Pediatric Sleep Questionnaire: Prediction of Sleep Apnea and Outcomes
Ronald D. Chervin,Robert A. Weatherly,Susan L. Garetz,Deborah L. Ruzicka,Bruno Giordani,Elise K. Hodges,James E. Dillon,Kenneth E. Guire +7 more
TLDR
The SRBD scale may predict OSA-related neurobehavioral morbidity and its response to adenotonsillectomy as well or better than does polysomnography.Abstract:
Objectives To further validate a questionnaire about symptoms of childhood obstructive sleep apnea (OSA) and to compare the questionnaire with polysomnography in their ability to predict outcomes of adenotonsillectomy. Design Retrospective analysis of data from a longitudinal study. Setting University-based sleep disorders laboratory. Participants The Washtenaw County Adenotonsillectomy Cohort, comprising 105 children aged 5.0 to 12.9 years at entry. Intervention Parents completed the 22-item Sleep-Related Breathing Disorder (SRBD) scale of the Pediatric Sleep Questionnaire, and children underwent polysomnography before and 1 year after clinically indicated adenotonsillectomy (n = 78, usually for suspected OSA) or unrelated surgical care (n = 27). Main Outcome Measures Findings from commonly used hyperactivity ratings, attention tests, and sleepiness tests. Results At baseline, a high SRBD scale score (1 SD above the mean) predicted an approximately 3-fold increased risk of OSA on polysomnography (odds ratio, 2.80; 95% confidence interval, 1.68-4.68). One year later, OSA and symptoms had largely resolved, but a high SRBD score still predicted an approximately 2-fold increased risk of residual OSA on polysomnography (odds ratio, 1.89; 95% confidence interval, 1.13-3.18). Compared with several standard polysomnographic measures of OSA, the baseline SRBD scale better predicted initial hyperactivity ratings and 1-year improvement, similarly predicted sleepiness and its improvement, and similarly failed to predict attention deficit or its improvement. Conclusions The SRBD scale predicts polysomnographic results to an extent useful for research but not reliable enough for most individual patients. However, the SRBD scale may predict OSA-related neurobehavioral morbidity and its response to adenotonsillectomy as well or better than does polysomnography.read more
Citations
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Journal ArticleDOI
Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
Sally L. Davidson Ward,Christopher Lehmann,Jacqueline Jones,Michael S. Schechter,Stephen H. Sheldon,L. Marcus,Lee J. Brooks,Kari A. Draper,David Gozal,David Gozal,Ann Carol +10 more
TL;DR: This practice guideline focuses on uncomplicated childhood OSAS, that is, OSAS associated with adenotonsillar hypertrophy and/or obesity in an otherwise healthy child who is being treated in the primary care setting.
Journal ArticleDOI
Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management.
Athanasios G. Kaditis,Maria Luz Alonso Alvarez,An Boudewyns,Emmanouel I. Alexopoulos,Refika Ersu,Koen F. M. Joosten,Helena Larramona,Silvia Miano,Indra Narang,Ha Trang,Marina Tsaoussoglou,Nele Vandenbussche,Maria Pia Villa,Dick A. van Waardenburg,Silke Anna Theresa Weber,Stijn Verhulst +15 more
TL;DR: This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2–18 years.
Journal ArticleDOI
Updated systematic review of tonsillectomy and adenoidectomy for treatment of pediatric obstructive sleep apnea/hypopnea syndrome.
TL;DR: Despite popular belief, meta-analysis of current literature demonstrates that pediatric sleep apnea is often not cured by T&A, making it a valuable first-line treatment for pediatric OSAHS.
Journal ArticleDOI
Practice parameters for the respiratory indications for polysomnography in children.
R. Nisha Aurora,Rochelle S. Zak,Anoop Karippot,Anoop Karippot,Carin I. Lamm,Timothy I. Morgenthaler,Sanford Auerbach,Sabin R. Bista,Kenneth R. Casey,Susmita Chowdhuri,David A. Kristo,Kannan Ramar +11 more
TL;DR: This paper addresses indications for polysomnography in children with suspected sleep related breathing disorders and recommends practices in accordance with the AASM Manual for the Scoring of Sleep and Associated Events.
Journal ArticleDOI
Pediatric Sleep Questionnaires as Diagnostic or Epidemiological Tools: A Review of Currently Available Instruments
Karen Spruyt,David Gozal +1 more
TL;DR: It is hoped that this initial effort in categorizing and assessing available tools for pediatric sleep will serve as recognition of the relatively early developmental stage of the field, and provide the necessary impetus for future tool development using multicentered approaches and adequate methodologies.
References
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A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects.
TL;DR: Techniques of recording, scoring, and doubtful records are carefully considered, and Recommendations for abbreviations, types of pictorial representation, order of polygraphic tracings are suggested.
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