Clinical manifestations of pediatric obstructive sleep apnea syndrome: Clinical utility of the Chinese-version Obstructive Sleep Apnea Questionaire-18.

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Title: Clinical manifestations of pediatric obstructive sleep apnea syndrome: Clinical utility of the Chinese-version Obstructive Sleep Apnea Questionaire-18.
Authors: Huang, Yu‐Shu, Hwang, Fang‐Ming, Lin, Cheng‐Hui, Lee, Li‐Ang, Huang, Po‐Yu, Chiu, Szu‐Tzu
Source: Psychiatry & Clinical Neurosciences. Dec2015, Vol. 69 Issue 12, p752-762. 11p. 1 Diagram, 7 Charts.
Subjects: Sleep apnea syndromes in children, Adenotonsillectomy, Polysomnography, Pediatric physiology, Cognitive development, Test reliability, Test validity
Abstract: Aims Childhood obstructive sleep apnea syndrome ( OSA) affects not only the children's physical health, but also their mental development, behavioral problems and learning difficulties. Therefore, an early diagnosis is important. However, the assessment tools of polysomnography are demanding. The Obstructive Sleep Apnea Questionnaire-18 ( OSA-18) is designed to screen OSA and has good reliability and validity. The goal of this study was to validate the Chinese version of the OSA-18, to analyze the frequency of symptoms and find the most common symptoms of OSA in Taiwanese children. Methods We validated the OSA-18 in an ethnic Chinese group and compared the treatment outcomes to show the sensitivity of the questionnaire. The caregivers completed the questionnaire twice at an interval of 4 weeks to test reliability. In the validation study, we included 88 OSA children. The OSA-18 and follow-up polysomnography were performed before and 6 months after adenotonsillectomy. Results Results showed the excellent test-retest reliability ( r = 0.84**) of the OSA-18. There was a statistically significant correlation between the OSA-18 and, respectively, the Apnea- Hypopnea Index ( r = 0.29*), and the Hypopnea Index ( r = 0.29*). Quality of life showed a significant correlation with the Apnea Index ( r = 0.43**), central apnea count ( r = 0.50***), and mixed apnea count ( r = 0.36*). The cut-off point of the OSA-18 total scores for detecting pediatric OSA in children aged 6-12 years was 66. The common symptoms of pediatric OSA were poor attention span, loud snoring, caregiver worried about child's health, difficulty awakening, and mouth breathing. Conclusions Our results show that the Chinese version of the OSA-18 is a reliable and valid instrument. The questionnaire also showed improvement in the quality of life of OSA children post-adenotonsillectomy. [ABSTRACT FROM AUTHOR]
Copyright of Psychiatry & Clinical Neurosciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. 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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  Data: Clinical manifestations of pediatric obstructive sleep apnea syndrome: Clinical utility of the Chinese-version Obstructive Sleep Apnea Questionaire-18.
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  Data: <searchLink fieldCode="AR" term="%22Huang%2C+Yu‐Shu%22">Huang, Yu‐Shu</searchLink><br /><searchLink fieldCode="AR" term="%22Hwang%2C+Fang‐Ming%22">Hwang, Fang‐Ming</searchLink><br /><searchLink fieldCode="AR" term="%22Lin%2C+Cheng‐Hui%22">Lin, Cheng‐Hui</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Li‐Ang%22">Lee, Li‐Ang</searchLink><br /><searchLink fieldCode="AR" term="%22Huang%2C+Po‐Yu%22">Huang, Po‐Yu</searchLink><br /><searchLink fieldCode="AR" term="%22Chiu%2C+Szu‐Tzu%22">Chiu, Szu‐Tzu</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychiatry+%26+Clinical+Neurosciences%22">Psychiatry & Clinical Neurosciences</searchLink>. Dec2015, Vol. 69 Issue 12, p752-762. 11p. 1 Diagram, 7 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Sleep+apnea+syndromes+in+children%22">Sleep apnea syndromes in children</searchLink><br /><searchLink fieldCode="DE" term="%22Adenotonsillectomy%22">Adenotonsillectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Polysomnography%22">Polysomnography</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatric+physiology%22">Pediatric physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+development%22">Cognitive development</searchLink><br /><searchLink fieldCode="DE" term="%22Test+reliability%22">Test reliability</searchLink><br /><searchLink fieldCode="DE" term="%22Test+validity%22">Test validity</searchLink>
– Name: Abstract
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  Data: Aims Childhood obstructive sleep apnea syndrome ( OSA) affects not only the children's physical health, but also their mental development, behavioral problems and learning difficulties. Therefore, an early diagnosis is important. However, the assessment tools of polysomnography are demanding. The Obstructive Sleep Apnea Questionnaire-18 ( OSA-18) is designed to screen OSA and has good reliability and validity. The goal of this study was to validate the Chinese version of the OSA-18, to analyze the frequency of symptoms and find the most common symptoms of OSA in Taiwanese children. Methods We validated the OSA-18 in an ethnic Chinese group and compared the treatment outcomes to show the sensitivity of the questionnaire. The caregivers completed the questionnaire twice at an interval of 4 weeks to test reliability. In the validation study, we included 88 OSA children. The OSA-18 and follow-up polysomnography were performed before and 6 months after adenotonsillectomy. Results Results showed the excellent test-retest reliability ( r = 0.84**) of the OSA-18. There was a statistically significant correlation between the OSA-18 and, respectively, the Apnea- Hypopnea Index ( r = 0.29*), and the Hypopnea Index ( r = 0.29*). Quality of life showed a significant correlation with the Apnea Index ( r = 0.43**), central apnea count ( r = 0.50***), and mixed apnea count ( r = 0.36*). The cut-off point of the OSA-18 total scores for detecting pediatric OSA in children aged 6-12 years was 66. The common symptoms of pediatric OSA were poor attention span, loud snoring, caregiver worried about child's health, difficulty awakening, and mouth breathing. Conclusions Our results show that the Chinese version of the OSA-18 is a reliable and valid instrument. The questionnaire also showed improvement in the quality of life of OSA children post-adenotonsillectomy. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychiatry & Clinical Neurosciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. 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.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/pcn.12331
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        Text: English
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      – SubjectFull: Adenotonsillectomy
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      – SubjectFull: Test reliability
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      – SubjectFull: Test validity
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      – TitleFull: Clinical manifestations of pediatric obstructive sleep apnea syndrome: Clinical utility of the Chinese-version Obstructive Sleep Apnea Questionaire-18.
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              Text: Dec2015
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