Pediatric sleep questionnaire: prediction of sleep apnea and outcomes.

Pediatric sleep questionnaire: prediction of sleep apnea and outcomes. Research Abstract Details 

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Pediatric sleep questionnaire: prediction of sleep apnea and outcomes. Abstract Text:

Ronald D Chervin,Robert A Weatherly,Susan L Garetz,Deborah L Ruzicka,Bruno J Giordani,Elise K Hodges,James E Dillon,Kenneth E Guire,

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.

Pediatric sleep questionnaire: prediction of sleep apnea and outcomes. Publishing Authors By Initials

RD Chervin,RA Weatherly,SL Garetz,DL Ruzicka,BJ Giordani,EK Hodges,JE Dillon,KE Guire,

For similar surgical procedures, operative: otorhinolaryngologic surgical procedures: tonsillectomy research abstracts see: surgical procedures, operative: otorhinolaryngologic surgical procedures: tonsillectomy research

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Pediatric sleep questionnaire: prediction of sleep apnea and outcomes. Journal Published:

PUBLICATION TYPE: Validation Studies

Journal: Archives of otolaryngology--head & neck surgery

VOLUME: 133

Page Numbers: 216-22

Journal Abbreviation: Arch. Otolaryngol. Head Neck S

ISSN: 0886-4470

DAY: 3

MONTH: Mar

YEAR: 2007

Pediatric sleep questionnaire: prediction of sleep apnea and outcomes. Information

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LANGUAGE: eng

NlmUniqueID: 8603209

Pediatric sleep questionnaire: prediction of sleep apnea and outcomes. Keywords Mesh Terms:

KEYWORDS: Tonsillectomy

MESH TERMS: surgery

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Grant and Affiliation Information for Pediatric sleep questionnaire: prediction of sleep apnea and outcomes.

AFFILIATION: Sleep Disorders Center, Department of Neurology, School of Public Health, University of Michigan, Ann Arbor, USA. chervin@umich.edu

Country: United States

AGENCY: United States NCRR

GRANT: RR00042

ACRONYM: RR

MEDLINETA: Arch Otolaryngol Head Neck Sur

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