Sleep Study Cutoffs May Guide Discharge

Preoperative sleep study values may distinguish lower-risk children within a population for whom overnight admission is currently routine.

Category	Detail
Condition
Key Mechanisms	Polysomnography cutoffs for identifying low-risk patients (source needed)
Target Population
Care Setting	Tertiary pediatric hospital (source needed)

88% of high-risk patients did not experience severe perioperative events (source needed)
Oxygen saturation nadir was the strongest predictor of severe perioperative events (source needed)
Routine admission of all high-risk patients carries an estimated annual cost burden of $331 million (source needed)

Preoperative polysomnography to confirm severe obstructive sleep apnea (source needed)

Ongoing assessment of oxygen saturation and apnea-hypopnea index (source needed)

Pediatric patients with obesity and severe obstructive sleep apnea

Polysomnography measures may capture physiologic risk mediated by obesity

Utilize simplified clinical rules for risk stratification (source needed)
Perform prospective validation of candidate criteria before implementation (source needed)