دورية أكاديمية
Paediatric sleep diagnostics in the 21st century: the era of "sleep-omics"?
| العنوان: | Paediatric sleep diagnostics in the 21st century: the era of "sleep-omics"? |
|---|---|
| المؤلفون: | Vennard H; College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.; Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Children, Glasgow, UK., Buchan E; Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Children, Glasgow, UK., Davies P; Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Children, Glasgow, UK., Gibson N; Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Children, Glasgow, UK., Lowe D; College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK., Langley R; College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK ross.langley@ggc.scot.nhs.uk.; Department of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Children, Glasgow, UK. |
| المصدر: | European respiratory review : an official journal of the European Respiratory Society [Eur Respir Rev] 2024 Jun 26; Vol. 33 (172). Date of Electronic Publication: 2024 Jun 26 (Print Publication: 2024). |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: European Respiratory Society Country of Publication: England NLM ID: 9111391 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 1600-0617 (Electronic) Linking ISSN: 09059180 NLM ISO Abbreviation: Eur Respir Rev Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Sheffield, United Kingdom : European Respiratory Society Original Publication: Copenhagen K, Denmark : Published by the Society and distributed by Munksgaard International Publishers, 1991- |
| مواضيع طبية MeSH: | Sleep Apnea Syndromes*/diagnosis , Sleep Apnea Syndromes*/therapy , Sleep Apnea Syndromes*/physiopathology , COVID-19*/diagnosis , COVID-19*/epidemiology , Polysomnography* , Sleep*, Humans ; Child ; Child, Preschool ; Predictive Value of Tests ; Artificial Intelligence ; Infant ; Prognosis ; Adolescent ; SARS-CoV-2 ; Risk Factors |
| مستخلص: | Paediatric sleep diagnostics is performed using complex multichannel tests in specialised centres, limiting access and availability and resulting in delayed diagnosis and management. Such investigations are often challenging due to patient size (prematurity), tolerability, and compliance with "gold standard" equipment. Children with sensory/behavioural issues, at increased risk of sleep disordered breathing (SDB), often find standard diagnostic equipment difficult.SDB can have implications for a child both in terms of physical health and neurocognitive development. Potential sequelae of untreated SDB includes failure to thrive, cardiopulmonary disease, impaired learning and behavioural issues. Prompt and accurate diagnosis of SDB is important to facilitate early intervention and improve outcomes.The current gold-standard diagnostic test for SDB is polysomnography (PSG), which is expensive, requiring the interpretation of a highly specialised physiologist. PSG is not feasible in low-income countries or outwith specialist sleep centres. During the coronavirus disease 2019 pandemic, efforts were made to improve remote monitoring and diagnostics in paediatric sleep medicine, resulting in a paradigm shift in SDB technology with a focus on automated diagnosis harnessing artificial intelligence (AI). AI enables interrogation of large datasets, setting the scene for an era of "sleep-omics", characterising the endotypic and phenotypic bedrock of SDB by drawing on genetic, lifestyle and demographic information. The National Institute for Health and Care Excellence recently announced a programme for the development of automated home-testing devices for SDB. Scorer-independent scalable diagnostic approaches for paediatric SDB have potential to improve diagnostic accuracy, accessibility and patient tolerability; reduce health inequalities; and yield downstream economic and environmental benefits. Competing Interests: Conflict of interest: All authors have nothing to disclose. (Copyright ©The authors 2024.) |
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| تواريخ الأحداث: | Date Created: 20240626 Date Completed: 20240626 Latest Revision: 20240703 |
| رمز التحديث: | 20240703 |
| مُعرف محوري في PubMed: | PMC11216690 |
| DOI: | 10.1183/16000617.0041-2024 |
| PMID: | 38925792 |
| قاعدة البيانات: | MEDLINE |
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