1. Title: OSA detection in children
Presenter Information:
Stacey L. Ishman, MD, MPH
Professor, Otolaryngology – Head and Neck Surgery & Pulmonary Medicine
Surgical Director, Upper Airway Center

2. Problem Statement In the US Snoring OSA Children 12% 1-4%
Wireless Wearable OSA Detection
In the US Snoring OSA
Children % 1-4%
Adults % 4%
Prevalence likely to increase with rising obesity
Associated with
Poor school performance
Long-term cardiovascular issues
Behavioral problems
Currently diagnosis requires sleep study (polysomnogram) which is expensive & inconvenient

3. Problem Statement Good night sleep is essential for: Quality of life,
Productivity and creativity at-home and in-work,
Social interaction,
Education achievements,
Health (cardiovascular morbidity,…)

4. Problem Statement Symptoms Snoring Excessive Daytime Sleepiness
Pauses in Breathing While Sleeping
Abrupt Awakenings
Morning Headache
Awakening with Chest pain

5. Problem Statement Polysomnography (PSG) – gold-standard Expansive
Long waiting lists
Uncomfortable
>80% remain undiagnosed

6. Problem Statement Home sleep studies
Wireless Wearable OSA Detection
Home sleep studies
Have become the norm in the US for adults
Algorithms are typically not intended for children (different desaturation indices)
Not sized for children

7. Problem Statement
Sleep evaluation Device
There is a need for a technology that will evaluate sleep and respiration for the mass population.
Will improve accessibility,
Early diagnosis and treatment will improve health and quality of life.

8. Need Statement
A home-use, portable, non-invasive device for diagnosing and detection of sleep quality and sleep apnea events, over a night sleep

9. Main requirements: Ideal Current practice easy to use
Wireless Wearable OSA Detection
Ideal
easy to use
low cost evaluation method
assess for obstructive sleep apnea in children
in-home
easy for children to tolerate
can differentiate sleep from non-sleep
Current practice
Inlab sleep study

10. Available products on the market

12. Summary OSA is common in the US and worldwide
Wireless Wearable OSA Detection
OSA is common in the US and worldwide
In-lab study is the primary ped option in the US
Wearable, wireless assessment would be ideal
PAT technology may be a way to get this accomplished
OR use 1-2 wearable patches to extend what you can obtain from a home study
Could be extended to adults
Could expand home studies to include EEG and/or detect central vs obstructive events based on where they are worn
Limited by what you can put in a wearable patch & expense