Evaluation of home audiotapes as an abbreviated test for obstructive sleep apnea syndrome (OSAS) in children

Screening for obstructive sleep apnea (OSA) in children and adolescents with obesity: A scoping review of national and international pediatric obesity and pediatric OSA management guidelines

“…Several alternative approaches for the screening or diagnosis of OSA include sleep questionnaires, measures of daytime sleepiness, overnight pulse oximetry, audio or video recordings during sleep, portable home PSG, and daytime PSG. Unfortunately, most of these have been shown to have poor negative predictive values for OSA 4,37,53–72 . A history of snoring that is used commonly in clinical practice for OSA screening has been shown to have poor specificity with low predictive value for the diagnosis of OSA 63 .…”

“…Unfortunately, most of these have been shown to have poor negative predictive values for OSA. 4,37,[53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72] A history of snoring that is used commonly in clinical practice for OSA screening has been shown to have poor specificity with low predictive value for the diagnosis of OSA. 63 In terms of clinical assessment, studies have found the presence of nocturnal choking or gasping to be a more useful clinical feature that suggests the diagnosis of OSA.…”

Adenotonsillectomy in obstructive sleep apnea syndrome

“…Hence, the history and the clinical exam remain fundamentally important in the diagnosis of respiratory disorders in sleep and, above all, in identifying those children who need to be evaluated with a polysomnography and who need to undergo all the other tests to diagnose the disease undergoing surgery or prosthesis deployment [14][15][16][17][18][19][20]. Conversely, some authors consider that the sole clinical evaluation is not enough to identify OSAS children and that PSG should be carried out in all suspected cases [16,20].…”

Update in Obstructive Sleep Apnea Syndrome in Children

“… 22 . If the diagnostic test is really not available, the doctor could alternatively perform night pulse oxymetry and audio taping of respiratory noise while the child is sleeping 28 , 29 .…”