Scoring Methods of Polysomnography for Diagnosis of Sleep Apnea in Adolescents

이규성; 신승수; 이일재; 최병주; 최지호; 박도양; 김한태; 김현준

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자료유형: 학술저널

저자정보: 이규성 신승수 이일재 최병주 최지호 박도양 김한태 김현준

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제11호

발행연도: 2018.1

수록면: 593 - 599 (7page)

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연구주제

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연구배경

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연구방법

🏆

연구결과

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Background and Objectives Respiratory scoring guidelines for children and adults havebeen used for evaluating adolescents both in the 2007 and 2012 American Academy of SleepMedicine (AASM) scoring manuals. We compared the scoring methods of polysomnographyused in these scoring manuals, where pediatric and adult scoring rules were adopted for thediagnosis of sleep apnea in adolescents. Subjects and Method 106 Korean subjects aged between 13 and 18 years were enrolled. All subjects underwent overnight polysomnography in a sleep laboratory. Data were scored accordingto both pediatric and adult guidelines in the 2007 and 2012 AASM scoring manuals. Results Both pediatric and adult apnea hypopnea index (AHI) using the 2012 method weresignificantly higher than those using the 2007 method. The difference in AHI compared betweenpediatric and adult scores with the 2012 AASM scoring system was markedly decreasedfrom that with the 2007 method. There was a significant discordance in sleep apneadiagnosis between pediatric and adult scoring rules in the 2012 method. Conclusion Both pediatric and adult rules were used for the diagnosis of adolescent sleep apneain the 2012 method. However, there was significant discordance in the diagnosis betweenpediatric and adult scoring guidelines in the 2012 AASM manual, probably due to differentcut-off values of AHI for the diagnosis of sleep apnea in pediatric (≥1) and adult (≥5) patients. Further studies are needed to determine a more reasonable cut-off value for the diagnosis ofsleep apnea in adolescents.

참고문헌 (22)

참고문헌 신청

Loughlin GM / 1996 / Standards and indications for cardiopulmonary sleep studies in children. American Thoracic Society / Am J Respir Crit Care Med 153(2):866~878

Marcus CL / 2012 / Diagnosis and management of childhood obstructive sleep apnea syndrome / Pediatrics 130(3):576~584

Perez-Chada D / 2007 / Sleep disordered breathing and daytime sleepiness are associated with poor academic performance in teenagers. A study using the Pediatric Daytime Sleepiness Scale (PDSS) / Sleep 30(12):1698~1703

Bass JL / 2004 / The effect of chronic or intermittent hypoxia on cognition in childhood: a review of the evidence / Pediatrics 114(3):805~816

Section on Pediatric Pulmonology / 2002 / American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome / Pediatrics 109(4):704~712

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