Comparison of Epworth Sleepiness Scale and OSA‐18 Scores With Polysomnography in Children
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2024
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| author | Beatrice R. Bacon Amanda B. Hassinger Gaayathri Varavenkataraman Erin Gould Nick Sahlollbey Michele M. Carr |
| author_facet | Beatrice R. Bacon Amanda B. Hassinger Gaayathri Varavenkataraman Erin Gould Nick Sahlollbey Michele M. Carr Beatrice R. Bacon Amanda B. Hassinger Gaayathri Varavenkataraman Erin Gould Nick Sahlollbey Michele M. Carr |
| collection | Wiley Open Access |
| contents | Comparison of Epworth Sleepiness Scale and OSA‐18 Scores With Polysomnography in Children Beatrice R. Bacon Amanda B. Hassinger Gaayathri Varavenkataraman Erin Gould Nick Sahlollbey Michele M. Carr Otolaryngology–Head and Neck Surgery AbstractObjectiveOur goal is to determine if there is a correlation between Modified Epworth Sleepiness Scale (M‐ESS) scores, obstructive sleep apnea (OSA)‐18 scores, and polysomnography (PSG) outcomes in children.Study DesignRetrospective chart review.SettingPediatric otolaryngology clinic.MethodsCharts of consecutive children presenting from July 2021 to July 2023 were reviewed. Demographics, body mass index (BMI), BMI Z score, M‐ESS score, OSA‐18 score, PSG results, and sleep apnea severity were included. One‐way analysis of variance and Pearson/Spearman correlation coefficients were calculated.ResultsThree hundred sixty‐seven children were included, 162 (44.1%) girls and 205 (55.9%) boys. Mean patient age was 7.8 (95% confidence interval [CI]: 7.3‐8.3) years. M‐ESS score was 6.3 (n = 348, 95% CI: 5.8‐6.8), mean OSA‐18 score was 56.2 (n = 129, 95% CI: 53.0‐59.4). Mean apnea‐hypopnea index (AHI) was 10.1 (95% CI: 8.7‐11.4) events/h, obstructive AHI 9.3 (95% CI: 8.0‐12.7) events/h, respiratory distress index 14.6 (95% CI: 8.4‐20.8) events/h, and oxygen saturation nadir 89.8% (95% CI: 89.1‐90.4). Sixty‐two children (17.2%) had mild, 192 (53.5%) moderate, and 105 (29.2%) severe sleep apnea. M‐ESS score correlated weakly to AHI (r = .19, P = <.001), and OSA‐18 score to oxygen saturation nadir (r = −.16, P = .002). After logistic regression adjusted for age and BMI, neither clinical scores were independently associated with AHI.ConclusionM‐ESS and OSA‐18 scores have a weak correlation with OSA severity in children. More reliable, age‐appropriate screening tools are needed in pediatric sleep apnea. 10.1002/ohn.683 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/ohn.683 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_ohn_683 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
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| spellingShingle | Comparison of Epworth Sleepiness Scale and OSA‐18 Scores With Polysomnography in Children Beatrice R. Bacon Amanda B. Hassinger Gaayathri Varavenkataraman Erin Gould Nick Sahlollbey Michele M. Carr Otolaryngology–Head and Neck Surgery Comparison of Epworth Sleepiness Scale and OSA‐18 Scores With Polysomnography in Children Beatrice R. Bacon Amanda B. Hassinger Gaayathri Varavenkataraman Erin Gould Nick Sahlollbey Michele M. Carr Otolaryngology–Head and Neck Surgery AbstractObjectiveOur goal is to determine if there is a correlation between Modified Epworth Sleepiness Scale (M‐ESS) scores, obstructive sleep apnea (OSA)‐18 scores, and polysomnography (PSG) outcomes in children.Study DesignRetrospective chart review.SettingPediatric otolaryngology clinic.MethodsCharts of consecutive children presenting from July 2021 to July 2023 were reviewed. Demographics, body mass index (BMI), BMI Z score, M‐ESS score, OSA‐18 score, PSG results, and sleep apnea severity were included. One‐way analysis of variance and Pearson/Spearman correlation coefficients were calculated.ResultsThree hundred sixty‐seven children were included, 162 (44.1%) girls and 205 (55.9%) boys. Mean patient age was 7.8 (95% confidence interval [CI]: 7.3‐8.3) years. M‐ESS score was 6.3 (n = 348, 95% CI: 5.8‐6.8), mean OSA‐18 score was 56.2 (n = 129, 95% CI: 53.0‐59.4). Mean apnea‐hypopnea index (AHI) was 10.1 (95% CI: 8.7‐11.4) events/h, obstructive AHI 9.3 (95% CI: 8.0‐12.7) events/h, respiratory distress index 14.6 (95% CI: 8.4‐20.8) events/h, and oxygen saturation nadir 89.8% (95% CI: 89.1‐90.4). Sixty‐two children (17.2%) had mild, 192 (53.5%) moderate, and 105 (29.2%) severe sleep apnea. M‐ESS score correlated weakly to AHI (r = .19, P = <.001), and OSA‐18 score to oxygen saturation nadir (r = −.16, P = .002). After logistic regression adjusted for age and BMI, neither clinical scores were independently associated with AHI.ConclusionM‐ESS and OSA‐18 scores have a weak correlation with OSA severity in children. More reliable, age‐appropriate screening tools are needed in pediatric sleep apnea. 10.1002/ohn.683 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Comparison of Epworth Sleepiness Scale and OSA‐18 Scores With Polysomnography in Children |
| topic | Otolaryngology–Head and Neck Surgery |
| url | https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.683 |