Related Experiment Video

Updated: Nov 9, 2025

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

20.2K

Diagnostic accuracy of screening questionnaires for obstructive sleep apnea in children: A systematic review and

Serena Incerti Parenti1, Andrea Fiordelli1, Maria L Bartolucci1

  • 1Department of Biomedical and Neuromotor Sciences (DIBINEM), Section of Orthodontics, University of Bologna, Bologna, Italy.

Sleep Medicine Reviews
|April 7, 2021
PubMed

Insights

This review found the Sleep-Related Breathing Disorder scale of the Pediatric Sleep Questionnaire (SRBD-PSQ) to be the most sensitive screening tool for pediatric obstructive sleep apnea (OSA). Further research is needed to confirm its real-world clinical utility.

Area of Science:

  • Pediatric Sleep Medicine
  • Diagnostic Accuracy Studies
  • Systematic Reviews and Meta-Analyses

Background:

  • Pediatric obstructive sleep apnea (OSA) is a prevalent condition requiring accurate diagnostic tools.
  • Screening questionnaires are utilized to identify children at risk for OSA.
  • Evaluating the diagnostic performance of these questionnaires is crucial for clinical practice.

Purpose of the Study:

  • To systematically review and meta-analyze the diagnostic accuracy of screening questionnaires for pediatric OSA.
  • To compare the sensitivity and specificity of validated questionnaires against polysomnography (PSG).
  • To identify the most effective screening questionnaire for pediatric OSA.

Main Methods:

  • Systematic literature search for studies comparing questionnaires with PSG in children (≤18 years).
  • Quality assessment using the QUADAS-2 tool.
  • Bivariate meta-analysis of sensitivity, specificity, and likelihood ratios for questionnaires meeting inclusion criteria (≥4 studies, AHI ≥1).
  • Construction of summary receiver operator characteristic curves.

Main Results:

  • 37 studies (20 questionnaires) were included for qualitative analysis; none were low quality.
  • 13 studies and two questionnaires (SRBD-PSQ and OSA-18) met criteria for quantitative synthesis.
  • SRBD-PSQ demonstrated higher sensitivity (0.76) compared to OSA-18 (0.56).
  • OSA-18 showed higher specificity (0.73) than SRBD-PSQ (0.43).

Conclusions:

  • The SRBD-PSQ is the most sensitive screening questionnaire for pediatric OSA based on an apnea-hypopnea index (AHI) ≥1 threshold.
  • While SRBD-PSQ shows promising sensitivity, OSA-18 offers better specificity.
  • Further high-quality studies are recommended to validate the SRBD-PSQ in diverse clinical populations.

Keywords:
ChildrenDiagnostic accuracyMeta-analysisObstructive sleep apneaPediatric

More Related Videos

Physical Activity Measurement in Children Accepting Table Tennis Training06:51

Physical Activity Measurement in Children Accepting Table Tennis Training

Published on: July 27, 2022

2.1K
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

953

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...
282
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
2.7K