Usefulness of desaturation index for the assessment of obstructive sleep apnea syndrome in children

Abstract Objective Obstructive 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...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2013-08, Vol.77 (8), p.1286-1290
Main Authors: Tsai, Chih-Min, Kang, Chia-Hao, Su, Mao-Chang, Lin, Hsin-Ching, Huang, Eng-Yen, Chen, Chih-Cheng, Hung, Jui-Chieh, Niu, Chen-Kuang, Liao, Da-Ling, Yu, Hong-Ren
Format: Article
Language:English
Subjects:
Age Factors
Child
Child, Preschool
Desaturation index
Female
Humans
Male
Obstructive sleep apnea syndrome (OSAS)
Otolaryngology
Oximetry
Oxygen - metabolism
Pediatrics
Polysomnography
Predictive Value of Tests
Pulse oximetry
Retrospective Studies
Severity of Illness Index
Sleep Apnea, Obstructive - complications
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - metabolism
Snoring - etiology
Snoring - metabolism
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Summary:Abstract Objective Obstructive 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. Methods This 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
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2013.05.011