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Utility of Screening for Obstructive Sleep Apnea with the Pediatric Sleep Questionnaire (PSQ) in Children with Craniofacial Anomalies.
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- Author(s): Solis, Roberto N.; Aulakh, Sukhkaran S.; Velazquez-Castro, Oscar S.; Farber, Nicole I.; Olarewaju, Adebola M.; Nandalike, Kiran; Tollefson, Travis T.; Senders, Craig W.; Funamura, Jamie L.
- Source:
Cleft Palate Craniofacial Journal; May2024, Vol. 61 Issue 5, p882-887, 6p- Subject Terms:
STATISTICAL correlation; QUESTIONNAIRES; RESEARCH methodology evaluation; TONSILLECTOMY; RETROSPECTIVE studies; TERTIARY care; DESCRIPTIVE statistics; CHROMOSOME abnormalities; PEDIATRICS; LONGITUDINAL method; ADENOIDECTOMY; SLEEP apnea syndromes; RESEARCH; CRANIOFACIAL abnormalities; MEDICAL screening; POLYSOMNOGRAPHY; COMPARATIVE studies; SENSITIVITY & specificity (Statistics); CLEFT palate; EVALUATION; DISEASE complications; CHILDREN - Source:
- Additional Information
- Abstract: Objective: To determine the accuracy of the Pediatric Sleep Questionnaire (PSQ) as a screening tool for obstructive sleep apnea in children with craniofacial anomalies. Design: Retrospective cohort study. Setting: Multidisciplinary cleft and craniofacial clinic at a tertiary care center. Patients: Children with craniofacial anomalies 2 to ≤18 years of age who both completed a PSQ screen and underwent polysomnography (PSG) without interval surgery. Main outcome measures: Sensitivity and specificity of the PSQ in detecting an obstructive apnea-hypopnea index (AHI) ≥ 5 events/hour. Results: Fifty children met study criteria, with 66% (n = 33) having an associated syndrome. Mean patient age at time of PSQ was 9.6 + 4.0 years. Overall, 33 (64%) screened positive on the PSQ, while 20 (40%) had an AHI ≥ 5. The sensitivity and specificity for identifying AHI ≥ 5 was 70% and 40%, respectively. With subgroup analysis, the sensitivity and specificity were higher (100% and 50%) in children with non-syndromic palatal clefting but lower (65% and 31%) in children with a syndrome or chromosomal anomaly. There was no correlation detected between PSQ score and AHI severity (p = 0.25). The mean obstructive AHI in the study population was 10.1 ± 22.7 despite 44% (n = 22) undergoing prior adenotonsillectomy. Conclusions: The PSQ was less sensitive and specific in detecting an AHI ≥ 5 in children with craniofacial anomalies than in a general population, and particularly poor in for children with syndrome-associated craniofacial conditions. Given the high prevalence of OSA in this patient population, a craniofacial-specific validated screening tool would be beneficial. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Cleft Palate Craniofacial Journal is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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