Abstract
Introduction: Polysomnography (PSG) is the gold standard for the diagnosis of Obstructive Sleep Apnea (OSA), but costs difficult its use, screening protocols being highly needed for optimization AIMS: To test the protocol “Sleep Clinical Record” (SCR) in Brazilian children with respiratory complaints.
Methods: SCR was applied to 51 children with obstructive breathing disorders, aged 4 to 11 years old. SCR evaluates 11 topics of symptoms and medical exams, scoring from 0 to 18 points, 6.5 being considered positive. The higher the score, the more likely the chance for OSA. SCR scores were compared to PSG, sensitivity, and specificity were analyzed.
Results: 51 children, 26 girls, mean age 6,92±2,08 years, were included, 61% being overweight, 70% diagnosed moderate to severe OSA. SCR score varied from 2 to 15.5, being considered positive for 46.2% mild, for 77.8% moderate and 70% for severe OSA children. High scores were seen for nasal obstruction, oral breathing, tonsillar hypertrophy, Friedman and malocclusion. Sensivity for OSA was 0.89, specificity was 0.19.
Conclusion: SCR showed no cultural difficulty for its application. Sensittivity was good, however, specificity was still low. There is a need for more investigation for OSA screening protocols in children.
Footnotes
Cite this article as: European Respiratory Journal 2018 52: Suppl. 62, OA3585.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2018