Hostname: page-component-6766d58669-nf276 Total loading time: 0 Render date: 2026-05-19T02:15:13.451Z Has data issue: false hasContentIssue false
  • English
  • Français

A simple diagnostic scale based on the analysis and screening of clinical parameters in paediatric obstructive sleep apnoea hypopnea syndrome

Published online by Cambridge University Press:  28 February 2017

D Wu ,
X Li ,
X Guo ,
J Qin  and
S Li
D Wu
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
X Li
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
X Guo
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
J Qin
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
S Li*
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
*
Address for correspondence: Dr S Li, Department of Otolaryngology, General Hospital of Shenyang Military Area Command, 83 Wenhua Road, Shenhe District, Shenyang 110840, China E-mail: lishsy@sina.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This study aimed to develop a simple and accurate method to diagnose paediatric obstructive sleep apnoea hypopnea syndrome.

Methods:

A total of 311 children with suspected paediatric obstructive sleep apnoea hypopnea syndrome were included in the study. Multiple clinical parameters, including sex, age, body mass index, history of snoring or gasping, history of nasal obstruction, history of running nose, palatine tonsil size, adenoid to nasopharynx ratio, and tympanogram type, were compared with polysomnography results using relevant correlation and regression analyses. A diagnostic scale was established using the regression equation and the correlation between the polysomnography result and scale result was determined.

Results:

The apnoea–hypopnea index correlated significantly with a history of snoring or gasping, palatine tonsil size, and tympanogram type. Stepwise logistic regression analysis revealed that the polysomnography result correlated significantly with a history of snoring or gasping, palatine tonsil size, and the adenoid to nasopharynx ratio. The percentage correlation between the scale and polysomnography results was 77.8 per cent.

Conclusion:

The diagnostic scale can be used to diagnose paediatric obstructive sleep apnoea hypopnea syndrome for clinical application when polysomnography cannot be performed. However, it is not suitable for assessing the severity of paediatric obstructive sleep apnoea hypopnea syndrome.

Keywords

ChildObstructive Sleep ApneaEarly DiagnosisQuestionnaire

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 4 , April 2017 , pp. 363 - 367
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1 Marcus, CL, Brooks, LJ, Draper, KA, Gozal, D, Halbower, AC, Jones, J et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2012;130:e714–55 CrossRefGoogle ScholarPubMed
2 Aurora, RN, Zak, RS, Karippot, A, Lamm, CI, Morgenthaler, TI, Auerbach, SH et al. American Academy of Sleep Medicine. Practice parameters for the respiratory indications for polysomnography in children. Sleep 2011;34:379–88CrossRefGoogle ScholarPubMed
3 Thurnheer, R, Bloch, KE, Laube, I, Gugger, M, Heitz, M. Swiss Respiratory Polygraphy Registry. Respiratory polygraphy in sleep apnoea diagnosis. Report of the Swiss respiratory polygraphy registry and systematic review of the literature. Swiss Med Wkly 2007;137:97–102 Google Scholar
4 Greenfeld, M, Tauman, R, DeRowe, A, Sivan, Y. Obstructive sleep apnea syndrome due to adenotonsillar hypertrophy in infants. Int J Pediatr Otorhinolaryngol 2003;67:1055–60CrossRefGoogle ScholarPubMed
5 Gozal, D, Kheirandish-Gozal, L. The multiple challenges of obstructive sleep apnea in children: morbidity and treatment. Curr Opin Pediatr 2008;20:654–8Google Scholar
6 Capdevila, OS, Kheirandish-Gozal, L, Dayyat, E, Gozal, D. Pediatric obstructive sleep apnea: complications, management, and long-term outcomes. Proc Am Thorac Soc 2008;5:274–82CrossRefGoogle ScholarPubMed
7 Lumeng, JC, Chervin, RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc 2008;5:242–52CrossRefGoogle ScholarPubMed
8 Wang, RC, Elkins, TP, Keech, D, Wauquier, A, Hubbard, D. Accuracy of clinical evaluation in pediatric obstructive sleep apnea. Otolaryngol Head Neck Surg 1998;118:69–73 CrossRefGoogle ScholarPubMed
9 Constantin, E, Tewfik, TL, Brouillette, RT. Can the OSA-18 quality-of-life questionnaire detect obstructive sleep apnea in children? Pediatrics 2010;125:e162–8 Google Scholar
10 Borgström, A, Nerfeldt, P, Friberg, D. Questionnaire OSA-18 has poor validity compared to polysomnography in pediatric obstructive sleep apnea. Int J Pediatr Otorhinolaryngol 2013;77:1864–8Google Scholar
11 Baldassari, CM, Alam, L, Vigilar, M, Benke, J, Martin, C, Ishman, S. Correlation between REM AHI and quality-of-life scores in children with sleep-disordered breathing. Otolaryngol Head Neck Surg 2014;151:687–91Google Scholar
12 Goldstein, NA, Sculerati, N, Walsleben, JA, Bhatia, N, Friedman, DM, Rapoport, DM. Clinical diagnosis of pediatric obstructive sleep apnea validated by polysomnography. Otolaryngol Head Neck Surg 1994;111:611–17Google Scholar
13 Valera, FC, Avelino, MA, Pettermann, MB, Fujita, R, Pignatari, SS, Moreira, GA et al. OSAS in children: correlation between endoscopic and polysomnographic findings. Otolaryngol Head Neck Surg 2005;132:268–72Google Scholar
14 Goldstein, NA, Sculerati, N, Walsleben, JA, Bhatia, N, Friedman, DM, Rapoport, DM. Clinical diagnosis of pediatric obstructive sleep apnea validated by polysomnography. Otolaryngol Head Neck Surg 1994;111:611–17Google Scholar