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https://hdl.handle.net/2440/85792
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Type: | Journal article |
Title: | Pediatric Sleep Survey Instrument - a screening tool for sleep disordered breathing |
Author: | Biggs, S. Nixon, G. Davey, M. Cicua Navarro, D. Kennedy, J. Lushington, K. Horne, R. |
Citation: | Sleep and Breathing: international journal of the science and practice of sleep medicine, 2014; 18(2):383-390 |
Publisher: | Springer-Verlag |
Issue Date: | 2014 |
ISSN: | 1520-9512 1522-1709 |
Statement of Responsibility: | Sarah N. Biggs, Gillian M. Nixon, Margot J. Davey, Diana C. Cicua Navarro, J. Declan Kennedy, Kurt Lushington, Rosemary S. C. Horne |
Abstract: | Purpose: The aim of this study was to assess the construct validity and clinical application of the Pediatric Sleep Survey Instrument (PSSI) as a tool to screen for sleep disordered breathing (SDB) in children. Methods: Polysomnography (PSG) outcomes and PSSI subscale scores were compared between a clinical cohort (N = 87, 5–10 years, 62 M/25 F) and a nonsnoring community sample (N = 55, 5–10 years, 28 M/27 F). Group comparisons assessed the ability of the PSSI subscales to discriminate between the clinical and community cohorts. Receiver operating characteristic (ROC) curves assessed construct validity, with the Apnea/Hypopnea Index (AHI) >5 events/h, OSA-18 score >60, and Pediatric Daytime Sleepiness Scale (PDSS) above the 70th percentile as the target references. Results: The clinical group had more respiratory events, respiratory-related arousals, fragmented sleep, and lower oxygen saturation nadir than the community group (p < 0.001 for all). PSSI subscale scores of Morning Tiredness, Night Arousals, SDB, and Restless Sleep were higher (p < 0.001 for all) in the clinical cohort, confirming the tool’s ability to identify clinically relevant sleep problems. ROC curves confirmed the diagnostic accuracy of the SDB subscale against an AHI > 5 events/h (area under the curve (AUC) = 0.7), an OSA-18 score >60 (AUC = 0.7), and a PDSS score in the 70th percentile (AUC = 0.8). The Morning Tiredness subscale accurately predicted a PDSS score in the 70th percentile (AUC = 0.8). A cutoff score of 5 on the SDB subscale showed a sensitivity of 0.94 and a specificity of 0.76, correctly identifying 77 and 100 % of the clinical and community cohorts, respectively. Conclusion: The PSSI Sleep Disordered Breathing subscale is a valid tool for screening SDB and daytime sleepiness in children aged 5–10 years. |
Keywords: | Pediatric Sleep Questionnaire; validation; children; Sleep disordered breathing; daytime sleepiness |
Rights: | © Springer-Verlag Berlin Heidelberg 2013 |
DOI: | 10.1007/s11325-013-0897-1 |
Published version: | http://dx.doi.org/10.1007/s11325-013-0897-1 |
Appears in Collections: | Aurora harvest 2 Paediatrics publications |
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