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Scientific article
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Home respiratory polygraphy in obstructive sleep apnea syndrome in children: Comparison with a screening questionnaire

Publication date2021-04
First online date2021-01-27
Abstract

Objectives: The prevalence of obstructive sleep apnea syndrome (OSAS) in children referred for sleep-disordered breathing reaches up to 59%. We aimed to test the adequacy of a questionnaire compared to home respiratory polygraphy (HRP), in 45 subjects (5-16 years-old), without maxillofacial malformations nor other comorbidities, presenting with symptoms compatible with OSAS.

Methods: All children passed a 12-items questionnaire (Obstructive Airway Child test: OACT) and the HRP. OSAS was classified in severity according to the apnea-hypopnea index (AHI).

Results: With HRP, 60% and 15% children were detected to have at least mild (AHI ≥1) and moderate (AHI >5) OSAS, respectively. The sensitivity of the questionnaire to detect mild and moderate OSAS was good (93% and 71%, respectively) but the specificity was very low (11% and 34%). However, an OACT score under 61 showed a very good negative predictive value for moderate and severe OSAS (87%). With the questionnaire, we could have avoided a complementary PSG or HRP in 25/45 (56%) of our subjects as in children with mild OSAS and without comorbidities only clinical observation is usually advised.

Conclusions: The OACT questionnaire has shown to be a good and quick instrument to exclude moderate and severe OSAS in our population of children without maxillofacial malformations. Indeed children scoring under 61 could avoid a constraining and expensive sleep exam. However, if the score is above this cut-off, the performance to recognize OSAS is low and the child's evaluation must be completed by a HRP or PSG.

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Keywords
  • Children
  • Obesity
  • Obstructive sleep apnea syndrome
  • Questionnaire adequacy
  • Screening
  • Adolescent
  • Child
  • Child, Preschool
  • Humans
  • Polysomnography
  • Sleep
  • Sleep Apnea, Obstructive / diagnosis
  • Sleep Apnea, Obstructive / epidemiology
  • Surveys and Questionnaires
Citation (ISO format)
MAGGIO, Albane Bertha et al. Home respiratory polygraphy in obstructive sleep apnea syndrome in children: Comparison with a screening questionnaire. In: International journal of pediatric otorhinolaryngology, 2021, vol. 143, p. 110635. doi: 10.1016/j.ijporl.2021.110635
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Article (Published version)
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Identifiers
ISSN of the journal0165-5876
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Creation08/25/2022 6:18:55 AM
First validation05/02/2023 2:11:19 PM
Update time05/02/2023 2:11:19 PM
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