Validation of the Dutch sleep-related breathing disorder scale from the pediatric sleep questionnaire: a diagnostic accuracy study using polysomnography
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View abstract on PubMed
Summary
This summary is machine-generated.The Dutch Sleep-Related Breathing Disorder (SRBD) scale effectively screens for pediatric sleep-disordered breathing (PSDB). This validated tool aids primary care by identifying children needing further polysomnography (PSG) evaluation.
Area Of Science
- Pediatric Pulmonology
- Sleep Medicine
- Diagnostic Accuracy Studies
Background
- Pediatric sleep-disordered breathing (PSDB) is associated with significant comorbidities.
- Polysomnography (PSG) is the gold standard for PSDB diagnosis but has limited accessibility in primary care settings.
- Screening tools are needed to identify children who may benefit from PSG.
Purpose Of The Study
- To evaluate the validity of the Dutch version of the Pediatric Sleep Questionnaire (PSQ) Sleep-Related Breathing Disorder (SRBD) scale.
- To compare the SRBD scale's performance against PSG for diagnosing PSDB.
- To assess the SRBD scale's utility as a primary care screening tool.
Main Methods
- A cross-sectional study involving 75 children undergoing PSG.
- Parents/caregivers completed the SRBD scale.
- Construct and criterion validity were assessed using PSG-confirmed PSDB and obstructive sleep apnea (OSA) diagnoses, with sensitivity, specificity, and AUC-ROC analyses.
Main Results
- The SRBD scale scores significantly distinguished children with PSDB from controls.
- Sensitivity and specificity for OSA were 0.92 and 0.74, respectively.
- For PSDB (snoring and/or OSA), sensitivity and specificity were 0.85, with an AUC exceeding 0.87 for all PSG outcomes.
Conclusions
- The Dutch SRBD scale demonstrates adequate screening performance for PSDB.
- It is a valid and useful tool for primary care physicians as an initial step in identifying children with potential PSDB.
- This facilitates earlier diagnosis and management of pediatric sleep disorders.
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