Kadmon Gili, Shapiro Colin M, Chung Sharon A, Gozal David
Pediatric Intensive Care Unit, Schneider Children's Medical Center (Affiliated with Sackler Faculty of Medicine, Tel-Aviv University), Israel.
Int J Pediatr Otorhinolaryngol. 2013 Sep;77(9):1461-4. doi: 10.1016/j.ijporl.2013.06.009. Epub 2013 Jul 6.
Pediatric obstructive sleep apnea (OSA) is a prevalent but under-diagnosed disease. The importance of screening for OSA in every child has been recently re-emphasized by the American Academy of Pediatrics Guidelines. Although several screening questionnaires are available for pediatric OSA, they are either complicated to use or not sensitive enough, and therefore OSA is seldom screened in primary care settings. Here, we validated a previously developed short (6-item) hierarchically-based screening questionnaire tool for pediatric OSA.
Parents of 85 children referred for a sleep study at a pediatric community-based sleep clinic completed the questionnaire and their children underwent an overnight PSG. Receiver operator curve analyses and other predictive scales were assessed.
The 6-item questionnaire exhibited favorable sensitivity and fair specificity for diagnosis of OSA, which varied depending on the apnea-hypopnea index used for OSA definition.
A 6-item questionnaire is a sensitive and easy-to-use screening tool for pediatric OSA in a pediatric sleep clinic setting.
小儿阻塞性睡眠呼吸暂停（OSA）是一种常见但诊断不足的疾病。美国儿科学会指南最近再次强调了对每个儿童进行OSA筛查的重要性。虽然有几种用于小儿OSA的筛查问卷，但它们要么使用复杂，要么不够敏感，因此在初级保健机构中很少对OSA进行筛查。在此，我们验证了一种先前开发的用于小儿OSA的简短（6项）分层筛查问卷工具。
在一家社区儿科睡眠诊所接受睡眠研究转诊的85名儿童的家长完成了问卷，他们的孩子接受了整夜的多导睡眠图（PSG）检查。评估了受试者操作特征曲线分析和其他预测量表。
该6项问卷对OSA诊断表现出良好的敏感性和尚可的特异性，其因用于定义OSA的呼吸暂停低通气指数而异。
在儿科睡眠诊所环境中，6项问卷是一种用于小儿OSA的敏感且易于使用的筛查工具。
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