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Published on: December 6, 2016
Validation of the Brazilian version of the Pediatric Obstructive Sleep Apnea Screening Tool questionnaire
Priscila J S Pires1, Rita Mattiello1, Magali S Lumertz1
1Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Programa de Pós-Graduação em Pediatria e Saúde da Criança, Porto Alegre, RS, Brazil.
Insights
The Brazilian version of the Pediatric Obstructive Sleep Apnea Screening tool is reliable for identifying sleep-disordered breathing in children. This validated questionnaire shows good concordance with polysomnography results.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Clinical Diagnostics
Background:
- Obstructive sleep apnea (OSA) is a prevalent condition in children.
- Accurate screening tools are essential for early diagnosis and management.
- Validation of international tools for local populations is crucial.
Purpose of the Study:
- To validate the Pediatric Obstructive Sleep Apnea Screening tool for use in Brazil.
- To assess the psychometric properties of the Brazilian-Portuguese version.
- To evaluate its reliability and concordance with polysomnography.
Main Methods:
- Translation and back-translation of the original US questionnaire.
- Pre-testing and finalization of the Brazilian version.
- Application of the questionnaire prior to polysomnography in children aged 3-9 years.
- Evaluation of validity, reliability, and accuracy against polysomnography findings.
Main Results:
- 52% of enrolled children met criteria for obstructive sleep apnea based on polysomnography.
- Significantly lower minimum O2 saturation in children with OSA (p=0.021).
- Satisfactory concordance between questionnaire scores and apnea-hypopnea index.
- Cronbach's alpha of 0.84 indicated good internal consistency.
Conclusions:
- The Brazilian-Portuguese version of the screening tool is valid and reliable.
- It demonstrates good concordance with the apnea-hypopnea index.
- This questionnaire provides a dependable screening option for pediatric sleep-disordered breathing in Brazil.
Objective:
To validate the Pediatric Obstructive Sleep Apnea Screening tool for use in Brazil.
Materials And Methods:
The Brazilian version of this questionnaire, originally validated and tested in the United States, was developed as follows: (a) translation; (b) back-translation; (c) completion of the final version; (d) pre-testing. The questionnaire was applied prior to polysomnography to children aged 3-9 years from October 2015 to October 2016, and its psychometric properties (i.e., validity and reliability) were evaluated. The accuracy was assessed from comparisons between polysomnographic results and corresponding questionnaire scores.
Results:
Sixty patients were enrolled, and based on polysomnographic findings, 48% patients had normal apnea-hypopnea index, while the remaining 52% met the criteria for obstructive sleep apnea. Minimum O2 saturation level was significantly lower among obstructive sleep apnea children (p=0.021). Satisfactory concordance was found between individual apnea-hypopnea index and questionnaire scores. Bland-Altman plot-derived bias was 0.1 for the difference between measures, with 5.34 (95% CI: 4.14-6.55) and -5.19 (95%CI: -6.39 to -3.98) for the upper and lower agreement range. Internal consistency derived from Cronbach's alpha was 0.84 (95%CI: 0.78-0.90).
Conclusion:
The questionnaire was translated to and validated into Brazilian-Portuguese version, and showed good reliability and concordance with apnea-hypopnea index. This questionnaire offers a reliable screening option for sleep-disordered breathing in children.
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