AIM: International guidelines recommend that children who are managed at home with mechanical respiratory support (RS) should have sleep studies performed every 6-12 months. This recommendation is based on expert opinion, with little evidence to support it. No studies have been undertaken to examine the utility of sleep studies in children on RS. METHODS: A retrospective review of sleep studies performed over a 12-month period was undertaken at a New Zealand paediatric sleep medicine referral centre, to determine changes made to RS following sleep studies. RESULTS: Sixty-one sleep studies were performed for assessment of RS in 45 children (27 boys; median age 8.3 years; range 0.4-18.6 years). Twenty-nine (64 ) children were on continuous positive airway pressure, 14 (31 ) on bi-level non-invasive ventilation, and two (4 ) on tracheostomy ventilation. A change was made to RS settings after 66 of studies. No clinical parameters predicted which children would require a change in settings. CONCLUSIONS: Although sleep studies are expensive and time-consuming, follow-up studies of children on RS provide important information for optimising management into the long term.
|Pages (from-to)||560 - 563|
|Number of pages||4|
|Journal||Journal of Paediatrics and Child Health|
|Publication status||Published - 2007|