Related Experiment Video

Updated: Apr 13, 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

20.9K

Detection of pediatric obstructive sleep apnea syndrome: history or anatomical findings?

Kun-Tai Kang1, Wen-Chin Weng2, Chia-Hsuan Lee3

  • 1Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; Department of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan.

Sleep Medicine
|April 30, 2015
PubMed

Insights

Combining anatomical and historical findings significantly improves the detection of pediatric obstructive sleep apnea (OSA). Integrating both history and physical exam elements offers a more effective screening approach for childhood OSA.

Area of Science:

  • Pediatric Sleep Medicine
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Pediatric obstructive sleep apnea (OSA) diagnosis relies on various clinical factors.
  • Differentiating the diagnostic utility of historical versus anatomical findings is crucial for effective screening.

Purpose of the Study:

  • To compare the diagnostic accuracy of historical findings, anatomical findings, and a combined model for pediatric OSA.
  • To evaluate the effectiveness of different models in identifying children with OSA.

Main Methods:

  • A cohort of 222 children (aged 2-18 years) underwent assessment of anatomical (tonsil/adenoid size, obesity) and historical (symptoms) factors.
  • Obstructive sleep apnea (OSA) diagnosis was confirmed by polysomnography.
  • Diagnostic models were evaluated using discrimination (C-index) and reclassification metrics.

Main Results:

  • The combined model demonstrated superior diagnostic performance (C-index=0.84) compared to anatomical (0.78) and historical (0.72) models alone.
  • The combined model significantly improved reclassification of subjects (10.3%–21.9%) compared to individual models.
  • All models showed adequate fit, with the combined model offering the greatest incremental utility.

Conclusions:

  • Integrated assessment of anatomical and historical findings provides enhanced diagnostic value for pediatric OSA.
  • A screening strategy incorporating both history and anatomical evaluation is recommended for improved detection of childhood OSA.
Abstract

Keywords:
ChildPhysical examinationPolysomnographyQuestionnairesSleep apnea syndromesSymptom assessment

More Related Videos

Image Acquisition using Portable Sonography for Emergency Airway Management07:31

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

3.2K
Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model08:03

Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model

Published on: November 4, 2025

413

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...
820
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...
1.3K
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
1.2K
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
1.3K
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...
2.0K
Respiratory System Abnormal Finding II: Palpation and Auscultation01:31

Respiratory System Abnormal Finding II: Palpation and Auscultation

In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
2.1K