Snoring and sleep-disordered breathing in young children: Subjective and objective correlates
Snoring and sleep-disordered breathing in young children: Subjective and objective correlates
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DOI：
10.1093/sleep/27.1.87
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发表时间：
2004-02-01
期刊：
影响因子：
5.6
通讯作者：
Gozal, D
中科院分区：
文献类型：
--
作者：
Montgomery-Downs, HE;O'Brien, LM;Gozal, D
研究目的：我们试图通过将父母报告的打鼾和其他行为与夜间多导睡眠图的客观结果进行比较，以评估2个非临床样本（即高危学龄前儿童和反映一般社区的老年群体）的睡眠呼吸障碍评估结果的预测有效性。研究人员将单独打鼾的预测有效性和基于多种儿童行为的评分与不同睡眠呼吸障碍严重程度的结果进行了比较。设计：回顾性观察性研究。设置：通过学校项目发放调查问卷；多导睡眠描记术在肯塔基州路易斯维尔的科塞尔儿童医院进行。参与者：122名学龄前儿童和172名5到7岁的儿童，以及他们的父母，参与了研究的主观报告和客观记录部分。测量和结果：与多导睡眠图显示的打鼾相比，父母报告的频繁打鼾在两个年龄组中都是高度敏感和特异性的。除了睡眠呼吸障碍的最低严重程度外，当父母基于儿童行为的多种测量方法报告得分时，两组的预测能力都比父母单独报告打鼾的预测能力更高。这些预测性儿童行为的概况在两组之间有所不同，在父母报告的高范围内，它们的敏感性和特异性也有所不同。结论：儿童打鼾及其他睡眠和清醒行为的父母报告问卷得分可作为儿童打鼾或睡眠呼吸障碍的替代预测指标。然而，设计和解释应考虑年龄、风险状况和筛查评估的目的。
Study Objectives: We sought to assess the predictive validity of parental report of snoring and other behaviors by comparing such reports with objective findings from overnight polysomnography for the evaluation of sleep-disordered breathing in 2 nonclinical samples, namely, at-risk preschoolers and an older group reflective of the general community. Predictive validity of snoring alone and a score based on multiple child behaviors were compared to outcome at different levels of severity of sleep-disordered breathing.Design: Retrospective observational study.Setting: Questionnaires were distributed through school programs; polysomnography was performed at Kosair Children's Hospital in Louisville, Kentucky.Participants: One hundred twenty-two preschoolers and 172 5- to 7-year-olds, and their parents, participated in both subjective-report and objective-recording portions of the study.Measurements and Results: Compared to the presence of snoring on polysomnography, parental report of frequent snoring was highly sensitive and specific for both age groups. At all but the lowest level of severity of sleep-disordered breathing, predictive ability was higher for both groups when a parental-report score based on multiple measures of child behavior was applied, compared to parental report of snoring alone. The profiles of these predictive child behaviors differed between the 2 groups, as did their sensitivity and specificity, at their high ranges of parental report.Conclusions: Scores derived from parental-report questionnaires of children's snoring and other sleep and wake behaviors can be used as surrogate predictors of snoring or sleep-disordered breathing in children. However, design and interpretation should consider age, risk status, and the purpose of the screening assessment.