Respiratory Indications for Polysomnography in Children: An Evidence-Based Review TABLE OF CONTENTS Abstract ......................................................................................................................................................................................................................................................................................... 398B 1.0 Introduction ............................................................................................................................................................................................................................................................................. 398B 2.0 Background ............................................................................................................................................................................................................................................................................. 398C 2.1 Rationale .............................................................................................................................................................................................................................................................................. 398C 2.2 Summary of earlier guidelines and recommendations ......................................................................................................................................................................................................... 398C 2.3 Establishment of the task force ............................................................................................................................................................................................................................................ 398D 2.4 Assessment of a de facto “gold standard” diagnostic test .................................................................................................................................................................................................... 398E 3.0 Methods ....................................................................................................................................................................................................................................................................................398F 3.1 Overview ...............................................................................................................................................................................................................................................................................398F 3.2 Literature search strategy ......................................................................................................................................................................................................................................................398F 3.3 Data extraction and evidence grading process .....................................................................................................................................................................................................................398F 4.0 Results .....................................................................................................................................................................................................................................................................................398G 4.1 Overview of results ...............................................................................................................................................................................................................................................................398G 4.2 Sleep related breathing disorders ........................................................................................................................................................................................................................................398G 4.2.1 Studies that assess validity or reliability of PSG in children ..........................................................................................................................................................................................398G 4.2.1.1 Correlation of PSG findings with independent measures ...................................................................................................................................................................................... 398H 4.2.1.1.1 History of snoring and other nocturnal symptoms .......................................................................................................................................................................................... 398H 4.2.1.1.2 Audio or video recordings ............................................................................................................................................................................................................................... 398H 4.2.1.1.3 Questionnaires.................................................................................................................................................................................................................................................398J 4.2.1.1.4 Measures of sleepiness ...................................................................................................................................................................................................................................398J 4.2.1.1.4.1 Subjective measures ................................................................................................................................................................................................................................398J 4.2.1.1.4.2 Objective measures ................................................................................................................................................................................................................................. 398K 4.2.1.1.5 Physical examination ...................................................................................................................................................................................................................................... 398K 4.2.1.1.6 Radiographic and endoscopic evaluation ........................................................................................................................................................................................................398L 4.2.1.1.7 Neurocognitive or psychological assessments ................................................................................................................................................................................................398L 4.2.1.1.8 Serial or ambulatory BP measurements .........................................................................................................................................................................................................398O 4.2.1.1.9 Quality of life measures .................................................................................................................................................................................................................................. 398P 4.2.1.1.10 Therapeutic intervention studies that provide evidence of test-retest validity ...............................................................................................................................................398Q 4.2.1.1.11 Other measures ............................................................................................................................................................................................................................................ 398S 4.2.1.2 Test-retest reliability and scoring reliability ..............................................................................................................................................................................................................398T 4.2.1.3 Daytime nap PSG compared with full night PSG ................................................................................................................................................................................................... 398U 4.2.1.4 Nocturnal home oximetry compared with PSG ...................................................................................................................................................................................................... 398V 4.2.2 Clinical utility of PSG in children with risk factors for SRBD ......................................................................................................................................................................................... 398V 4.2.2.1 Obesity ................................................................................................................................................................................................................................................................... 398V 4.2.2.2 Prematurity............................................................................................................................................................................................................................................................. 398X 4.2.2.3 Race/Ethnicity .......................................................................................................................................................................................................................................................