Obstructive sleep apnea in preschool-aged Japanese children – efficiency of screening using lateral neck radiography. (2nd June 2016)

• Record Type: Journal Article
• Authors: Kitamura, Takuro; Miyazaki, Soichiro; Kobayashi, Ryuichi; Kadotani, Hiroshi; Kanemura, Takashi; Komada, Ichiro; Nishikawa, Michiko; Okawa, Masako; Koizumi, Hiroki; Takeuchi, Shoko; Suzuki, Hideaki
• Is Part Of: Acta oto-laryngologica. Volume 136:Number 6(2016)
• Page Start: 606
• Page End: 612
• Publication Date: 2016-06-02
• Subjects: Obstructive sleep apnea -- pediatric -- International Classification of Sleep Disorders -- lateral neck radiography -- type 3 portable monitoring; Otolaryngology -- Periodicals; Ear -- Diseases -- Periodicals; Throat -- Diseases -- Periodicals; Otolaryngology -- Electronic Resources; Otorhinolaryngologic Diseases; 617.8
• DOI: 10.3109/00016489.2016.1144144
• Languages: English
• ISSNs: 0001-6489

Abstract

Abstract: Conclusions The prevalence of obstructive sleep apnea (OSA) in preschool-aged children diagnosed by the International Classification of Sleep Disorders (ICSD) version 3 criteria was relatively higher than that diagnosed by ICSD-2. Although the assessment of the upper airway by lateral neck radiography was effective for detecting OSA in this age group, this assessment is not recommended for all children as a screening method because of parental concern related to radiation exposure.Objective This study investigated the prevalence of OSA and the screening capacity of lateral neck radiography in community-based preschool-aged children.Methods Parents of 211 children aged 3–6 years were requested to complete the sleep-related questionnaire. Subjects who agreed to further investigations were invited to undergo home type 3 portable monitoring and clinical examination, including radiography. We estimated the prevalence of OSA and evaluated the detection power of radiography for predicting OSA.Results One hundred and eighty-eight (89.1%) subjects completed the questionnaire and 67 (31.8%) agreed to further examinations. The weighted prevalence was 7.3% and 12.8% by ICSD-2 and 3, respectively. Area under the receiver operator curve for the adenoidal/nasopharyngeal and tonsil/pharyngeal ratios measured using radiography was slightly larger than that for tonsil size graded by visual inspection.