Clinical risk factors for obstructive sleep apnoea in children

K W Chau1, D K K Ng, C K L Kwok

  • 1Department of Paediatrics, Kwong Wah Hospital, Waterloo Road, Kowloon, Hong Kong, People's Republic of China. dkkng@ha.org.hk

Insights

Daily snoring in children is a significant indicator for obstructive sleep apnoea syndrome (OSAS). This symptom aids in identifying children who require further sleep study evaluation.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine

Background:

  • Obstructive sleep apnoea syndrome (OSAS) is a common condition in children.
  • Accurate identification of OSAS is crucial for timely intervention.

Purpose of the Study:

  • To determine the key clinical factors for identifying OSAS in pediatric patients.
  • To establish the predictive value of specific symptoms for OSAS.

Main Methods:

  • Prospective study conducted at a regional hospital's pediatric sleep clinic.
  • Utilized standard questionnaires and overnight polysomnography.
  • Logistic regression analysis applied to identify risk factors.

Main Results:

  • Out of 62 children, 22 were diagnosed with OSAS.
  • 'Snoring every night' emerged as the most significant predictor (p<0.0001).
  • This symptom demonstrated high sensitivity (91%) and specificity (75%) for OSAS.

Conclusions:

  • Frequent snoring is a critical clinical factor for identifying childhood OSAS.
  • Children reporting nightly snoring warrant priority for polysomnography.
  • This finding can streamline diagnostic pathways for pediatric OSAS.
Abstract

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