PS-233Actigraphy Is Not A Reliable Method For Sleep Studies In Neonates

• Published in: Archives of disease in childhood Vol. 99; no. Suppl 2; pp. A197 - A198
• Main Authors: Roue, J, Rioualen, S, Dubourg, M, Lefranc, J, Alavi, Z, Nowak, E, Sizun, J
• Format: Journal Article
• Language: English
• Published: 01.10.2014
• ISSN: 0003-9888
• DOI: 10.1136/archdischild-2014-307384.532

Background and aimsSleep is an essential physiological function in newborn development. Polysomnography is the gold standard for sleep analysis. Extended recordings are difficult with this method. To evaluate actigraphy's reliability to determine sleep-wake patterns in newborns in comparison with polysomnography.MethodsProspective, monocentric study. 48 infants sleep patterns were recorded and assigned into two groups: group 1: 24 preterm neonates at 34-36 weeks gestational age (GA); group 2: 24 term neonates. Polysomnography (PSG) and 2 actigraphs (ACT) Actiwatch Mini registered [on arm (arm-ACT), on leg (leg-ACT)] were used during a 3-hour period. Primary endpoint: agreement rate (AR) PSG and leg-ACT with Medium activity threshold setting. Secondary endpoint: AR arm-ACT and leg-ACT. AR's threshold was set at 85% for validation purposes. Effect of ACT activity threshold setting on a sample of 11 newborns was evaluated.ResultsGA, birth weight and age at the recording: 34.5 weeks plus or minus 0.5 and 39.2 plus or minus 1.1, 2368 g plus or minus 336 and 3393 plus or minus 439, 6.4 days plus or minus 2.8 and 2.54 plus or minus 0.72 respectively for group 1 and 2. Group 1: AR PSG and leg-ACT was 67% plus or minus 17 [95% CI, 60-74] and group 2: 58% plus or minus 17 [95% CI, 51-65]. Group 1: AR arm-ACT and leg-ACT was 78% plus or minus 12 [95% CI, 73-83] and group 2: 85% plus or minus 10 [95% CI, 81-89]. ACT activity threshold setting did not have an impact on the results.ConclusionsACT recording, a few days after birth, is not a reliable method for sleep pattern studies in preterm and term neonates.