Pediatric sleep questionnaires for screening of obstructive sleep apnea syndrome

Eun Kyeong Kang

doi:10.4168/aard.2019.7.3.122

Journal List > Allergy Asthma Respir Dis > v.7(3) > 1130416

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Kang: Pediatric sleep questionnaires for screening of obstructive sleep apnea syndrome

Review

Allergy Asthma Respir Dis 2019;7(3):122-128.

Published online: 12 July 2019

DOI: https://doi.org/10.4168/aard.2019.7.3.122

Pediatric sleep questionnaires for screening of obstructive sleep apnea syndrome

Eun Kyeong Kang

^¹Department of Pediatrics, Dongguk University Ilsan Hospital, Goyang, Korea

Correspondence to: Eun Kyeong Kang https://orcid.org/0000-0003-4226-0700 Department of Pediatrics, Dongguk University Ilsan Hospital, 27 Dongguk-ro, Ilsandong-gu, Goyang 10326, Korea Tel: +82-31-961-7170, Fax: +82-31-961-7188, E-mail: silbear@hanmail.net

Received 16 March 2019 Revised 31 May 2019 Accepted 31 May 2019

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Obstructive sleep apnea syndrome (OSAS) is the most severe form of obstructive sleep-disordered breathing. It can produce cardio-vascular problems, growth retardation, cognitive deficits, and behavioral problems such as attention deficit/hyperactivity symptoms in children. The diagnostic gold standard for OSAS is overnight polysomnography, but it is expensive, time-consuming, and labor intensive, and is conducted by specialized centers which have trained personnel. Therefore, sleep questionnaires as screening tools for OSAS was developed. The benefits of sleep questionnaires are easy/quick application and low cost. The objective of this review is to describe several available pediatric sleep questionnaires which are helpful in screening OSAS.

Keywords: Obstructive sleep apnea syndrome, Sleep questionnaire, Child

References

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Fig. 1.

Korean version of Pediatric Sleep Questionnaire.

Fig. 2.

Korean version of obstructive sleep apnea-18 (KOSA-18).

Table 1.

Comparison of pediatric sleep questionnaires for obstructive sleep disordered breathing

Questionnaire	Age	No. of questions	Completion time (min)	Respondent	Sensitivity (%)	Specificity (%)
PSQ	2–18 yr	22	10–15	Parent	78	72
SCR	All	Complex	30–60	Physician/parent	96	67
OSA-18	6 mo–12 yr	18	10–15	Parent	59	48
I'M SLEEPY	All	8	5	Parent child version (≥7 yr)	82	50
Teen STOP-Bang	9–18 yr	8	5	Parent/self-report	56	84
CSHQ	4–12 yr	45	20	Parent	–	–

PSQ, Pediatric Sleep Questionnaires; SCR, sleep clinical record; OSA-18, obstructive sleep apnea-18; CSHQ, Children's Sleep Health Questionnaire.

Table 2.

Variables of teen STOP-Bang questionnaire

Variable	Questionnaire
Snoring	How often does your child snore loudly?
Tired	Is your child sleepy during the daytime?
Observed apnea	Does your child stop breathing during sleep?
BP (systolic or diastolic)	≥95th percentile for height and age?
BMI	≥95th percentile for age?
Academic problems	Does your child have learning problems?
Neck circumference	≥95th percentile for age?
Male Gender

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