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Evaluation of sleep-disordered breathing in children
Han Sohn1, Richard M Rosenfeld
1Department of Otolaryngology, State University of New York Downstate Medical Center and The Long Island College Hospital, USA.
Summary
The OSA-18 survey effectively measures quality of life improvements in children with sleep-disordered breathing after surgery. This validated tool shows significant responsiveness to changes in patient well-being.
Area of Science:
- Pediatric Otolaryngology
- Quality of Life Research
- Sleep Medicine
Background:
- Sleep-disordered breathing (SDB) significantly impacts children's quality of life (QOL).
- Objective assessment of QOL changes in pediatric SDB is crucial for evaluating treatment efficacy.
Purpose of the Study:
- To evaluate changes in disease-specific QOL for children with sleep-disordered breathing (SDB).
- To assess the validity and responsiveness of the OSA-18 survey in this population.
Main Methods:
- A cohort study involving 69 children (6 months to 13 years) with SDB.
- Utilized the OSA-18 survey, completed pre- and post-operatively (at least 4 weeks after surgery).
- Interventions included tonsillectomy or adenoidectomy as part of routine care.
Main Results:
- The mean OSA-18 change score of 1.14 indicated significant QOL improvement post-surgery.
- The OSA-18 change score demonstrated strong correlations with tonsil/adenoid size and other validated measures (OSD-6).
- The survey showed large responsiveness to change (SRM 1.44), particularly in sleep disturbance, physical suffering, and caregiver concerns.
Conclusions:
- The OSA-18 is a valid, reliable, and responsive QOL measure for children with SDB.
- It serves as a valuable instrument for both discriminative and evaluative purposes.
- The OSA-18 is suitable for clinical trials, health services research, and routine clinical care.