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How to interpret polysomnography
  1. Kai Wen Leong1,
  2. Amanda Griffiths2,
  3. Anne-Marie Adams2,
  4. John Massie3,4
  1. 1Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia
  2. 2Department of Respiratory and Sleep Medicine, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
  3. 3Department of Respiratory Medicine, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
  4. 4Department of Respiratory Medicine, Murdoch Childrens Research Institute, Parkville, Victoria, Australia
  1. Correspondence to Dr Kai Wen Leong, Respiratory and Sleep Medicine, Royal Children's Hospital Melbourne, Parkville VIC 3052, Australia; kaiwleong{at}gmail.com

Abstract

A 5-year-old child presents to a paediatric clinic with their parents because of concerns about snoring, which is loud, every night and associated with respiratory pauses. This has been present for 6 months. Can clinical evaluation diagnose sleep-disordered breathing in children or are further investigations required? Should further investigations include oximetry or polysomnography? If a polysomnogram is performed, how are the results interpreted? In this paper we describe the indications for polysomnography, outline the parameters measured and decode a clinical polysomnography report.

  • polysomnography
  • sleep disordered breathing
  • sleep study

https://doi.org/10.1136/archdischild-2018-316031

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    Footnotes

    • Contributors JM conceptualised the idea for this paper. The manuscript was drafted by KWL. Critical revision was done by JM, MG and A-MA. Annotation and development of images were performed by all authors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    Linked Articles

    • Letter
      Response to ‘How to interpret polysomnography’ by Leong et al
      Michael Farquhar Donald S Urquhart Kylie Russo Francois Abel Heather E Elphick Neil Gibson Paul Gringras Catherine Hill Desaline Joseph Ruth N Kingshott Jane Orgill Omendra Narayan Martin Samuels Hui-Leng Tan
      Archives of Disease in Childhood - Education and Practice 2020; 105 136-136 Published Online First: 05 Feb 2020. doi: 10.1136/archdischild-2019-318613