Related Experiment Video

Updated: Jun 25, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Severity assessment of obstructive sleep apnea syndrome (OSAS) in pediatric patients

Edmund Goroza1, Mayer Sagy, Noa Sagy

  • 1Division of Critical Care Medicine and the Sleep Disorder Center, North Shore-Long Island Jewish Health System, Schneider Children's Hospital, New Hyde Park, New York 11040, USA.

Clinical Pediatrics
|March 3, 2009
PubMed

Insights

The apnea-hypopnea index (AHI) does not accurately predict oxyhemoglobin desaturation severity in pediatric obstructive sleep apnea syndrome (OSAS). Body mass index also showed no significant correlation with OSAS severity.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Respiratory Physiology

Background:

  • Obstructive sleep apnea syndrome (OSAS) is a common condition in children.
  • Accurate assessment of OSAS severity is crucial for effective management.
  • Oxyhemoglobin desaturation is a key indicator of OSAS severity.

Purpose of the Study:

  • To evaluate the relationship between the apnea-hypopnea index (AHI) and oxyhemoglobin desaturation in pediatric OSAS.
  • To determine if AHI can predict the severity of oxygen desaturation.
  • To investigate the correlation between body mass index (BMI) and OSAS severity.

Main Methods:

  • Retrospective chart and polysomnography (PSG) data review.
  • Analysis of AHI and cumulative duration of sleep with oxygen saturation (O2SAT) <91%.
  • Correlation analysis between AHI, lowest O2SAT values, and BMI percentiles.

Main Results:

  • A poor linear correlation was observed between AHI values and the lowest measured O2SAT values.
  • Patients with higher AHI ranges exhibited lower mean lowest O2SAT values.
  • No significant linear correlation was found between BMI percentiles and AHI or lowest O2SAT values.

Conclusions:

  • AHI is not a reliable predictor of oxyhemoglobin desaturation severity in pediatric OSAS.
  • Conversely, oxygen desaturation severity does not accurately predict AHI.
  • BMI percentiles are not significantly correlated with the severity of pediatric OSAS.
Abstract

More Related Videos

Conducting Respiratory Oscillometry in an Outpatient Setting14:49

Conducting Respiratory Oscillometry in an Outpatient Setting

Published on: April 8, 2022

Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Physical Assessment of the Respiratory Tract I: Health History01:28

Physical Assessment of the Respiratory Tract I: Health History

Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and key...
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Assessment of Ventilation I: Respiratory Rate01:20

Assessment of Ventilation I: Respiratory Rate

Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation: