Evaluation of a Simplified Method for Diagnosis of Sleep Apnea in Children and Adults With Down Syndrome (SAOS/T21)
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Purpose
People with Down syndrome are at increased risk of sleep apnea, not only from obstruction of the upper airway, but also of central origin. According to published data, sleep apnea may occur in at least 40% of children and adults with Down syndrome. Consequences of these sleep apnea are numerous : failure to thrive, cognitive decline, high blood pressure, heart disease, accident due to day sleepiness, fatigue. This condition is treatable in people with Down syndrome, as it is in ordinary people.
Diagnosis of sleep apnea in people with Down syndrome is therefore a major concern. In addition, data regarding age of apparition of this complication are missing, making repeated screening necessary.
Polysomnography is the method of choice for the diagnosis of sleep apnea. Unfortunately, it is time consuming and sleep departments are heavily busy.
| Condition | Intervention |
|---|---|
|
Down Syndrome |
Other: Polysomnography |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Evaluation of a Simplified Method for Diagnosis of Sleep Apnea in Children and Adults With Down Syndrome |
- Apnea / hypopnea events index determined by reading the complete polysomnography (review reference) and apnea / hypopnoea events index determined by the simplified five parameters of the polysomnography [ Time Frame: At 15 days after enroling ] [ Designated as safety issue: No ]
- Questionnaire on sleep [ Time Frame: At inclusion and at the end (18 months) ] [ Designated as safety issue: No ]
- Psychometric tests [ Time Frame: At inclusion and at the end (18 months) ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | February 2010 |
| Estimated Study Completion Date: | September 2014 |
| Estimated Primary Completion Date: | September 2014 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Down syndrome
Adult and children with Down syndrome.
|
Other: Polysomnography
Polysomnography is the method of choice for the diagnosis of sleep apnea. This test lasts for one night in hospital.
|
Detailed Description:
The main objective of our study is to evaluate an easier screening strategy combining questionnaire and overnight recording of few data, compared to polysomnography.
We hope our strategy will permit regular screening for people with Down syndrome, helping us to draw guidelines for the survey of sleep apnea in this population.
Eligibility| Ages Eligible for Study: | 2 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with Down syndrome
Inclusion Criteria:
- Down syndrome
- Patient (or parents of children) affiliated in a Social Regimen
- Written consent signed (by parents for the children)
Exclusion Criteria:
- Severe heart failure
- Insufficient autonomy
- Diagnosis of insanity, or behavioural problems
Contacts and Locations| Contact: Benedicte DE FREMINVILLE, MD | +33(0)477828048 | benedicte.de.freminville@chu-st-etienne.fr |
| Contact: Arnauld GARCIN, CRA | +33(0)477120286 | agarcin34@yahoo.fr |
| France | |
| CHU de Grenoble | Recruiting |
| Grenoble, France, 38000 | |
| Principal Investigator: Jean-Louis PEPIN, MD PhD | |
| Hospices Civiles de lyon | Recruiting |
| Lyon, France, 69000 | |
| Principal Investigator: Damien SANLAVILLE, MD | |
| Sub-Investigator: Patricia FRANCO, MD | |
| CHU de Saint-Etienne | Recruiting |
| Saint-etienne, France, 42055 | |
| Principal Investigator: Benedicte De FREMINVILLE, MD | |
| Sub-Investigator: Renaud TOURAINE, MD | |
| Sub-Investigator: Isabelle COURT-FORTUNE, MD | |
| Sub-Investigator: Frédéric ROCHE, MD PhD | |
| Principal Investigator: | Benedicte De Freminville, MD | CHU de Saint-Etienne |
More Information
No publications provided
| Responsible Party: | Centre Hospitalier Universitaire de Saint Etienne |
| ClinicalTrials.gov Identifier: | NCT00951730 History of Changes |
| Other Study ID Numbers: | 0808017, 2008-A01273-52 |
| Study First Received: | August 3, 2009 |
| Last Updated: | January 16, 2013 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) France: French Data Protection Authority |
Keywords provided by Centre Hospitalier Universitaire de Saint Etienne:
|
Down Syndrome Adult Children |
Sleep apnea Sleep hypopnea Polysomnography |
Additional relevant MeSH terms:
|
Down Syndrome Apnea Sleep Apnea Syndromes Respiration Disorders Respiratory Tract Diseases Signs and Symptoms, Respiratory Signs and Symptoms Mental Retardation Neurobehavioral Manifestations |
Neurologic Manifestations Nervous System Diseases Abnormalities, Multiple Congenital Abnormalities Chromosome Disorders Genetic Diseases, Inborn Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders |
ClinicalTrials.gov processed this record on June 17, 2013