Clinical Outcomes From Treatment and Evaluation of Obstructive Sleep Apnoea in Children With Down Syndrome

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age6-16
SponsorChildren's Health Ireland

About this trial

The goal of this observational study is to learn about the use of non-invasive ventilation for treatment of obstructive sleep apnoea syndrome in children with Down Syndrome. The main questions it aims to answer are:

* What is the impact of non-invasive ventilation on sleep behaviours and quality of life? * What barriers are faced by children and their families in establishing tolerance to non-invasive ventilation?

Participants will be asked to complete questionnaires before and after starting treatment. Researchers will compare this data with the results of sleep studies and non-invasive ventilator downloads recorded as part of standard medical care. A sub-group of up to 20 participants will be invited to take part in 45-60 minute interviews exploring expectations, experiences and barriers encountered during non-invasive ventilation therapy.

Eligibility criteria

Qualifiers

Individuals with a confirmed diagnosis of Down Syndrome where a clinical decision has been made to initiate respiratory support with non-invasive ventilation.

Obstructive Apnoea Hypopnoea Index > 2 episodes/hour or where sleep disordered breathing symptoms occur in combination with an Apnoea Hypopnoea Index > 1 episode/hr. - English language proficiency.

Age ≥ 4 months at the commencement of therapy.

Disqualifiers

Individuals not willing to comply with study procedures or assessments.

Individuals for whom ventilatory support devices are already prescribed and those with artificial airways.

Individuals on clinical trials of investigational support therapies.

Trial design

Treatments tested in this trial

  • Non-invasive ventilation

Treatment groups

200 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Children's Health Ireland

Lead sponsor

University of Edinburgh

Collaborator

Birmingham Children's Hospital

Collaborator

Belfast Health and Social Care Trust

Collaborator

University Hospital Southampton NHS Foundation Trust

Collaborator

University of Dublin, Trinity College

Collaborator