Validation of the Brazilian version of the Pediatric Obstructive Sleep Apnea Screening Tool questionnaire

Pires, Priscila J.S.; Mattiello, Rita; Lumertz, Magali Santos; Morsch, Thiago Picolli; Fagondes, Simone Chaves; Nunes, Magda L.; Gozal, David; Stein, Renato T.

doi:10.1016/j.jped.2017.12.014

Cited by 12 publications

(15 citation statements)

References 22 publications

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“…GMFCS III-V children often present abnormal muscle tone of the upper airway including laryngeal dystonia, severe laryngomalacia due to reduced tone in the supraglottic structures, concurrent pseudobulbar palsy, and adenotonsillar hypertrophy (ATH) which can result in several sleep related breathing disorders, including OSAS. The treatment of OSAS in children with CP improves QoL, prevents cardiovascular consequences such as pulmonary hypertension, decreases neurobehavioral consequences, and may improve seizure control 11,[69][70][71][72][73] . ATH leads to mouth breathing, nasal congestion, chronic sinusitis, and recurrent otitis media.…”

Section: Obstructive Sleep Apnea Syndrome/upper Respiratory Obstructionmentioning

confidence: 99%

“…The pediatric obstructive sleep apnea screening tool (PosaST) has high sensitivity and moderate specificity for the diagnosis of moderate to severe OSAS in preschoolers and school children. This tool can discriminate children at greater risk for OSAS and, consequently, indicates those with greater urgency to undergo polysomnography (PSG) and subsequent treatment of the underlying pathology 72,74,75 .…”

Section: Anamnesis Essential and Specific Aspectsmentioning

confidence: 99%

“…It would be reasonable to consider a lateral airways radiograph to assess the size of adenoidal tissue in relation to the airway 11 . In countries where access to PSG is precarious, the evaluations performed from questionnaires become of great clinical importance, with a low operational cost 72,76 .…”

Section: Additional Testsmentioning

confidence: 99%

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Respiratory System Impairments in Children with Cerebral Palsy: Outpatient Surveillance, Diagnosis, and Treatment

Dias

Lima

2021

MRAJ

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Introduction: Cerebral palsy is the most common physical disability of childhood. Respiratory problems are the main causes of morbidity and mortality in cerebral palsy. Methods: The study is characterized by a scoping review. The search for articles was carried out in August 2021 in the PubMed, Medline, SciELO, LILACs and Google Schoolar databases, with the keywords "cerebral palsy” and "respiratory". Results: Overall, 1037 articles were found, 10 duplicates were removed and 167 were pre-selected after the analysis of titles and abstracts. Then, 90 were excluded due to lack of appropriateness after reading the full-texts, thus yielding a total of 77 studies. Discussion: Risk of respiratory disease should be screened at least every 12 months based on the following criteria: a hospital admission for respiratory illness in the past 12 months; a Gross Motor Function Classification System level V; a Eating and Drinking Ability Classification System level III–V. The screening aims to lead to early diagnosis and treatment, and consists in actively evaluate the risk factors for emergency department visits and hospital admissions. A Gross Motor Function Classification System level V is the strongest predictor, but dysphagia and seizures are the strongest potentially modifiable factors. Aspiration pneumonia is the main cause of death. The main risk for aspiration are dysphagia; uncontrolled seizures; gastroesophageal reflux disease; and drooling. Other comorbidities should also be actively screened: undernutrition; tone disorders; skeletal malalignment; upper respiratory obstruction; airway clearence impairment; and restrictive lung disease. Conclusion: Respiratory impairments in CP results from a complex multifactorial process influenced by several interrelated pathophysiological factors, directly and indirectly influenced by other common comorbidities in CP. Active and early surveillance, diagnosis and treatment, involving multiple medical specialties and rehabilitation professionals is essential for success in improving the quality of life and reducing morbidity and mortality of these patients.

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Section: Obstructive Sleep Apnea Syndrome/upper Respiratory Obstructionmentioning

confidence: 99%

Section: Anamnesis Essential and Specific Aspectsmentioning

confidence: 99%

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Respiratory System Impairments in Children with Cerebral Palsy: Outpatient Surveillance, Diagnosis, and Treatment

Dias

Lima

2021

MRAJ

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“…A memória faz parte de um dos principais parâmetros do aspecto cognitivo para o mau desempenho de escolares 4 , possuindo funções corticais importantes para a função executiva e de aprendizagem 5 . Um estudo demonstrou que 46,3% das crianças que possuem queixa de dificuldade de aprendizagem, 18,9% apresentaram associação de queixa de atenção/memória de aprendizagem (43,3%) 6 .…”

Section: Introductionunclassified

O impacto da qualidade do sono na memória em escolares

Santos¹,

Lira²,

Viana³

et al. 2022

Rev Neurocienc

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Introdução. A má qualidade do sono em crianças, provocada por distúrbios do sono e/ou maus hábitos do sono, podem afetar a qualidade de vida e o desenvolvimento cognitivo. Objetivo. Relacionar as principais queixas de memória com os aspectos subjetivos do sono em crianças e o impacto da qualidade do sono na memória. Método. Participaram 71 responsáveis de escolares, matriculados em uma escola pública, de 6 a 11 anos (8,52±1,54), que responderam uma anamnese, o Children’s Sleep Habits Questionnaire (CSHQ-PT) e o Prospective and Retrospective Memory Questionnaire (PMRQ). Resultados. 68% das crianças apresentaram alto índice de perturbação do sono e 8% com queixa de memória prospectiva de curto prazo. Houve associação da queixa de dificuldade escolar com o Índice de perturbação do sono (p=0,050) e resistência em ir para a cama (p=0,035) do CSHQ-PT. Notou-se associação entre a percepção de desempenho escolar com despertares noturnos do CSHQ-PT (p=0,037). Verificou-se correlações positivas entre as variáveis das memórias de longo prazo, curto prazo, prospectiva e retrospectiva em relação ao índice de perturbação do sono, resistência em ir para a cama, despertares noturnos, parassonias, perturbação respiratória do sono e sonolência diurna. Conclusão. Ocorreu relação do impacto da qualidade do sono nas queixas de memória.

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“…For these reasons, it is one of the most used and validated screening tools, appearing at least as effective as or better than PSG (polysomnography) [1,5,6]. The inclusion of PSQ in the European guidelines and its use in many literature articles that have translated and rewritten the questions in different languages has made PSQ the most suitable questionnaire in the last twenty years, according to the literature [8][9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Paediatric Sleep Questionnaire for Obstructive Sleep Apnoea Syndrome Screening: Is Sleep Quality Worthy of Note?

et al. 2021

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Obstructive sleep apnoea syndrome (OSAS) is the most severe condition on the spectrum of sleep-related breathing disorders (SRBDs). The Paediatric Sleep Questionnaire (PSQ) is one of the most used and validated screening tools, but it lacks the comprehensive assessment of some determinants of OSAS, specifically anamnestic assessment and sleep quality. This study aims to assess the accuracy of some specific items added to the original PSQ, particularly related to the patient’s anamnestic history and to the quality of sleep, for the screening of OSAS in a paediatric population living in Sicily (Italy). Fifteen specific items, divided into “anamnestic” and “related to sleep quality” were added to the original PSQ. The whole questionnaire was administered via a digital form to the parents of children at 4 schools (age range: 3–13 years). For each item, sensitivity and specificity, positive and negative predictive values, and positive and negative likelihood ratios were calculated. The highest sensitivity (80.0, 95% CI: 28.4; 99.5), in combination with the highest specificity (61.1, 95% CI: 35.7; 82.7), was found for the Item 32 (“assumption of bizarre or abnormal positions during sleep”). This item was found statistically significant for predicting the occurrence of OSAS in children (p-value ≤0.003). The study demonstrates the accuracy of specific items related to sleep quality disturbance for the preliminary assessment of the disease. Although these results should be validated on a larger sample of subjects, they suggest that including the factors discriminating sleep quality could further increase the efficiency and accuracy of PSQ.

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Validation of the Brazilian version of the Pediatric Obstructive Sleep Apnea Screening Tool questionnaire

Abstract: The questionnaire was translated to and validated into Brazilian-Portuguese version, and showed good reliability and concordance with apnea-hypopnea index. This questionnaire offers a reliable screening option for sleep-disordered breathing in children.

Cited by 12 publications

References 22 publications

Respiratory System Impairments in Children with Cerebral Palsy: Outpatient Surveillance, Diagnosis, and Treatment

Respiratory System Impairments in Children with Cerebral Palsy: Outpatient Surveillance, Diagnosis, and Treatment

O impacto da qualidade do sono na memória em escolares

Paediatric Sleep Questionnaire for Obstructive Sleep Apnoea Syndrome Screening: Is Sleep Quality Worthy of Note?

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