Child ; Humans ; Polysomnography ; Sleep Apnea Syndromes ; physiopathology ; surgery ; Tonsillectomy ; methods

Child ; Humans ; Pediatrics ; Practice Guidelines as Topic ; Tonsillectomy ; United States

OBJECTIVETo discuss the factors associated with non-adherence to therapy with home-based remote monitoring noninvasive positive pressure ventilation (NIPPV) in children with obstructive sleep apnea-hypopnea syndrome (OSAHS) and risk factors.

METHODSTwenty-one children with OSAHS and risk factors from March 2001 to December 2012 were enrolled in this study. They all received home-based remote monitoring NIPPV therapy. After admission, all children underwent NIPPV titration, then the parents were trained to operate the ventilator, after that, the children were discharged. Remote monitoring started to monitor NIPPV parameters and the adherence to NIPPV.

RESULTSUnder remote monitoring, ten children (50.0%) were adherence to NIPPV therapy. Seven children (31.8%) gave up NIPPV therapy within one week and four children (19.0%) gave up one month after NIPPV therapy started. The reason for non-adherence was as follows: 3 cases (27.3%) had some economic problems, 3 cases (27.3%) considered NIPPV therapy as a inconvenient therapy and lost patience; 2 cases(18.2%) resisted the therapy and 3 cases (27.3%) could not tolerate the therapy.

CONCLUSIONSUnder remote monitoring, non-adherence to home-based remote monitoring NIPPV therapy is still high in children during the early treatment, mainly due to economic problems, intolerance to the therapy and lack of the recognition of the importance of the therapy.

Apnea ; Child ; Humans ; Patient Compliance ; Positive-Pressure Respiration ; methods ; Remote Sensing Technology ; Risk Factors ; Sleep Apnea, Obstructive ; therapy

OBJECTIVETo analyse the correlation between tone burst auditory brainstem response (tone burst auditory brainstem response, tb-ABR) and CE-Chirp voice evoked auditory steady-state response (auditory steady-state response, CE-Chirp ASSR) in infants with profound sensorineural hearing loss.

METHODSA total of 45 infants with profound sensorineural hearing loss underwent threshold tone burst ABR and CE-Chirp ASSR of the frequency response test, response thresholds were recorded in 0.5, 1.0, 2.0 and 4.0 kHz. Whether there was correlation or not existed between two methods were analyzed, SPSS 11.0 statistics software was used.

RESULTSTone burst ABR and CE-Chirp ASSR could lead to different degrees of threshold in each frequency. Response e elicited threshold percentage mainly concentrated in the 91-100 dBnHL, correlation coefficient between 500-4 000 Hz response threshold elicited rate were: 0.837, 0.913, 0.909, and 0.919, respectively (P < 0.001). The difference of the frequency response threshold test between CE-Chirp ASSR and tone burst ABR were not significant (P > 0.05, Chi square).

CONCLUSIONSThe tone burst ABR and CE-Chirp ASSR each frequency have different levels of residual hearing in infants with profound sensorineural hearing loss diagnosed by Click ABR, good correlation exists between tone burst ABR and CE-Chirp ASSR.

Acoustic Stimulation ; methods ; Auditory Threshold ; Evoked Potentials, Auditory, Brain Stem ; Hearing ; Hearing Loss, Sensorineural ; diagnosis ; Hearing Tests ; Humans ; Infant