Sleep clinical record: an aid to rapid and accurate diagnosis of paediatric sleep disordered breathing

被引:78
作者
Villa, Maria Pia [1 ]
Paolion, Maria Chiara [1 ]
Castaldo, Rosa [1 ]
Vanacore, Nicola [2 ]
Rizzo, Alessandra [1 ]
Miano, Silvia [1 ]
Del Pozzo, Marco [1 ]
Montesano, Marilisa [1 ]
机构
[1] Univ Roma La Sapienza, Fac Med, Dept Paediat, Rome, Italy
[2] Natl Inst Hlth, Natl Ctr Epidemiol Surveillance & Hlth Promot, Rome, Italy
关键词
Diagnostic procedures; paediatric sleep disordered breathing; questionnaire; C-REACTIVE PROTEIN; APNEA SYNDROME; RISK-FACTORS; APNEA/HYPOPNEA SYNDROME; INSULIN-RESISTANCE; OBESE CHILDREN; QUESTIONNAIRE; ASSOCIATION; ADOLESCENTS; ADENOTONSILLECTOMY;
D O I
10.1183/09031936.00215411
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Overnight polysomnography (PSG) is an expensive procedure which can only be used in a minority of cases, although it remains the gold standard for the diagnosis of sleep disordered breathing (SDB). The objective of this study was to develop a simple, PSG-validated tool to screen SDB, thus reducing the use of PSG. For every participant we performed PSG and a sleep clinical record was completed. The sleep clinical record consists of three items: physical examination, subjective symptoms and clinical history. The clinical history analyses behavioural and cognitive problems. All three items were used to create a sleep clinical score (SCS). We studied 279 children, mean +/- SD age 6.1 +/- 3.1 years, 63.8% male; 27.2% with primary snoring and 72.8% with obstructive sleep apnoea (OSA) syndrome. The SCS was higher in the OSA syndrome group compared to the primary snoring group (8.1 +/- 9.6 versus 0.4 +/- 0.3, p<0.005), correlated with apnoea/hypopnoea index (p=0.001) and had a sensitivity of 96.05%. Positive and negative likelihood ratios were 2.91 and 0.06, respectively. SCS may effectively be used to screen patients as candidates for PSG study for suspected OSA syndrome, and to enable those with a mild form of SDB to receive early treatment.
引用
收藏
页码:1355 / 1361
页数:7
相关论文
共 39 条
  • [1] Heart rate variability in children with obstructive sleep apnea
    Aljadeff, G
    Gozal, D
    Schechtman, VL
    Burrell, B
    Harper, RM
    Ward, SLD
    [J]. SLEEP, 1997, 20 (02) : 151 - 157
  • [2] Practice Parameters for the Respiratory Indications for Polysomnography in Children
    Aurora, R. Nisha
    Zak, Rochelle S.
    Karippot, Anoop
    Lamm, Carin I.
    Morgenthaler, Timothy I.
    Auerbach, Sanford H.
    Bista, Sabin R.
    Casey, Kenneth R.
    Chowdhuri, Susmita
    Kristo, David A.
    Ramar, Kannan
    [J]. SLEEP, 2011, 34 (03) : 379 - 388
  • [3] Sleep Disordered Breathing in Children in a General Population Sample: Prevalence and Risk Factors
    Bixler, Edward O.
    Vgontzas, Alexandros N.
    Lin, Hung-Mo
    Liao, Duanping
    Calhoun, Susan
    Vela-Bueno, Antonio
    Fedok, Fred
    Vlasic, Vukmir
    Graff, Gavin
    [J]. SLEEP, 2009, 32 (06) : 731 - 736
  • [4] Pituitary reactivity, androgens and catecholamines in obstructive sleep apnoea.: Effects of continuous positive airway pressure treatment (CPAP)
    Bratel, T
    Wennlund, A
    Carlström, K
    [J]. RESPIRATORY MEDICINE, 1999, 93 (01) : 1 - 7
  • [5] Can history and physical examination reliably diagnose pediatric obstructive sleep apnea/hypopnea syndrome? A systematic review of the literature
    Brietzke, SE
    Katz, ES
    Roberson, DW
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2004, 131 (06) : 827 - 832
  • [6] A DIAGNOSTIC-APPROACH TO SUSPECTED OBSTRUCTIVE SLEEP-APNEA IN CHILDREN
    BROUILETTE, R
    HANSON, D
    DAVID, R
    KLEMKA, L
    SZATKOWSKI, A
    FERNBACH, S
    HUNT, C
    [J]. JOURNAL OF PEDIATRICS, 1984, 105 (01) : 10 - 14
  • [7] INABILITY OF CLINICAL HISTORY TO DISTINGUISH PRIMARY SNORING FROM OBSTRUCTIVE SLEEP-APNEA SYNDROME IN CHILDREN
    CARROLL, JL
    MCCOLLEY, SA
    MARCUS, CL
    CURTIS, S
    LOUGHLIN, GM
    [J]. CHEST, 1995, 108 (03) : 610 - 618
  • [8] Snoring predicts hyperactivity four years later
    Chervin, RD
    Ruzicka, DL
    Archbold, KH
    Dillon, JE
    [J]. SLEEP, 2005, 28 (07) : 885 - 890
  • [9] Pediatric sleep questionnaire: Prediction of sleep apnea and outcomes
    Chervin, Ronald D.
    Weatherly, Robert A.
    Garetz, Susan L.
    Ruzicka, Deborah L.
    Giordani, Bruno J.
    Hodges, Elise K.
    Dillon, James E.
    Guire, Kenneth E.
    [J]. ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2007, 133 (03) : 216 - 222
  • [10] Pediatric Sleep Questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems
    Chervin, Ronald D.
    Hedger, Kristen
    Dillon, James E.
    Pituch, Kenneth J.
    [J]. SLEEP MEDICINE, 2000, 1 (01) : 21 - 32