Home respiratory polygraphy in obstructive sleep apnea syndrome in children: Comparison with a screening questionnaire.
Int J Pediatr Otorhinolaryngol
; 143: 110635, 2021 Apr.
Article
em En
| MEDLINE
| ID: mdl-33535090
ABSTRACT
OBJECTIVES:
The prevalence of obstructive sleep apnea syndrome (OSAS) in children referred for sleep-disordered breathing reaches up to 59%. We aimed to test the adequacy of a questionnaire compared to home respiratory polygraphy (HRP), in 45 subjects (5-16 years-old), without maxillofacial malformations nor other comorbidities, presenting with symptoms compatible with OSAS.METHODS:
All children passed a 12-items questionnaire (Obstructive Airway Child test OACT) and the HRP. OSAS was classified in severity according to the apnea-hypopnea index (AHI).RESULTS:
With HRP, 60% and 15% children were detected to have at least mild (AHI ≥1) and moderate (AHI >5) OSAS, respectively. The sensitivity of the questionnaire to detect mild and moderate OSAS was good (93% and 71%, respectively) but the specificity was very low (11% and 34%). However, an OACT score under 61 showed a very good negative predictive value for moderate and severe OSAS (87%). With the questionnaire, we could have avoided a complementary PSG or HRP in 25/45 (56%) of our subjects as in children with mild OSAS and without comorbidities only clinical observation is usually advised.CONCLUSIONS:
The OACT questionnaire has shown to be a good and quick instrument to exclude moderate and severe OSAS in our population of children without maxillofacial malformations. Indeed children scoring under 61 could avoid a constraining and expensive sleep exam. However, if the score is above this cut-off, the performance to recognize OSAS is low and the child's evaluation must be completed by a HRP or PSG.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Apneia Obstrutiva do Sono
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article