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Published on: December 6, 2016
A Comparative Investigation on Clinical Characteristics in Pediatric Obstructive Sleep Apnea Based on Two Distinct
Tingting Ji1, Ting Long1, Xiaodan Li1
1Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, People's Republic of China.
Insights
The 2020 guideline for diagnosing obstructive sleep apnea (OSA) in children is more effective than the 2007 version, particularly in assessing verbal skills and polysomnography (PSG) parameters. This updated guideline shows greater differences in clinical characteristics, aiding diagnosis and treatment.
Area of Science:
- Pediatric Sleep Medicine
- Neuropsychology
- Clinical Diagnostics
Background:
- Obstructive sleep apnea (OSA) significantly impacts children's health and cognitive development.
- Existing diagnostic guidelines may differ in their ability to capture these impacts.
- Comparing diagnostic criteria is crucial for accurate assessment and intervention.
Purpose of the Study:
- To compare the clinical assessment differences between the 2007 and 2020 obstructive sleep apnea (OSA) guidelines in children.
- To investigate the relationship between polysomnography (PSG) parameters and cognitive test scores in children with OSA.
- To evaluate guideline effectiveness in preschool and school-aged children.
Main Methods:
- Eighty children were divided into OSA and non-OSA groups based on 2007 and 2020 guidelines.
- Subgroup analysis included preschool and school-aged children.
- Polysomnography (PSG) parameters and cognitive tests were analyzed and correlated.
Main Results:
- The 2020 guideline revealed more significant differences in clinical characteristics, especially verbal IQ (VIQ), compared to the 2007 guideline.
- Preschoolers showed guideline-specific differences in PSG and Block Diagram tests.
- School-aged children showed guideline-specific differences in full-scale IQ (FIQ) and VIQ/PIQ, with significant PSG and Block Diagram differences under both.
- Correlations between PSG parameters and cognitive scores were significant across subgroups.
Conclusions:
- The 2020 guideline offers superior assessment of clinical characteristics in pediatric OSA, particularly for verbal function.
- The 2020 guideline demonstrates advantages in identifying cognitive impacts associated with OSA.
- Clinical promotion and application of the 2020 guideline are recommended for improved pediatric OSA assessment.
Objective:
To investigate the differences in assessment of clinical characteristics between children with obstructive sleep apnea (OSA) diagnosed according to the 2007 and 2020 guidelines and those without OSA, together with the relationships between polysomnography (PSG) parameters and cognitive tests scores in preschool and school-aged children with OSA.
Methods:
Eighty children were totally recruited and divided into OSA and non-OSA groups based on two distinct guidelines, with further subclassification into preschool and school-aged subgroups. Differences in PSG parameters and cognitive tests scores between groups and subgroups were analyzed and compared, followed by partial correlation analysis to determine the correlations between these characteristics.
Results:
Compared to the 2007 guideline, the 2020 guideline demonstrated more significant between-group differences in clinical characteristics assessments, especially verbal intelligent quotient (VIQ). For preschool children in the OSA and non-OSA subgroups, there were significant differences in PSG parameters and Block Diagram between the two guidelines. Additionally, the 2007 guideline showed difference in Picture Vocabulary, where the 2020 guideline exhibited differences in performance IQ (PIQ) and Geometric Figure For school-aged children in the OSA and non-OSA subgroups, both guidelines showed significant differences in PSG parameters, full-scale IQ (FIQ) and Block Diagram. The 2007 guideline had significant differences in PIQ, while the 2020 guideline had difference in VIQ. Furthermore, significant correlations were observed between PSG parameters and cognitive tests scores across different subgroups.
Conclusion:
The 2020 guideline has advantages in assessing the clinical characteristics of children with OSA, especially for verbal function, and is worthy of clinical promotion and application.
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