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Validation of a pediatric obstructive sleep apnea screening tool

Gili Kadmon1, Colin M Shapiro, Sharon A Chung

  • 1Pediatric Intensive Care Unit, Schneider Children's Medical Center (Affiliated with Sackler Faculty of Medicine, Tel-Aviv University), Israel. gilikd@gmail.com

International Journal of Pediatric Otorhinolaryngology
|July 11, 2013
PubMed

Insights

A new 6-item questionnaire effectively screens for pediatric obstructive sleep apnea (OSA). This simple tool shows good sensitivity for identifying children who need further sleep study evaluation.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine

Background:

  • Pediatric obstructive sleep apnea (OSA) is common and often missed in children.
  • Current screening tools for pediatric OSA are often complex or lack sufficient sensitivity.
  • Recent guidelines emphasize the need for universal OSA screening in children.

Purpose of the Study:

  • To validate a previously developed 6-item screening questionnaire for pediatric obstructive sleep apnea (OSA).
  • To assess the utility of this short questionnaire in identifying children with OSA.

Main Methods:

  • Parents of 85 children referred for sleep studies completed the 6-item questionnaire.
  • Children underwent overnight polysomnography (PSG) for OSA diagnosis.
  • Receiver operator curve (ROC) analyses were performed to evaluate the questionnaire's performance.

Main Results:

  • The 6-item questionnaire demonstrated favorable sensitivity for diagnosing pediatric OSA.
  • Specificity was fair, varying with the apnea-hypopnea index (AHI) threshold used.
  • The questionnaire proved effective in a community-based pediatric sleep clinic setting.

Conclusions:

  • A 6-item questionnaire is a sensitive and user-friendly tool for screening pediatric OSA.
  • This validated tool can aid in identifying children requiring further investigation for OSA.
  • The questionnaire supports improved OSA screening in clinical practice.
Abstract

Keywords:
AHIDiagnosisOSAObstructive sleep apneaPSGPediatricsQuestionnairesapnea–hypopnea indexobstructive sleep apneapolysomnographic study

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