physicians Mar 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-d93c34f0bd1307f65745af607c0a76959ac8f539c265939b10b37312d52d081a3</citedby><cites>FETCH-LOGICAL-c442t-d93c34f0bd1307f65745af607c0a76959ac8f539c265939b10b37312d52d081a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16633396$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15764750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pèpin, Jean-Louis</creatorcontrib><creatorcontrib>Delavie, Nadeège</creatorcontrib><creatorcontrib>Pin, Isabelle</creatorcontrib><creatorcontrib>Deschaux, Chrysteèle</creatorcontrib><creatorcontrib>Argod, Jèroôme</creatorcontrib><creatorcontrib>Bost, Michel</creatorcontrib><creatorcontrib>Levy, Patrick</creatorcontrib><title>Pulse Transit Time Improves Detection of Sleep Respiratory Events and Microarousals in Children</title><title>Chest</title><addtitle>Chest</addtitle><description>To evaluate the additional information provided by pulse transit time (PTT), a noninvasive tool, when using during polysomnography for the diagnosis of sleep breathing disorders in a pediatric population
Respiratory and microarousals events were scored twice. The first scoring was performed using nasal pressure, thermistors, thoracic and abdominal movements, and oxygen saturation. The second scoring, blinded to the first scoring, was performed using PTT in combination with all the other signals. Microarousals were scored once visually on the EEG trace (cortical arousals [CAs]) and once using the PTT signal (autonomic arousals [AAs]) blinded to EEG. For the whole group of 16 children studied (mean age, 9.5 years), there was no significant difference between the respiratory disturbance index (RDI) with or without PTT analysis (22.4 ± 13.5/h vs 20.4 ± 14.3/h; not significant [mean ± SD]). Among the children exhibiting a “without PTT” RDI < 30/h, 5 of 12 children (41.66%) showed a clinically significant ≥ 5/h increase in RDI when using PTT. AAs detected by PTT were significantly more frequent than CAs during rapid eye movement (REM) sleep (7.4 ± 3.9/h vs 3.2 ± 2.3/h; p < 0.001) and slow wave sleep (SWS) [6.0 ± 4.3/h vs 0.6 ± 0.5/h; p < 0.0001]
The quantification of respiratory effort using PTT improves the detection of respiratory events in children. The detection of microarousals is improved particularly in REM and SWS</description><subject>Adolescent</subject><subject>Arousal</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Child</subject><subject>children</subject><subject>Electrocardiography</subject><subject>Electroencephalography</subject><subject>Esophagus</subject><subject>Eye movements</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>microarousal</subject><subject>nasal pressure</subject><subject>Oxygen saturation</subject><subject>Pneumology</subject><subject>Polysomnography</subject><subject>Pulse</subject><subject>pulse transit time</subject><subject>Respiration</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>sleep apnea</subject><subject>Sleep Apnea Syndromes - diagnosis</subject><subject>Sleep Apnea Syndromes - physiopathology</subject><subject>Sleep disorders</subject><subject>Sleep, REM</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kF1rFDEUhoModq1eeydB0LvZJjmTZHMpa6uFFkXX65BNzrgp87EmM1v67xvdgRXBq5DwvOe8eQh5zdmSg15d-B3mccmFXsJSC_GELLgBXoGs4SlZMMZFBcqIM_Ii5ztW7tyo5-SMS61qLdmC2K9Tm5FukutzHOkmdkivu30aDpjpRxzRj3Ho6dDQ7y3inn7DvI_JjUN6oJcH7MdMXR_obfRpcGmYsmszjT1d72IbEvYvybOmPOGr-TwnP64uN-vP1c2XT9frDzeVr2sxVsGAh7ph28CB6UZJXUvXKKY9c1oZaZxfNRKMF0oaMFvOtqCBiyBFYCvu4Jy8P84t1X9NRYrtYvbYtq7H0soqLYswzgv49h_wbphSX7pZwVita70SBbo4QuVXOSds7D7FzqUHy5n9Ld7-EW-LeAu2iC-JN_PYadthOPGz6QK8mwGXvWubItzHfOKUAgCjTqt38efuPia0uXNtW8bCcelc9-_V5pjA4vcQMdnsI_YeQ0n70YYh_rf2I7aesAA</recordid><startdate>20050301</startdate><enddate>20050301</enddate><creator>Pèpin, Jean-Louis</creator><creator>Delavie, Nadeège</creator><creator>Pin, Isabelle</creator><creator>Deschaux, Chrysteèle</creator><creator>Argod, Jèroôme</creator><creator>Bost, Michel</creator><creator>Levy, Patrick</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20050301</creationdate><title>Pulse Transit Time Improves Detection of Sleep Respiratory Events and Microarousals in Children</title><author>Pèpin, Jean-Louis ; Delavie, Nadeège ; Pin, Isabelle ; Deschaux, Chrysteèle ; Argod, Jèroôme ; Bost, Michel ; Levy, Patrick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-d93c34f0bd1307f65745af607c0a76959ac8f539c265939b10b37312d52d081a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Arousal</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Child</topic><topic>children</topic><topic>Electrocardiography</topic><topic>Electroencephalography</topic><topic>Esophagus</topic><topic>Eye movements</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>microarousal</topic><topic>nasal pressure</topic><topic>Oxygen saturation</topic><topic>Pneumology</topic><topic>Polysomnography</topic><topic>Pulse</topic><topic>pulse transit time</topic><topic>Respiration</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>sleep apnea</topic><topic>Sleep Apnea Syndromes - diagnosis</topic><topic>Sleep Apnea Syndromes - physiopathology</topic><topic>Sleep disorders</topic><topic>Sleep, REM</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pèpin, Jean-Louis</creatorcontrib><creatorcontrib>Delavie, Nadeège</creatorcontrib><creatorcontrib>Pin, Isabelle</creatorcontrib><creatorcontrib>Deschaux, Chrysteèle</creatorcontrib><creatorcontrib>Argod, Jèroôme</creatorcontrib><creatorcontrib>Bost, Michel</creatorcontrib><creatorcontrib>Levy, Patrick</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pèpin, Jean-Louis</au><au>Delavie, Nadeège</au><au>Pin, Isabelle</au><au>Deschaux, Chrysteèle</au><au>Argod, Jèroôme</au><au>Bost, Michel</au><au>Levy, Patrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulse Transit Time Improves Detection of Sleep Respiratory Events and Microarousals in Children</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2005-03-01</date><risdate>2005</risdate><volume>127</volume><issue>3</issue><spage>722</spage><epage>730</epage><pages>722-730</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>To evaluate the additional information provided by pulse transit time (PTT), a noninvasive tool, when using during polysomnography for the diagnosis of sleep breathing disorders in a pediatric population
Respiratory and microarousals events were scored twice. The first scoring was performed using nasal pressure, thermistors, thoracic and abdominal movements, and oxygen saturation. The second scoring, blinded to the first scoring, was performed using PTT in combination with all the other signals. Microarousals were scored once visually on the EEG trace (cortical arousals [CAs]) and once using the PTT signal (autonomic arousals [AAs]) blinded to EEG. For the whole group of 16 children studied (mean age, 9.5 years), there was no significant difference between the respiratory disturbance index (RDI) with or without PTT analysis (22.4 ± 13.5/h vs 20.4 ± 14.3/h; not significant [mean ± SD]). Among the children exhibiting a “without PTT” RDI < 30/h, 5 of 12 children (41.66%) showed a clinically significant ≥ 5/h increase in RDI when using PTT. AAs detected by PTT were significantly more frequent than CAs during rapid eye movement (REM) sleep (7.4 ± 3.9/h vs 3.2 ± 2.3/h; p < 0.001) and slow wave sleep (SWS) [6.0 ± 4.3/h vs 0.6 ± 0.5/h; p < 0.0001]
The quantification of respiratory effort using PTT improves the detection of respiratory events in children. The detection of microarousals is improved particularly in REM and SWS</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>15764750</pmid><doi>10.1378/chest.127.3.722</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-3692 |
| ispartof | Chest, 2005-03, Vol.127 (3), p.722-730 |
| issn | 0012-3692 1931-3543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67513711 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Arousal Biological and medical sciences Cardiology. Vascular system Child children Electrocardiography Electroencephalography Esophagus Eye movements Female Humans Male Medical sciences microarousal nasal pressure Oxygen saturation Pneumology Polysomnography Pulse pulse transit time Respiration Respiratory system : syndromes and miscellaneous diseases sleep apnea Sleep Apnea Syndromes - diagnosis Sleep Apnea Syndromes - physiopathology Sleep disorders Sleep, REM |
| title | Pulse Transit Time Improves Detection of Sleep Respiratory Events and Microarousals in Children |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T04%3A23%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pulse%20Transit%20Time%20Improves%20Detection%20of%20Sleep%20Respiratory%20Events%20and%20Microarousals%20in%20Children&rft.jtitle=Chest&rft.au=P%C3%A8pin,%20Jean-Louis&rft.date=2005-03-01&rft.volume=127&rft.issue=3&rft.spage=722&rft.epage=730&rft.pages=722-730&rft.issn=0012-3692&rft.eissn=1931-3543&rft.coden=CHETBF&rft_id=info:doi/10.1378/chest.127.3.722&rft_dat=%3Cproquest_cross%3E813669211%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=200474782&rft_id=info:pmid/15764750&rft_els_id=S0012369215310771&rfr_iscdi=true |