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    Giorgia De Pasquale
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    This study compared the use of a 12-item screening questionnaire (Obstructive Airway Child test: OACT) to home respiratory polygraphy (HRP) in evaluating 45 children ages 5-16 for obstructive sleep apnea syndrome (OSAS) without other comorbidities. HRP found that 60% had at least mild OSAS and 15% had moderate OSAS. The questionnaire had good sensitivity but low specificity for detecting mild and moderate OSAS. However, a score under 61 on the questionnaire had a very good negative predictive value for ruling out moderate to severe OSAS, allowing 56% of children to avoid further testing. The questionnaire is effective for excluding moderate to severe OSAS but further testing is needed if

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    This study compared the use of a 12-item screening questionnaire (Obstructive Airway Child test: OACT) to home respiratory polygraphy (HRP) in evaluating 45 children ages 5-16 for obstructive sleep apnea syndrome (OSAS) without other comorbidities. HRP found that 60% had at least mild OSAS and 15% had moderate OSAS. The questionnaire had good sensitivity but low specificity for detecting mild and moderate OSAS. However, a score under 61 on the questionnaire had a very good negative predictive value for ruling out moderate to severe OSAS, allowing 56% of children to avoid further testing. The questionnaire is effective for excluding moderate to severe OSAS but further testing is needed if

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    4 views1 page

    Abstract 33535090

    Uploaded by

    Giorgia De Pasquale
    This study compared the use of a 12-item screening questionnaire (Obstructive Airway Child test: OACT) to home respiratory polygraphy (HRP) in evaluating 45 children ages 5-16 for obstructive sleep apnea syndrome (OSAS) without other comorbidities. HRP found that 60% had at least mild OSAS and 15% had moderate OSAS. The questionnaire had good sensitivity but low specificity for detecting mild and moderate OSAS. However, a score under 61 on the questionnaire had a very good negative predictive value for ruling out moderate to severe OSAS, allowing 56% of children to avoid further testing. The questionnaire is effective for excluding moderate to severe OSAS but further testing is needed if

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    1. Int J Pediatr Otorhinolaryngol. 2021 Apr;143:110635.

    doi:
    10.1016/j.ijporl.2021.110635. Epub 2021 Jan 27.

    Home respiratory polygraphy in obstructive sleep apnea syndrome in children:


    Comparison with a screening questionnaire.

    Maggio ABR(1), Beghetti M(2), Cao Van H(3), Grasset Salomon C(4),
    Barazzone-Argiroffo C(5), Corbelli R(6).

    Author information:
    (1)Health and Movement Consultation, Division of Pediatric Specialties,
    Department of Pediatrics, Gynecology and Obstetrics, Switzerland. Electronic
    address: Albane.maggio@hcuge.ch.
    (2)Pediatric Cardiology Unit, Division of Pediatric Specialties, Department of
    Pediatrics, Gynecology and Obstetrics, Switzerland. Electronic address:
    Maurice.beghetti@hcuge.ch.
    (3)Department of Otolaryngology-Head and Neck Surgery, Switzerland. Electronic
    address: helene.caovan@hcuge.ch.
    (4)Pediatric Research Platform, Department of Pediatrics, Gynecology and
    Obstetrics, Switzerland. Electronic address: carole.salomon@hcuge.ch.
    (5)Pediatric Pulmonary Unit, Division of Pediatric Specialties, Department of
    Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva and
    University of Geneva, Switzerland. Electronic address:
    constance.barazzone@hcuge.ch.
    (6)Pediatric Pulmonary Unit, Division of Pediatric Specialties, Department of
    Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva and
    University of Geneva, Switzerland. Electronic address: regula.corbelli@hcuge.ch.

    OBJECTIVES: The prevalence of obstructive sleep apnea syndrome (OSAS) in


    children referred for sleep-disordered breathing reaches up to 59%. We aimed to
    test the adequacy of a questionnaire compared to home respiratory polygraphy
    (HRP), in 45 subjects (5-16 years-old), without maxillofacial malformations nor
    other comorbidities, presenting with symptoms compatible with OSAS.
    METHODS: All children passed a 12-items questionnaire (Obstructive Airway Child
    test: OACT) and the HRP. OSAS was classified in severity according to the
    apnea-hypopnea index (AHI).
    RESULTS: With HRP, 60% and 15% children were detected to have at least mild (AHI
    ≥1) and moderate (AHI >5) OSAS, respectively. The sensitivity of the
    questionnaire to detect mild and moderate OSAS was good (93% and 71%,
    respectively) but the specificity was very low (11% and 34%). However, an OACT
    score under 61 showed a very good negative predictive value for moderate and
    severe OSAS (87%). With the questionnaire, we could have avoided a complementary
    PSG or HRP in 25/45 (56%) of our subjects as in children with mild OSAS and
    without comorbidities only clinical observation is usually advised.
    CONCLUSIONS: The OACT questionnaire has shown to be a good and quick instrument
    to exclude moderate and severe OSAS in our population of children without
    maxillofacial malformations. Indeed children scoring under 61 could avoid a
    constraining and expensive sleep exam. However, if the score is above this
    cut-off, the performance to recognize OSAS is low and the child's evaluation
    must be completed by a HRP or PSG.

    Copyright © 2021 Elsevier B.V. All rights reserved.

    DOI: 10.1016/j.ijporl.2021.110635
    PMID: 33535090 [Indexed for MEDLINE]

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