The American Academy of Sleep Medicine is reconsidering its position not to recommend the use of home sleep apnea tests in children as access to in-lab studies grows more difficult.
In many parts of the country, children and their parents face months-long wait times for sleep tests at labs. With obesity rising among the pediatric population, at-home sleep tests to assess sleep apnea and other disorders may be a more accessible and less expensive option.
The AASM Task Force said it will update guidance on HSAT in 2025, taking into consideration more recent research. Binal Kancherla, MD, program chairperson of the Section on Pediatric Pulmonology and Sleep Medicine Executive Committee at the American Academy of Pediatrics, said most general pediatricians do not have expertise in assessing results from home tests or dealing with failed studies.
“My concern about home sleep testing is mostly when it fails,” Bhattacharjee stated. “How many more times do we try again until we call it a day? And then if we call it a day, what happens to these kids?”will still have OSA after the procedure, Bhattacharjee said. In this case, CPAP may be warranted, but children will need an in-lab study to receive confirmation of diagnosis for insurers to reimburse the device.
“Many devices now utilize a computer-based scoring system of collected data rather than the human-scored interpretations that have long been the standard for sleep apnea testing,” Cielo said. In-lab polysomnography for children is covered by most insurers, but most private insurers require preauthorization. Insurers typically do not cover home tests for children, said Bandyopadhyay, an assistant professor of clinical pediatrics at the Indiana University School of Medicine in Indianapolis.
Sleep Apnoea Otolaryngology ENT Specialty Head And Neck Surgery ENT Speciality Obesity Obese Sleep Central Sleep Apnea Central Sleep Apnoea Diagnostics And Medical Device Diagnostics And Medical Devices Biomedical Devices Diagnostic Devices Children Child Childhood Pediatrics Kids Sleep Disturbance Abnormal Sleep Pattern Sleep Disorder Somnipathy
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