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Application of the Portuguese version of the Obstructive Sleep Apnea survey to children. Despite the significant prevalence of obstructive sleep apnea syndrome OSAS in children, the diagnosis and treatment of this condition is still challenging due to the difficulties inherent to objectively assessing the disease’s severity.
The OSA was translated into Portuguese, culturally adapted, and tested in the Portuguese population. Statistical analysis was used to assess the psychometric properties of the survey. Reliability analysis yielded a Cronbach’s alpha of 0. Converging validity was assessed using Pearson’s correlation coefficient, which revealed a statistically significant correlation between wwldeyer data and total results.
The survey can be easily and quickly answered 7. Pediatric OSAS became an important topic not only because of its high prevalence, but also due to its associations with different comorbidities, some of which bearing possible implications to the affected subject’s adult life.
OSAS is the main indication for tonsillectomy and adenoidectomy in children.
In the last two decades, a progressive decrease was observed in the number of adenotonsillectomy procedures for recurrent infections and an increase in the number of such procedures for OSAS 3. Surgery has been proven effective in controlling neurocognitive sequelae of OSAS, such as poor school performance and attention deficit and hyperactivity disorder, in improving left and right ventricular ejection fraction, and in decreasing the levels of biomarkers of inflammation 4.
However, pediatric OSAS remains underdiagnosed 5 and, therefore, undertreated. However, PSG is expensive, time consuming, and not all sleep labs run this test in children.
The correct diagnosis and the decision of when to surgically intervene is made difficult due to the limited availability of objective measures to determine the severity of OSAS. Recently, Franco et al. This instrument, called the OSA survey, inquires caregivers in five domains: The OSA survey proved to be simple and quick to complete, and can be used in clinical or research settings. Its validity for the English-speaking population has been established.
The original version of the OSA survey Annex 1 was translated by two bilingual physicians into Portuguese, translated back into English, so that then the final version in Portuguese were produced. The protocol was approved by the Ethics Committee of the institution. The following enrollment criteria were applied: The exclusion criteria were as follows: The questionnaires were completed by the caregivers of children with a physician present in the room as they visited the hospital.
A pretest with 10 questionnaires was conducted to assess the difficulties that the survey could present and whether the respondents had properly understood the questions.
Some corrections were made considering the Portuguese socioeconomic and cultural context. The final version of the OSA Annex 2 was therefore applied to the first 51 caregivers of children meeting the enrollment criteria and diagnosed with OSAS. Data was entered into a computer database developed specifically by the IT Department of the hospital.
Demographic and clinical data sets age, gender, socioeconomic status according to Graffar 7level of education of caregivers, history of recurrent tonsillitis, Friedman 8 classification to evaluate the position of the tongue and the degree of tonsillar hypertrophy, adenoid hypertrophy assessment were reviewed in the statistical analysis.
For quantitative variables, a correlation between each individual item and the total score of the OSA-pv was assessed using the Pearson correlation coefficient. Convergent validity is verified when the Pearson correlation coefficient is greater than 0. Cephalometric evaluation was used to assess the degree of adenoid hypertrophy, which was determined by the ratio between the width of the adenoid tissue and the anteroposterior diameter of the nasopharynx after drawing a line tangential to the spheno-occipital synchondrosis intersecting the soft palate.
Caregivers answered the surveys while at the hospital in the presence of a physician. The mean time to complete the survey was 7 minutes minutes. On item ‘sleep disturbance’, the percentages of children who had a score of five or higher meaning the symptom was present at least ‘a good bit of the time’ were: Emotional symptoms items and daytime function items were the two areas with the lowest mean scores.
Reliability analysis was carried out on SPSS based on internal consistency, yielding a Cronbach’s alpha of0. Converging validity was verified through the Pearson correlation coefficient, and each item was seen to have a statistically significant correlation with the OSA total score and a Pearson coefficient correlation above 0. The OSA is a quick, easy-to-use, highly reliable and consistent test used to evaluate the subjective aspects of quality of life in children with OSAS 6.
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This study showed that the OSApv is an adequate translation of its original version in English, as demonstrated by the high reliability manifested through a Cronbach’s alpha of 0. Generally, the caregivers of the dirculo with OSAS found the survey easy to understand; the five caregivers 9.
This survey allows physicians to better assess the impact of OSAS on affected children and their families, walveyer addition to improving the selection from different treatment classes when combined with other clinical parameters and objectives.
The survey is a quick test that can be used by physicians of various specialties.
The consistency and reliability of this study can be attributed to the fact that a guiding protocol was used and that the data sets were collected by the same author. Our protocol for Obstructive Sleep Apnea Syndrome 10 includes systematic interviews in which caregivers are asked about the nocturnal signs and symptoms related to obstructive disease, including parasomnias, daytime symptoms, signs of adenotonsillar hypertrophy, and cognitive and behavioral problems.
The second part of the protocol revolves around the application of the OSApv to caregivers in order to assess the impact of the disease on their lives. The children also undergo complete physical examination, which includes ENT evaluation, an analysis of their development in terms of height and body weight, and cardiovascular examination. The most frequently reported symptoms in the OSApv survey were sleep disturbances itemsfollowed by physical symptoms itemsand caregiver concerns itemsas similarly reported by other authors 6.
Emotional problems and daytime function items were the areas with the lowest mean scores, although symptoms were often related to OSAS, according to the literature 11and interfered significantly with the quality of life of patients with OSAS. The OSA also has the advantage of considering the neurobehavioral problems of children, while polysomnography does not take psychological components into account. The survey can be used in future research studies.
Standards and indications for cardiopulmonary sleep studies in children. Behavioral evaluation in children with obstructive sleep disorders. Ann Otol Rhinol Laryngol. The role of polysomnography in diagnosing and treating obstructive sleep apnea in pediatric patients.
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Prevalence of diagnosed sleep disorders in pediatric primary care practices Pediatrics. First place–resident clinical science award Quality circlo life for children with obstructive sleep apnea. Otolaryngol Head Neck Surg. Une methode de classification sociale d’echantillons de population. Sleep Apnea and Snoring: Efficacy of tonsillectomy for recurrent throat infection in severely affected children.
Results of parallel randomized and nonrandomized clinical trials.
Inmunología. Generalidades by Atzi Frutiz on Prezi
N Engl J Med. Neurobehavioral implications of habitual snoring in children. This is an Open Access article distributed under the terms of the Creative Commons Wapdeyer Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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ABSTRACT Despite the significant prevalence of obstructive sleep apnea syndrome OSAS in children, the diagnosis and treatment daldeyer this condition is still challenging due to the difficulties inherent to objectively assessing the disease’s severity. Statistical analysis Data was entered into a computer database developed specifically by the IT Department of the hospital. Please circle only one number per question. July 26, ; Accepted: How to cite this article.
Pearson correlation coefficient with OSApv scores. For each question below, please circle the number that best describes how often each symptom or problem has occurred during the past 4 weeks. During the past 4 weeks, how often have the problems described above.