BACKGROUND AND OBJECTIVE: The purpose of this study is to assess whether Chinese children with high apnea-hypopnea index (AHI) are sleepier by a modified Epworth Sleepiness Scale (ESS). MATERIALS AND METHODS: Records were retrospectively reviewed. We included children who were between 3 and 12 years old, admitted for overnight polysomnogram because of suspected obstructive sleep apnea syndrome (OSAS). A modified ESS was used to assess excessive daytime sleepiness (EDS) of the children. RESULTS: One hundred ninety-two Chinese children were included. Children with high AHI, defined as AHI > 5.0, were sleepier than children with AHI less than or equal to 5. After adjustment by age, gender, and obesity, children with high AHI remained significantly sleepier. Modified ESS was significantly correlated with AHI (rho = 0.124, 95% CI = 0.004-0.281). Modified ESS score of >8 was the best cutoff point with the sensitivity and specificity of 0.29 and 0.91, respectively. The odds ratio of children with modified ESS > 10 having high AHI was 4.231 (95%CI = 1.248 to 14.338) and children with modified ESS > 8 had the highest odds ratio, 4.295(95%CI = 1.66 to 11.1), of having high AHI. CONCLUSION: Chinese children with high AHI appear to be sleepier than children with low AHI. Children with suspected OSAS and high modified ESS, i.e., ESS > 8, had significantly higher odds ratio of having high AHI. Increased sleepiness is a specific but not a sensitive symptom in snoring children with high AHI. Screening for EDS in snoring children may help us identify those with high AHI and prioritize the management of those children.
BACKGROUND AND OBJECTIVE: The purpose of this study is to assess whether Chinese children with high apnea-hypopnea index (AHI) are sleepier by a modified Epworth Sleepiness Scale (ESS). MATERIALS AND METHODS: Records were retrospectively reviewed. We included children who were between 3 and 12 years old, admitted for overnight polysomnogram because of suspected obstructive sleep apnea syndrome (OSAS). A modified ESS was used to assess excessive daytime sleepiness (EDS) of the children. RESULTS: One hundred ninety-two Chinese children were included. Children with high AHI, defined as AHI > 5.0, were sleepier than children with AHI less than or equal to 5. After adjustment by age, gender, and obesity, children with high AHI remained significantly sleepier. Modified ESS was significantly correlated with AHI (rho = 0.124, 95% CI = 0.004-0.281). Modified ESS score of >8 was the best cutoff point with the sensitivity and specificity of 0.29 and 0.91, respectively. The odds ratio of children with modified ESS > 10 having high AHI was 4.231 (95%CI = 1.248 to 14.338) and children with modified ESS > 8 had the highest odds ratio, 4.295(95%CI = 1.66 to 11.1), of having high AHI. CONCLUSION: Chinese children with high AHI appear to be sleepier than children with low AHI. Children with suspected OSAS and high modified ESS, i.e., ESS > 8, had significantly higher odds ratio of having high AHI. Increased sleepiness is a specific but not a sensitive symptom in snoring children with high AHI. Screening for EDS in snoring children may help us identify those with high AHI and prioritize the management of those children.
Authors: T Hori; Y Sugita; E Koga; S Shirakawa; K Inoue; S Uchida; H Kuwahara; M Kousaka; T Kobayashi; Y Tsuji; M Terashima; K Fukuda; N Fukuda Journal: Psychiatry Clin Neurosci Date: 2001-06 Impact factor: 5.188
Authors: Daniel K Ng; Ka-Li Kwok; Josephine M Cheung; Shuk-Yu Leung; Pok-Yu Chow; Wilfred H Wong; Chung-Hong Chan; Jackson C Ho Journal: Chest Date: 2005-09 Impact factor: 9.410
Authors: Christopher Drake; Chelsea Nickel; Eleni Burduvali; Thomas Roth; Catherine Jefferson; Badia Pietro Journal: Sleep Date: 2003-06-15 Impact factor: 5.849
Authors: Natalie DiFeo; Lisa J Meltzer; Suzanne E Beck; Laurie R Karamessinis; Mary Anne Cornaglia; Joel Traylor; John Samuel; Paul R Gallagher; Jerilynn Radcliffe; Heidi Beris; Mary Kate Menello; Carole L Marcus Journal: J Clin Sleep Med Date: 2012-06-15 Impact factor: 4.062
Authors: Valerie McLaughlin Crabtree; Kimberly Lauren Klages; April Sykes; Merrill S Wise; Zhaohua Lu; Daniel Indelicato; Thomas E Merchant; Yvonne Avent; Belinda N Mandrell Journal: J Clin Sleep Med Date: 2019-10-15 Impact factor: 4.062
Authors: Jacob Yh Chin; Zhi Hong Toh; Ying Tai Lo; Hannah Ty Wang; Elizabeth Yw Poh; Chun Hau Chua; Owen Kim Hee; Boon Ang Lim; Vernon Ky Yong; Augustinus Laude; Hon Tym Wong; Leonard Wl Yip Journal: Int J Ophthalmol Date: 2020-09-18 Impact factor: 1.779
Authors: Shalini Paruthi; Paula Buchanan; Jia Weng; Ronald D Chervin; Ronald B Mitchell; Dawn Dore-Stites; Anjali Sadhwani; Eliot S Katz; John Bent; Carol L Rosen; Susan Redline; Carole L Marcus Journal: Sleep Date: 2016-11-01 Impact factor: 5.849