TY - JOUR T1 - Sleep clinical record: what differences in school and preschool children? JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.00049-2015 VL - 2 IS - 1 SP - 00049-2015 AU - Maria Pia Villa AU - Hanaa Shafiek AU - Melania Evangelisti AU - Jole Rabasco AU - Manuela Cecili AU - Marilisa Montesano AU - Mario Barreto Y1 - 2016/01/01 UR - http://openres.ersjournals.com/content/2/1/00049-2015.abstract N2 - The sleep clinical record (SCR) may be a valid method for detecting children with obstructive sleep apnoea (OSA). This study aimed to evaluate whether there were differences in SCR depending on age and to identify the possible risk factors for OSA development.We enrolled children with sleep disordered breathing between 2013 and 2015, and divided them according to age into preschool- and school-age groups. All patients underwent SCR and polysomnography.OSA was detected in 81.1% and 83.6% of preschool- and school-age groups, respectively. Obesity, malocclusions, nasal septal deviation and inferior turbinate hypertrophy were significantly more prevalent in school-age children (p<0.05); however, only tonsillar hypertrophy had significant hazard ratio (2.3) for OSA development. Saddle nose, nasal hypotonia, oral breathing and tonsillar hypertrophy were significantly more prevalent for development of OSA in preschoolers (p<0.03). The SCR score was significantly higher among preschool children than in school-age children (8.4±2.22 versus 7.9±2.6; p=0.044). Further, SCR score >6.5 had a sensitivity of 74% in predicting OSA in preschool children with positive predictive value of 86% (p=0.0001).Our study confirms the validity of the SCR as a screening tool for patient candidates for a PSG study for suspected OSA, in both school and preschool children.The differences in sleep clinical record between school and preschool children suspected to have OSA http://ow.ly/X778Q ER -