TY - JOUR T1 - The role of sleep clinical record and nocturnal pulse oximetry in predicting childhood obstructive sleep apnea JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P3271 AU - Nicoletta Pietropaoli AU - Maria Chiara Supino AU - Jole Rabasco AU - Ottavio Vitelli AU - Chiara Romano AU - Manuela Cecili AU - Maria Pia Villa Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P3271.abstract N2 - IntroductionPolysomnography (PSG) is the gold standard for the diagnosis of Obstructive Sleep Apnea (OSA). However, it is expensive and not available everywhere. For these reasons, alternatives to full PSG for the evaluation of suspected OSAS are often sought. The aim of our study is to develop a simple tool to screen OSA, thus reducing the use of PSG.MethodsChildren with suspected OSA referred to our Pediatric Sleep Centre from September 2012 to September 2013 were included. Each patient underwent Sleep Clinical Record (SCR), full PSG, and nocturnal pulse oximetry. A diagnosis of OSA was made in children with an Apnea/Hypopnea Index (AHI) ≥1 ev/h. A SCR score ≥ 6.5 and a McGill Oximetry Score (MOS) ≥ 2 were considered positive.ResultsWe enrolled 285 children, mean age 6.2 ± 3.1, 187 (65.6%) male. 52 children (18.2%) showed MOS ≥ 2 with a sensitivity of 20.5% and specificity of 97.2%. 227 children (79.6%) had SCR score ≥ 6.5 with a sensitivity of 81.1% and specificity of 30.5%.48 children (16.8%) showed positive SCR and MOS; all of them received a diagnosis of OSA at the PSG, reaching a specificity of 100%. Sensitivity was 52%; positive and negative predictive value were respectively 100% and 18.5%.ConclusionThe combined use of SCR and nocturnal pulse oximetry with MOS may represent a valid alternative to full PSG. ER -