Accuracy of Clinical Evaluation in Pediatric Obstructive Sleep Apnea
Accuracy of Clinical Evaluation in Pediatric Obstructive Sleep Apnea
复制标题
小儿阻塞性睡眠呼吸暂停临床评估的准确性
DOI：
10.1016/s0194-5998(98)70377-8
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Douglas Hubbard
中科院分区：
文献类型：
--
作者：
Robert C. Wang;Tina P. Elkins;Daniel R. Keech;A. Wauquier;Douglas Hubbard
82名儿童接受了多导睡眠图（PSG）检查，以确定是否有阻塞性睡眠呼吸暂停（OSA）的症状。报告的症状包括打鼾、呼吸暂停发作、日间嗜睡、口呼吸和遗尿。记录扁桃体大小、鼻气道通畅性和百分位数体重。当观察到阻塞性事件并且呼吸暂停+呼吸不足指数为每小时5或更多时，PSG诊断为OSA。临床怀疑OSA的总体预测准确率为25（30%）的82。预测准确性（作为患有OSA的症状/体征的患者的百分比）和患病率（作为有症状/体征的OSA患者的百分比），分别为中度打鼾29%（12/41），48%;大声打鼾31%（11/35），44%;目睹呼吸暂停32%（22/69），88%;遗尿症46%（11/24），44%; 2+扁桃体大小37%（57例中的21例），84%; 3+扁桃体大小33%（9例中的3例），12%;第90百分位数体重或大于26%（27例中的7例），28%;第10百分位数体重或小于33%（15例中的5例），20%。多元回归分析未发现临床参数与多导睡眠图（PSG）定义的OSA存在显著相关性。
Eighty-two children underwent polysomnography (PSG) for symptoms suggestive of obstructive sleep apnea (OSA). Symptoms reported included snoring, witnessed apneic episodes, daytime somnolence, mouth breathing, and enuresis. Tonsillar size, nasal airway patency, and percentile weight were recorded. OSA was diagnosed on PSG when obstructive events were noted and apnea + hypopnea index was five or more per hour. The overall predictive accuracy of clinical suspicion of OSA was 25 (30%) of 82. Predictive accuracies (as a percentage of those with symptoms/signs who have OSA) and prevalences (as a percentage of those with OSA who have the symptom/sign), respectively, were for moderate snoring 29% (12 of 41), 48%; loud snoring 31% (11 of 35), 44%; witnessed apneas 32% (22 of 69), 88%; enuresis 46% (11 of 24), 44%; 2+ tonsillar size 37% (21 of 57), 84%; 3+ tonsillar size 33% (3 of 9), 12%; 90th percentile weight or greater 26% (7 of 27), 28%; 10th percentile weight or less 33% (5 of 15), 20%. Multiple regression analysis did not reveal a significant association between clinical parameters and the presence of OSA as defined by PSG.
影响因子：
9.6
作者：
GUILLEMINAULT, C;STOOHS, R;MAISTROS, P
通讯作者：
MAISTROS, P