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Sleep efficiency 80% was seen in 32.5%; 34.3% had a sleep latency 30 minutes; 15.9% had total sleep time 360 minutes; and 75.6% had an arousal index 10/h. Overall, 69.2% had ≥2 metrics of poor sleep architecture. REM sleep time 20% was seen in 35.3%. REM sleep time decreased with age. In children with Down syndrome, 32.5% had sleep efficiency 80%; 75.6% had an elevated arousal index; and 15.9% had total sleep time 360 minutes. More than a third of the patients had ≥3 markers of poor sleep architecture. There wa