Modified Epworth Sleepiness Scale in Chinese children with obstructive sleep apnea: a retrospective study
Modified Epworth Sleepiness Scale in Chinese children with obstructive sleep apnea: a retrospective study
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DOI：
10.1007/s11325-008-0205-7
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发表时间：
2009-02-01
影响因子：
2.5
通讯作者：
Leung, Suk-yu
中科院分区：
文献类型：
--
作者：
Chan, Eric Y. T.;Ng, Daniel K.;Leung, Suk-yu
本研究的目的是通过改进的Epworth嗜睡量表（ESS）来评估中国高呼吸暂停低通气指数（AHI）儿童是否更嗜睡。对记录进行了回顾性审查。我们纳入了因疑似阻塞性睡眠呼吸暂停综合征（OSAS）而接受过夜多导睡眠图检查的3至12岁儿童。采用改进的ESS评估儿童白天过度嗜睡（EDS）。其中包括192名中国儿童。AHI高的儿童（定义为AHI bbb5.0）比AHI小于或等于5的儿童更嗜睡。经过年龄、性别和肥胖调整后，高AHI儿童仍然明显更困。改良ESS与AHI显著相关（rho = 0.124, 95% CI = 0.004 ~ 0.281）。改良ESS评分>.8为最佳截断点，敏感性0.29，特异性0.91。改良ESS > 10患儿高AHI的比值比为4.231 (95%CI = 1.248 ~ 14.338)，改良ESS > 8患儿高AHI的比值比最高，为4.295（95%CI = 1.66 ~ 11.1）。高AHI的中国儿童似乎比低AHI的儿童更嗜睡。疑似OSAS和高改良ESS（即ESS bbbb8）患儿的高AHI比值比显著增高。嗜睡增加是高AHI鼾症儿童特有的但不是敏感的症状。对打鼾儿童进行EDS筛查可以帮助我们识别高AHI儿童，并优先处理这些儿童。
The purpose of this study is to assess whether Chinese children with high apnea-hypopnea index (AHI) are sleepier by a modified Epworth Sleepiness Scale (ESS).Records were retrospectively reviewed. We included children who were between 3 and 12 years old, admitted for overnight polysomnogram because of suspected obstructive sleep apnea syndrome (OSAS). A modified ESS was used to assess excessive daytime sleepiness (EDS) of the children.One hundred ninety-two Chinese children were included. Children with high AHI, defined as AHI > 5.0, were sleepier than children with AHI less than or equal to 5. After adjustment by age, gender, and obesity, children with high AHI remained significantly sleepier. Modified ESS was significantly correlated with AHI (rho = 0.124, 95% CI = 0.004-0.281). Modified ESS score of > 8 was the best cutoff point with the sensitivity and specificity of 0.29 and 0.91, respectively. The odds ratio of children with modified ESS > 10 having high AHI was 4.231 (95%CI = 1.248 to 14.338) and children with modified ESS > 8 had the highest odds ratio, 4.295(95%CI = 1.66 to 11.1), of having high AHI.Chinese children with high AHI appear to be sleepier than children with low AHI. Children with suspected OSAS and high modified ESS, i.e., ESS > 8, had significantly higher odds ratio of having high AHI. Increased sleepiness is a specific but not a sensitive symptom in snoring children with high AHI. Screening for EDS in snoring children may help us identify those with high AHI and prioritize the management of those children.