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A simple diagnostic scale based on the analysis and screening of clinical parameters in paediatric obstructive sleep

D Wu1, X Li1, X Guo1

  • 1Department of Otolaryngology,General Hospital of Shenyang Military Area Command,Shenyang,China.

The Journal of Laryngology and Otology
|March 1, 2017
PubMed

Insights

A new diagnostic scale effectively identifies paediatric obstructive sleep apnoea hypopnea syndrome in children. This method offers a simpler alternative when polysomnography is unavailable for diagnosis.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Diagnostic Tools

Background:

  • Paediatric obstructive sleep apnoea hypopnea syndrome (PAHPS) diagnosis can be challenging.
  • Polysomnography (PSG) is the gold standard but is not always accessible.

Purpose of the Study:

  • To develop a simple and accurate diagnostic method for PAHPS.
  • To establish a diagnostic scale based on clinical parameters.

Main Methods:

  • 311 children with suspected PAHPS were analyzed.
  • Clinical parameters (snoring, tonsil size, etc.) were correlated with PSG results.
  • A diagnostic scale was created using regression analysis.

Main Results:

  • The diagnostic scale showed a 77.8% correlation with PSG results.
  • Snoring, tonsil size, and adenoid-nasopharynx ratio were significant predictors.
  • The scale is useful for diagnosis but not severity assessment.

Conclusions:

  • A novel diagnostic scale aids in PAHPS diagnosis when PSG is not feasible.
  • This scale provides a practical clinical tool for identifying PAHPS in children.
  • The scale's limitations include its unsuitability for assessing disease severity.
Abstract

Keywords:
ChildEarly DiagnosisObstructive Sleep ApneaQuestionnaire

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