Screening of Obstructive Sleep Apnea by Smartphone Homemade Video in Childood Snoring Population
Palavras-chave
Resumo
Descrição
Obstructive sleep apnoea syndrome (OSAS) is a common disorder in school-aged children with an estimated prevalence of 1-4%. The main etiology is adeno-amygdala hypertrophy. Adenoamygdalectomy, which involves the removal of tonsils and adenoids, is a common procedure. In the majority of cases, it allows the healing of OSAS. The surgical indication is currently based on clinical arguments sensitized by the calculation of a severity score (Spruyt and Gozal score). However, this procedure is not without complications: pneumopathy (for 1.5% of procedures), blood transfusion for haemorrhage (1/400 to 1/2 500), death due to haemorrhage (1/35 000 to 1/50 000).
Currently there is no indication to perform a preoperative sleep recording for this surgery. This recording will only be made in case of associated comorbidities (obesity, craniofacial malformations, neurological disorders...).
The current growth and diffusion of smartphones in the population provides a simple technical means of video recording the child's sleep. More and more parents come to an ENT consultation with a video recording of their child's sleep on a smartphone. The current recommendations say to take these data into account without any study having evaluated the value of such records. The video recording of a snoring child's sleep has already been evaluated by Sivan et al in 1996. This study finds a good correlation between polysomnographic recording and a method of rating video recordings of sleep in children with adeno-amygdala hypertrophy without associated comorbidities.
The aim of this study is therefore to evaluate the value of this video recording on smartphone made by the parents by comparing it to ventilatory polygraphy (PV) on the one hand and to the clinical evaluation method (clinical examination + SHS score) on the other hand. If our hypothesis is correct, smartphone video recording could be an additional tool to the clinical diagnosis of OSA in children with adeno-amygdala hypertrophy.
datas
| Última verificação: | 01/31/2019 |
| Enviado pela primeira vez: | 11/04/2018 |
| Inscrição estimada enviada: | 11/13/2018 |
| Postado pela primeira vez: | 11/15/2018 |
| Última atualização enviada: | 01/31/2019 |
| Última atualização postada: | 02/03/2019 |
| Data real de início do estudo: | 02/27/2019 |
| Data Estimada de Conclusão Primária: | 01/11/2020 |
| Data Estimada de Conclusão do Estudo: | 01/11/2020 |
Condição ou doença
Intervenção / tratamento
Behavioral: children with adenoamygdala hypertrophy
Fase
Grupos de Armas
| Braço | Intervenção / tratamento |
|---|---|
| Experimental: children with adenoamygdala hypertrophy | Behavioral: children with adenoamygdala hypertrophy value of a video recording of the child sleep on smartphone made by the parents |
Critério de eleição
| Idades qualificadas para estudar | 3 Years Para 3 Years |
| Sexos elegíveis para estudo | All |
| Aceita Voluntários Saudáveis | sim |
| Critério | Inclusion Criteria: - Children between 3 and 10 years old consulting an ENT for snoring noted by the entourage (parents). - Tonsil hypertrophy ≥ 2 (Brodsky classification). - Entourage in possession of a smartphone allowing a video recording (under Android format). Exclusion Criteria: - Chronic cardiovascular, neurological, metabolic (overweight, obesity) or associated pulmonary pathology. - Syndromic craniofacial malformations. |
Resultado
Medidas de Resultado Primário
1. Video analysis score [at day 1]
2. status obtained with PV [at day 1]
Medidas de Resultado Secundário
1. Video analysis score [at day 1]
2. score from the Spruyt and Gozal questionnaire [at day 1]
