Servicio de Neumología, Unidad Multidisciplinar de Sueño, Hospital Universitario San Juan de Alicante, Sant Joan d'Alacant, Alicante, España.
Servicio de Neumología, Unidad Multidisciplinar de Sueño, Hospital Universitario San Juan de Alicante, Sant Joan d'Alacant, Alicante, España.
Arch Bronconeumol. 2016 Nov;52(11):553-559. doi: 10.1016/j.arbres.2016.04.003. Epub 2016 May 16.
To analyze the reliability and validity of the Spanish version of the OSA-18 quality of life questionnaire in children with apnea-hypopnea syndrome (SAHS).
Children with suspected SAHS were studied with polysomnography (PSG) before and after adenotonsillectomy (AA). Age, gender, clinical data, PSG, anthropometric data, and Mallampati and Brodsky scales were analyzed. OSA-18 was administered at baseline and 3-6months post AA. After translation and backtranslation by bilingual professionals, the internal consistency, reliability, construct validity, concurrent validity, predictive validity and sensitivity to change of the questionnaire was assessed.
In total, 45 boys and 15 girls were evaluated, showing BMI 18±4, neck 28±5, Brodsky (0: 7%; <25%: 12%; 25-50%: 27%; >50 to <75%: 45%; >75%: 6%), AHI 12±7 pre AA. Global Cronbach alpha was 0.91. Correlations between domains were significant except for emotional aspects, although the total scores correlated with all domains (0.50 to 0.90). The factorial analysis was virtually identical to the original structure. The total scores showed good correlation for concurrent validity (0.2-0.45). With regard to predictive validity, the questionnaire adequately differentiated levels of severity according to Mallampati (ANOVA P=.002) and apnea-hypopnea index (ANOVA P=.006). Test-retest reliability was excellent, as was sensitivity to change, both in the total scores (P<.001) and in each domain (P<.001).
The Spanish adaptation of the OSA-18 and its psychometric characteristics suggest that the Spanish version is equivalent to the original and can be used in Spanish-speaking countries.
分析西班牙语版阻塞性睡眠呼吸暂停低通气综合征（OSA）儿童生活质量问卷（OSA-18）的信度和效度。
对怀疑患有 OSA 的儿童进行多导睡眠图（PSG）检查，并在扁桃体腺样体切除术（AA）前后进行研究。分析年龄、性别、临床资料、PSG、人体测量数据、Mallampati 和 Brodsky 量表。在 AA 前和 3-6 个月后分别进行 OSA-18 问卷调查。经过双语专业人员的翻译和回译，评估问卷的内部一致性、可靠性、结构有效性、同时效度、预测效度和变化敏感性。
共评估了 45 名男孩和 15 名女孩，BMI 为 18±4，颈围为 28±5，Brodsky 分级（0：7%；<25%：12%；25-50%：27%；>50-<75%：45%；>75%：6%），AA 前 AHI 为 12±7。总体 Cronbach α 为 0.91。除情感方面外，各领域之间的相关性均有统计学意义，尽管总分与所有领域均相关（0.50-0.90）。因子分析与原始结构基本一致。总评分与同期效度（0.2-0.45）具有良好相关性。在预测有效性方面，问卷能够根据 Mallampati（方差分析，P=.002）和呼吸暂停低通气指数（方差分析，P=.006）区分严重程度。重测信度良好，变化敏感性也良好，总分（P<.001）和各领域（P<.001）均如此。
OSA-18 的西班牙语版本及其心理测量特征表明，西班牙语版本与原版等效，可以在西班牙语国家使用。
