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Parental concern as an indicator of the severity of Obstructive Sleep Apnea in children

Mali Lavi1, Riva Tauman2, Michal Greenfeld2

  • 1Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

International Journal of Pediatric Otorhinolaryngology
|June 17, 2020
PubMed

Insights

Parental concern about a child's need for surgery effectively predicts moderate-to-severe Obstructive Sleep Apnea (OSA). This simple screening tool aids clinicians in prioritizing referrals for Polysomnography (PSG) testing.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine

Background:

  • Obstructive Sleep Apnea (OSA) is common in children.
  • The current screening question "Does your child snore" does not correlate with OSA severity.
  • Accurate severity assessment is crucial for timely intervention.

Purpose of the Study:

  • To evaluate a novel 2-item Parental Concern Scale (PCS) for predicting OSA severity in children.
  • To compare the PCS with the Pediatric Sleep Questionnaire-Sleep-Related Breathing Disorder (PSQ-SRBD) and Polysomnography (PSG).

Main Methods:

  • Prospective analysis of children referred for PSG due to suspected OSA.
  • Parents completed the devised PCS and the validated PSQ-SRBD.
  • PCS and PSQ-SRBD results were correlated with PSG findings.

Main Results:

  • Twenty-four percent of 95 children had moderate-to-severe OSA requiring adenotonsillectomy.
  • The PCS "need for surgery" score correlated with the apnea-hypopnea index and mean SpO2 levels.
  • Higher "need for surgery" scores significantly predicted moderate-to-severe OSA.

Conclusions:

  • Parental perception of the need for surgery is a practical tool for assessing OSA severity.
  • The PCS can assist clinicians in prioritizing referrals for PSG.
  • This simple questionnaire enhances the diagnostic pathway for pediatric OSA.
Abstract

Keywords:
AdenoidectomyParental Concern QuestionnairePediatric Obstructive Sleep ApneaPolysomnographyTonsillectomy

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