Obstructive sleep apnoea syndrome (OSAS) is the most severe condition on the spectrumof sleep-related breathing disorders (SRBDs). The Paediatric Sleep Questionnaire (PSQ) is one ofthe most used and validated screening tools, but it lacks the comprehensive assessment of somedeterminants of OSAS, specifically anamnestic assessment and sleep quality. This study aims toassess the accuracy of some specific items added to the original PSQ, particularly related to thepatient’s anamnestic history and to the quality of sleep, for the screening of OSAS in a paediatricpopulation living in Sicily (Italy). Fifteen specific items, divided into “anamnestic” and “related tosleep quality” were added to the original PSQ. The whole questionnaire was administered via adigital form to the parents of children at 4 schools (age range: 3–13 years). For each item, sensitivityand specificity, positive and negative predictive values, and positive and negative likelihood ratioswere calculated. The highest sensitivity (80.0, 95% CI: 28.4; 99.5), in combination with the highestspecificity (61.1, 95% CI: 35.7; 82.7), was found for the Item 32 (“assumption of bizarre or abnormalpositions during sleep”). This item was found statistically significant for predicting the occurrence ofOSAS in children (p-value ≤0.003). The study demonstrates the accuracy of specific items related tosleep quality disturbance for the preliminary assessment of the disease. Although these results shouldbe validated on a larger sample of subjects, they suggest that including the factors discriminatingsleep quality could further increase the efficiency and accuracy of PSQ.
|Numero di pagine||11|
|Stato di pubblicazione||Published - 2021|