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Medica Jadertina, Vol. 51 No. Suplement, 2021.

Meeting abstract

Feasibility study of determing a risk assessment model for obstructive sleep apnea in children based on local findings and clinical indicators

Zlatko Kljajić ; Department of Otorhinolaryngology and Aesthetic Surgery, Polyclinic "Bagatin", Split, Croatia
Sandro Glumac ; Department of Anesthesiology and Intensive Care, University Hospital of Split, Split, Croatia
Judith Adrianne Deutsch ; Department of Anesthesiology and Pain Therapy, Polyclinic "Bagatin", Zagreb, Croatia
Slaven Lupi-Ferandin ; Department of Maxcillofacial and Oral Surgery, University Hospital of Split, Split, Croatia
Zoran Dogas ; Sleep Medicine Center, School of Medicine, University of Split, Split, Croatia; Department of Neuroscience, School of Medicine, University of Split, Split, Croatia
Željka Roje ; Private Practice of Otorhinolaryngology, Split, Croatia

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Abstract

Objective: To test a feasible and reliable model for diagnosing obstructive sleep apnea (OSA) in children, based on clinically relevant parameters, in comparison to a polysomnography. Methods: A total of 94 children with the suspected underlying OSA were included in the analyses. An association between clinical parameters (modified Mallampati score, tonsil size, adenoid size, age, gender, and body mass index) and apnea-hypopnea index (AHI) obtained following an overnight polysomnography was assessed, and significant variables were incorporated in the logistic regression model. Also, the sensitivity and specificity calculations of the model with the inclusion of ROC curve analysis were performed. Results: All three local clinical parameters were significantly associated with AHI (p<0.001). The most significant correlation with AHI was shown with the modified Mallampati score (r=0.723), following with tonsil size (r=0.673), and adenoid size (r=0.502). The sensitivity of the tested model was 84%, and specificity was 74%. Conclusion: This study derived a model based on the local clinical findings that significantly overlapped with the results of an overnight polysomnography, in diagnosing OSA in children.

Keywords

pediatrics; sleep apnea; obstructive; polysomnography; paltine tonsil; adenoids; body mass index

Hrčak ID:

256852

URI

https://hrcak.srce.hr/256852

Publication date:

8.4.2021.

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