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Pulse oximetry studies • 10 studies done - 8/10 from the 3+symptom group • All normal -3/10 had frequent desaturations between 95-97% Learning points: • Improve documentation of symptoms • Oximetry easy to perform, identifies high risk patients (more than 3 desaturations
Stage 2- repeat questionnaire • 8 patients with 3 or >3 symptoms contacted with same questionnaire 12 months later • 3/8 reported still had >3 symptoms • These 3 patients referred for polysomnography at Great Ormond Street Hospital • All 3 polysomnography reports normal Learning points: 1. Only 3/8 symptoms persisted after 12 months 2. Questionnaire validity 3. No evidence of OSA in any of patients (0/10)
Page 1 and 2: Dr I Hadjikoumi, Dr S Jheeta, Dr M
Page 3 and 4: What is it? • Upper airway at the
Page 5 and 6: Symptoms of OSA • Mouth breathing
Page 7 and 8: Why is it common in DS? • Anatomi
Page 9 and 10: Consequences of untreated OSA • P
Page 11 and 12: St George’s Hospital Study Stages
Page 13 and 14: Retrospective analysis • 44 patie
Page 15: Results • 16% - diagnosed OSA by
Page 19 and 20: 2011: Implementation at SGH • Fol
Page 21 and 22: Sleep Apnoea Down Syndrome Study Un
Page 23 and 24: Telephone questionnaire n=10 • 3
Page 25 and 26: Equipment used • TOSCA 500 device
Page 27 and 28: Criteria for a screening programme
Page 29 and 30: Questions • Is capnography useful
Page 31 and 32: Conclusion - Need for robust data f
Page 33: Acknowledgements • Dr R Chavasse-

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