Related Experiment Video
Updated: May 16, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Exploration of screening scores for pediatric obstructive sleep apnea hypopnea syndrome]
Insights
Screening for pediatric obstructive sleep apnea hypopnea syndrome (OSAHS) using OSA-18, physical exams, and nasopharyngoscopy is feasible. This approach aids in identifying children who may require further polysomnography (PSG) evaluation.
Area of Science:
- Pediatric Sleep Medicine
- Respiratory Medicine
- Diagnostic Screening
Context:
- Pediatric obstructive sleep apnea hypopnea syndrome (OSAHS) is a significant health concern.
- Early identification and screening are crucial for timely intervention.
- Current diagnostic methods can be resource-intensive.
Purpose:
- To assess the feasibility of using OSA-18 questionnaires, physical examinations, and electronic nasopharyngoscopy for screening pediatric OSAHS.
- To determine the effectiveness of these combined methods in identifying children with OSAHS.
Summary:
- A study evaluated OSA-18, physical exams, and nasopharyngoscopy in 100 children with snoring.
- Significant differences were found in OSA-18 scores, snoring loudness, and oxygen deprivation scores between OSAHS and non-OSAHS groups.
- A logistic equation derived from these factors achieved 62.7% sensitivity and 79.4% specificity for OSAHS screening.
Impact:
- This combined screening approach offers a feasible and potentially more accessible method for identifying pediatric OSAHS.
- Findings suggest these tools can help prioritize children for definitive polysomnography (PSG).
- Improved screening may lead to earlier diagnosis and management of pediatric OSAHS, reducing associated health risks.
Objective:
To evaluate the feasibility of screening for pediatric obstructive sleep apnea hypopnea syndrome (OSAHS) according to OSA-18,physical examination and electronic nasopharyngoscopy.
Method:
Outpatients with snoring received questionnaire, physical examination and electronic nasopharyngoscopy in Pediatric Sleep Center of Beijing Children's Hospital from 2009.1 to 2009.12. All children were divided into OSAHS or non-OSAHS group based on the results of polysomnography (PSG). The material was compared between these two groups.
Result:
The differences of age,tonsil scores, adenoid scores,total OSA-18 sores, the loudness of snoring scores, sleep asthma or suffocation scores, worrying lack of oxygen scores were significant (P < 0.05). And then put them into the logistic equation Y and make ROC analysis, if Y is higher than 0. 735, these children were more likely with OSAHS. The sensitivity was 62.7% and the specificity was 79.4%.
Conclusion:
It is feasible to screen for pediatric OSAHS according to questionnaire, physical examination and electronic nasopharyngoscopy.
Related Concept Videos
Sleep Apnea
The condition is more prevalent among...
Assessment of Ventilation I: Respiratory Rate
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:
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
Assessment of Respiration
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,...

