The Use of Psychomotor Vigilance Testing in the Assessment of Pediatric Obstructive Sleep Apnea (PVT)
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Purpose
Obstructive sleep apnea results in decreased attentiveness and response times in patients. The objective of this study is to quantify these consequences in pediatric OSA patients using an already established tool for examining the results of sleep deprivation and fragmentation: psychomotor vigilance testing. PVT has been used in children, but has not been studied in pediatric OSA patients. This study aims to employ PVT along the normal course of diagnosis and treatment of pediatric OSA patients in our clinical practice at Arkansas Children's Hospital. The investigators hypothesize that pediatric OSA patients will exhibit decreased PVT scoring when compared to children without OSA, and that PVT can be used to diagnose and monitor treatment outcomes in these patients.
| Condition | Intervention |
|---|---|
|
Pediatric Obstructive Sleep Apnea |
Device: Psychomotor Vigilance Testing |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | The Use of Psychomotor Vigilance Testing in the Assessment of Pediatric Obstructive Sleep Apnea |
- OSA Subject PVT Sessions [ Time Frame: 10-20 minutes each session, 3 sessions total ] [ Designated as safety issue: No ]Subjects with obstructive sleep apnea will be asked to participate in 3 sessions. Your child will be asked to complete some noninvasive tests at each session. These tests consist of Psychomotor Vigilance Task testing. A Psychomotor Vigilance Task (PVT) will measure your level of alertness and attentiveness. The PVT involves pressing a button after hearing a specific tone or seeing a flashing light. This test takes approximately 10 minutes to complete. The PVT testing will be done at the first clinic visit, then before any treatments, and finally after treatments have taken place.
- Control Subject PVT Session [ Time Frame: 10-20 minute session, 1 session ] [ Designated as safety issue: No ]Subjects in the control group without clinical signs and symptoms of sleep apnea will only undergo PVT for one session. Your child will be asked to complete some noninvasive tests at this session. These tests consist of Psychomotor Vigilance Task testing. A Psychomotor Vigilance Task (PVT) will measure your level of alertness and attentiveness. The PVT involves pressing a button after hearing a specific tone or seeing a flashing light. This test takes approximately 10 minutes to complete.
| Estimated Enrollment: | 110 |
| Study Start Date: | May 2010 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
-
Device: Psychomotor Vigilance Testing
Eligibility| Ages Eligible for Study: | 6 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Healthy pediatric patients ages 6-18 years old
- with symptoms of OSA (snoring, pauses in sleep breathing, restless sleep, frequent arousals, excellive daytime sleepiness, morning headaches)
- with physical exam findings consistent with adenotonsillar hypertrophy
- those identified as good candidates for adenotonsillectomy
- who are to undergo a polysomnogram as part of their preoperative work-up
Exclusion Criteria:
- History of attention deficit disorder, developmental delay, or mental retardation
- Children taking any neurotropic medications (including antiepileptics, antidepressives, and stimulants)
- Children previously treated for OSA (surgically or medically)
- Children with significant comorbidities including other sleep-related disorders
Contacts and Locations| United States, Arkansas | |
| Arkansas Children's Hospital | |
| Little Rock, Arkansas, United States, 72202 | |
| Principal Investigator: | Gresham T Richter, MD | UAMS, ACH |
More Information
No publications provided
| Responsible Party: | University of Arkansas |
| ClinicalTrials.gov Identifier: | NCT01276860 History of Changes |
| Other Study ID Numbers: | 112316 |
| Study First Received: | January 12, 2011 |
| Last Updated: | May 21, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Arkansas:
|
Obstructive Sleep Apnea Pediatric Obstructive Sleep Apnea OSA |
PVT Psychomotor Vigilance Testing Psychomotor Vigilance Task |
Additional relevant MeSH terms:
|
Apnea Sleep Apnea Syndromes Sleep Apnea, Obstructive Respiration Disorders Respiratory Tract Diseases Signs and Symptoms, Respiratory |
Signs and Symptoms Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders Nervous System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013