Analysis of mandibular jaw movements to assess ventilatory support management of children with obstructive sleep apnea syndrome treated with positive airway pressure therapies - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Pediatric Pulmonology Année : 2024

Analysis of mandibular jaw movements to assess ventilatory support management of children with obstructive sleep apnea syndrome treated with positive airway pressure therapies

Julie Cassibba
  • Fonction : Auteur
Guillaume Aubertin
  • Fonction : Auteur
Jean Benoit Martinot
Nam Le Dong
  • Fonction : Auteur
Eglantine Hullo
  • Fonction : Auteur
Nicole Beydon
Audrey Dupont-Athénor
  • Fonction : Auteur
Guillaume Mortamet

Résumé

Abstract Background The polysomnography (PSG) is the gold‐standard for obstructive sleep apnea (OSA) syndrome diagnosis and assessment under positive airway pressure (PAP) therapies in children. Recently, an innovative digital medicine solution, including a mandibular jaw movement (MJM) sensor coupled with automated analysis, has been validated as an alternative to PSG for pediatric application. Objective This study aimed to assess the reliability of MJM automated analysis for the assessment of residual apnea/hypopnea events during sleep in children with OSA treated with noninvasive ventilation (NIV) or continuous PAP (CPAP). Methods In this open‐label prospective non‐randomized multicentric trial, we included children aged from 5 to 18 years with a diagnosis of severe OSA. The children underwent in‐laboratory PSG with simultaneous MJM monitoring and at‐home recording with MJM monitoring 3 months later. Agreement between PSG and MJM analysis in measuring the residual apnea‐hypopnea index (AHI) was evaluated by the Bland−Altman method. The treatment effect on residual AHI was estimated for both PSG and MJM analysis. Results Fifteen (60% males) children were included with a median age of 12 years [interquartile range 8−15]. Two (17%) were ventilated with NIV and 13 (83%) with CPAP. There was a good agreement between MJM‐AHI and PSG‐AHI with a median bias of −0.25 (95% CI: −3.40 to +2.04) events/h. The reduction in AHI under treatment was consistently significant across the three measurement methods: in‐laboratory PSG and MJM recordings in the laboratory and at home. Conclusion Automated analysis of MJM is a highly reliable alternative method to assess residual events in a small population treated with PAP therapies.

Dates et versions

hal-04540793 , version 1 (10-04-2024)

Identifiants

Citer

Julie Cassibba, Guillaume Aubertin, Jean Benoit Martinot, Nam Le Dong, Eglantine Hullo, et al.. Analysis of mandibular jaw movements to assess ventilatory support management of children with obstructive sleep apnea syndrome treated with positive airway pressure therapies. Pediatric Pulmonology, 2024, ⟨10.1002/ppul.27005⟩. ⟨hal-04540793⟩

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