Validation of a pediatric obstructive sleep apnea screening tool
Validation of a pediatric obstructive sleep apnea screening tool
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DOI：
10.1016/j.ijporl.2013.06.009
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发表时间：
2013-09-01
影响因子：
1.5
通讯作者：
Gozal, David
中科院分区：
文献类型：
--
作者：
Kadmon, Gili;Shapiro, Colin M.;Gozal, David
目的：小儿阻塞性睡眠呼吸暂停（美国）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美国筛查的重要性。虽然有几个筛查问卷可用于美国儿科，但它们要么使用复杂，要么不够敏感，因此在初级保健环境中很少筛查OSA。在这里，我们验证了以前开发的短（6项）分层为基础的筛选问卷工具，为儿科USA。方法：85名儿童的父母介绍了一项睡眠研究在儿科社区为基础的睡眠诊所完成了问卷，他们的孩子进行了一夜PSG。受试者操作曲线分析和其他预测scales.Results：6项问卷表现出良好的敏感性和公平的特异性诊断美国，这取决于用于美国definition.Conclusions的呼吸暂停低通气指数不同：6项问卷是一个敏感和易于使用的筛选工具，为儿科美国在儿科睡眠诊所设置。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Objective: Pediatric obstructive sleep apnea (USA) is a prevalent but under-diagnosed disease. The importance of screening for USA in every child has been recently re-emphasized by the American Academy of Pediatrics Guidelines. Although several screening questionnaires are available for pediatric USA, 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 USA.Methods: 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.Results: The 6-item questionnaire exhibited favorable sensitivity and fair specificity for diagnosis of USA, which varied depending on the apnea-hypopnea index used for USA definition.Conclusions: A 6-item questionnaire is a sensitive and easy-to-use screening tool for pediatric USA in a pediatric sleep clinic setting. (C) 2013 Elsevier Ireland Ltd. All rights reserved.