کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4113047 1606017 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Usefulness of desaturation index for the assessment of obstructive sleep apnea syndrome in children
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Usefulness of desaturation index for the assessment of obstructive sleep apnea syndrome in children
چکیده انگلیسی

ObjectiveObstructive sleep apnea syndrome (OSAS) can result in learning, behavioral, and even growth problems in children. Overnight polysomnography (PSG) is the gold standard for the diagnosis of OSAS, but this diagnostic technique is time consuming and inconvenient. It is well documented that patients with OSAS experience oxygen desaturation during sleep. The purpose of this study was to determine if the level of oxygen desaturation can be used to predict OSAS in children.MethodsThis retrospective study included 148 children aged from 3 to 12 years; all were snorers and were suspected of having OSAS. Objective PSG parameters, nocturnal pulse oximeter data and subjective modified Epworth Sleepiness Scale (ESS) scores were assessed. Mild, moderate, and severe OSAS was classified as apnea–hypopnea index (AHI) ≥ 1 and <5, AHI ≥ 5 and <10, and AHI ≥ 10, respectively.ResultsOf the 148 children, 130 (87.8%) were diagnosed with OSAS. There was no correlation between the AHI and the modified ESS score (r = −0.048, p = 0.563). The desaturation index (DI) had the highest correlation with AHI (r = 0.886, p < 0.001). Using the DI cut-off values of 2.05 to predict OSAS in children had good positive predictive value of 98.1%. The optimal DI cut-off values for predicting the occurrence of mild, moderate, and severe OSAS were 2.05 (sensitivity: 77.7%; specificity: 88.9%), 3.50 (sensitivity: 83.8%; specificity: 86.5%) and 4.15 (sensitivity: 89.1%; specificity: 86.0%), respectively.ConclusionsThese findings suggest that DI, as determined using a nocturnal pulse oximeter, may be a good tool for predicting both the presence and the severity of OSAS in children.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 77, Issue 8, August 2013, Pages 1286–1290
نویسندگان
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