Related Experiment Video

Updated: Mar 7, 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

20.8K

Performance characteristics of the French version of the severity hierarchy score for paediatric sleep apnoea

Xuân-Lan Nguyên1, Pierre Lévy2, Nicole Beydon3

  • 1Unité Sommeil et Fonction Respiratoire, Hôpital Saint-Antoine, Paris, France.

Sleep Medicine
|February 21, 2017
PubMed

Insights

The French Severity Hierarchy Score (SHS) effectively screens for paediatric obstructive sleep apnoea syndrome (OSAS). This validated tool aids in identifying children needing further sleep studies, improving diagnosis rates.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Diagnostic Tools

Background:

  • Paediatric obstructive sleep apnoea syndrome (OSAS) is common and linked to cognitive and cardiovascular issues.
  • Current diagnosis via polysomnography (PSG) is limited, leading to under-diagnosis.
  • A simple screening tool is needed to identify at-risk children for OSAS.

Purpose of the Study:

  • To evaluate the French version of the Severity Hierarchy Score (SHS) for diagnosing paediatric OSAS.
  • To assess SHS's predictive performance against polysomnography (PSG) in a French pediatric cohort.

Main Methods:

  • Prospective study of 96 children referred for sleep-disordered breathing assessment.
  • Parents completed the French SHS questionnaire before polysomnography (PSG).
  • Sensitivity, specificity, and ROC analysis were used to evaluate SHS for moderate OSAS (AHI ≥5/hour TST).

Main Results:

  • An SHS score cutoff of >2.75 showed 82% sensitivity and 81% specificity for moderate OSAS.
  • The score achieved a 92% negative predictive value for detecting an apnoea-hypopnoea index (AHI) of ≥5/hour total sleep time (TST).

Conclusions:

  • The French version of the SHS is a suitable screening tool for paediatric OSAS.
  • This score can assist clinicians in prioritizing children for sleep studies and improve OSAS diagnosis.
Abstract

Keywords:
DiagnosisPaediatric obstructive sleep apnoea syndromePolysomnographyScreeningSeverity hierarchy score

More Related Videos

Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression04:33

Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression

Published on: April 26, 2024

1.6K
Author Spotlight: IntelliSleepScorer — A High-Accuracy, Accessible GUI Software for Automated Sleep Stage Scoring in Mice and its Application in Psychiatric Research04:54

Author Spotlight: IntelliSleepScorer — A High-Accuracy, Accessible GUI Software for Automated Sleep Stage Scoring in Mice and its Application in Psychiatric Research

Published on: November 8, 2024

1.1K

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...
670
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:
2.5K
Respiratory Volumes and Capacities I01:26

Respiratory Volumes and Capacities I

Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
1.9K
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...
1.8K