Feasibility and parental perception of home sleep studies during COVID-19: a tertiary sleep centre experience

ObjectiveRapid implementation of home sleep studies during the first UK COVID-19 ‘lockdown’—completion rates, family feedback and factors that predict success.DesignWe included all patients who had a sleep study conducted at home instead of as inpatient from 30 March 2020 to 30 June 2020. Studies wi...

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Bibliographic Details
Published in:	Archives of disease in childhood Vol. 107; no. 2; pp. 189 - 191
Main Authors:	Jones, Susan, Hanwell, Ross, Chowdhury, Tharima, Orgill, Jane, van den Eshof, Kirandeep, Farquhar, Michael, Joseph, Desaline, Gringras, Paul, Trucco, Federica
Format:	Journal Article
Language:	English
Published:	England BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01-02-2022 BMJ Publishing Group LTD
Subjects:	Adolescent Age Age Factors Attention deficit hyperactivity disorder Autism Autism Spectrum Disorders Carbon dioxide Cerebral Palsy Child Child, Preschool Congenital Impairments Correspondence Study COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control COVID-19 - transmission Developmental Delays Down Syndrome Family (Sociological Unit) Feasibility Studies Female Home environment Home Study Humans Infant Male Medical research Neurodevelopmental disorders Parents Parents - psychology Participation Patients Pediatrics Perception Polysomnography - methods Polysomnography - psychology Polysomnography - standards Quarantine - standards Research and Development Retrospective Studies Self-Testing Short report Sleep Sleep apnea Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - etiology Statistical Analysis Surveys and Questionnaires - statistics & numerical data Tertiary Care Centers - standards Tertiary Care Centers - statistics & numerical data United Kingdom - epidemiology Ventilation United Kingdom United Kingdom > UK COVID-19 sleep
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Summary:	ObjectiveRapid implementation of home sleep studies during the first UK COVID-19 ‘lockdown’—completion rates, family feedback and factors that predict success.DesignWe included all patients who had a sleep study conducted at home instead of as inpatient from 30 March 2020 to 30 June 2020. Studies with less than 4 hours of data for analysis were defined ‘unsuccessful’.Results137 patients were included. 96 underwent home respiratory polygraphy (HRP), median age 5.5 years. 41 had oxycapnography (O2/CO2), median age 5 years. 56% HRP and 83% O2/CO2 were successful. A diagnosis of autism predicted a lower success rate (29%) as did age under 5 years.ConclusionSwitching studies rapidly from an inpatient to a home environment is possible, but there are several challenges that include a higher failure rate in younger children and those with neurodevelopmental disorders.
ISSN:	0003-9888 1468-2044
DOI:	10.1136/archdischild-2021-322184