| Aggregate Evidence Quality | Grade B |
| Benefits | Reduce costs, unnecessary testing, and caregiver/infant anxiety |
| Avoid consequences of false-positive results | |
| Risks, harm, cost | May miss rare instances of hypoxemia, hypercapnia, and/or bradycardia that would be detected by polysomnography |
| Benefit-harm assessment | The benefits of reducing unnecessary testing and false-positive results, as well as alleviating caregiver and infant anxiety, outweigh the rare missed diagnostic opportunity for hypoxemia, hypercapnia, and/or bradycardia |
| Intentional vagueness | None |
| Role of patient preferences | Caregivers may report concern regarding some aspects of their infant’s sleep pattern that may influence the decision to perform polysomnography |
| Exclusions | None |
| Strength | Moderate recommendation |
| Key reference | 39 |
| Aggregate Evidence Quality | Grade B |
| Benefits | Reduce costs, unnecessary testing, and caregiver/infant anxiety |
| Avoid consequences of false-positive results | |
| Risks, harm, cost | May miss rare instances of hypoxemia, hypercapnia, and/or bradycardia that would be detected by polysomnography |
| Benefit-harm assessment | The benefits of reducing unnecessary testing and false-positive results, as well as alleviating caregiver and infant anxiety, outweigh the rare missed diagnostic opportunity for hypoxemia, hypercapnia, and/or bradycardia |
| Intentional vagueness | None |
| Role of patient preferences | Caregivers may report concern regarding some aspects of their infant’s sleep pattern that may influence the decision to perform polysomnography |
| Exclusions | None |
| Strength | Moderate recommendation |
| Key reference | 39 |