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A simple diagnostic scale based on the analysis and screening of clinical parameters in paediatric obstructive sleep apnoea hypopnea syndrome

Published online by Cambridge University Press:  28 February 2017

D Wu ,
X Li ,
X Guo ,
J Qin  and
S Li
D Wu
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
X Li
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
X Guo
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
J Qin
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
S Li*
Affiliation:
Department of Otolaryngology, General Hospital of Shenyang Military Area Command, Shenyang, China
*
Address for correspondence: Dr S Li, Department of Otolaryngology, General Hospital of Shenyang Military Area Command, 83 Wenhua Road, Shenhe District, Shenyang 110840, China E-mail: lishsy@sina.com
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Abstract

Objective:

This study aimed to develop a simple and accurate method to diagnose paediatric obstructive sleep apnoea hypopnea syndrome.

Methods:

A total of 311 children with suspected paediatric obstructive sleep apnoea hypopnea syndrome were included in the study. Multiple clinical parameters, including sex, age, body mass index, history of snoring or gasping, history of nasal obstruction, history of running nose, palatine tonsil size, adenoid to nasopharynx ratio, and tympanogram type, were compared with polysomnography results using relevant correlation and regression analyses. A diagnostic scale was established using the regression equation and the correlation between the polysomnography result and scale result was determined.

Results:

The apnoea–hypopnea index correlated significantly with a history of snoring or gasping, palatine tonsil size, and tympanogram type. Stepwise logistic regression analysis revealed that the polysomnography result correlated significantly with a history of snoring or gasping, palatine tonsil size, and the adenoid to nasopharynx ratio. The percentage correlation between the scale and polysomnography results was 77.8 per cent.

Conclusion:

The diagnostic scale can be used to diagnose paediatric obstructive sleep apnoea hypopnea syndrome for clinical application when polysomnography cannot be performed. However, it is not suitable for assessing the severity of paediatric obstructive sleep apnoea hypopnea syndrome.

Keywords

ChildObstructive Sleep ApneaEarly DiagnosisQuestionnaire
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 4 , April 2017 , pp. 363 - 367
Copyright
Copyright © JLO (1984) Limited 2017 

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