Modified STOP-Bang Tool for Stratifying Obstructive Sleep Apnea Risk in Adolescent ChildrenReport as inadecuate




Modified STOP-Bang Tool for Stratifying Obstructive Sleep Apnea Risk in Adolescent Children - Download this document for free, or read online. Document in PDF available to download.

Purpose

Obstructive sleep apnea OSA is prevalent in children and diagnostic polysomnography is costly and not readily available in all areas. We developed a pediatric modification of a commonly used adult clinical prediction tool for stratifying the risk of OSA and the need for polysomnography.

Methods

A total of 312 children age 9–17 years from phase 2 of the Tucson Children’s Assessment of Sleep Apnea cohort study, with complete anthropomorphic data, parent questionnaires, and home polysomnograms were included. An adolescent modification of STOP-Bang teen STOP-Bang was developed and included snoring, tired, observed apnea, blood pressure ≥ 95th percentile, BMI > 95th percentile, academic problems, neck circumference >95th percentile for age, and male gender. An apnea-hypopnea index ≥ 1.5 events-hour was considered diagnostic of OSA.

Results

Receiver Operator Characteristic ROC curves for parent-reported STOP-Bang scores were generated for teenage and pre-teen children. A STOP-Bang score of < 3 in teenagers was associated with a negative predictive value of 0.96. ROC curves were also generated based upon child-reported sexual maturity rating SMR; n = 291. The ability of teen STOP-Bang to discriminate the presence or absence of OSA as measured by the AUC for children with SMR ≥ 4 0.83; 95%CI 0.71–0.95 was better than children with SMR < 4 0.63; 95%CI 0.46–0.81; p = 0.048.

Conclusions

In community dwelling adolescents, teen STOP-Bang may be useful in stratifying the risk of OSA.



Author: Daniel Combs , James L. Goodwin, Stuart F. Quan, Wayne J. Morgan, Sairam Parthasarathy

Source: http://plos.srce.hr/



DOWNLOAD PDF




Related documents