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- W3130972012 abstract "Abstract Background The polysomnogram (PSG) is the “gold standard” for diagnosing obstructive sleep apnea (OSA). However, nocturnal oximetry is a practical screening tool for children with adenotonsillar hypertrophy (ATH). This study aimed to investigate the incidence of, and predictive factors for, OSA in children with ATH and normal / inconclusive overnight oximetry. Methods The prospective study enrolled children aged 3–15 years with ATH and normal / inconclusive overnight oximetry. All participants underwent full‐night PSG. To evaluate the predictors of OSA, we used logistic regression analysis, including sex, history of allergic rhinitis, body mass index z ‐score, neck circumference–height ratio, and polysomnographic parameters (obstructive apnea–hypopnea index (OAHI), nadir oxygen saturation (SpO2), peak end‐tidal CO 2 , and arousal index). Results The participants were 189 children; 167 (88%) were diagnosed with OSA by PSG. A history of allergic rhinitis ( P = 0.033), and the PSG findings for nadir SpO 2 ( P = 0.027) and arousal index ( P = <0.001) predicted the diagnosis of OSA. We divided patients with OSA into two groups (mild versus moderate to severe OSA). Patients with OAHI ≥5/h were defined as having moderate‐to‐severe OSA. No clinical factors significantly predicted OAHI ≥5. Of the 189 participants, 58 children (31%) were diagnosed with severe OSA (OAHI ≥10). The only PSG factor that predicted severe OSA was the arousal index ( P < 0.001). Conclusions The observed incidence of OSA in children aged 3–15 years with ATH and normal/inconclusive overnight oximetry was very high. A history of allergic rhinitis may help to triage the patients. The arousal index was a predictor of pediatric OSA." @default.
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- W3130972012 date "2021-09-22" @default.
- W3130972012 modified "2023-09-26" @default.
- W3130972012 title "Incidence / predictors of pediatric obstructive sleep apnea with normal oximetry" @default.
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- W3130972012 doi "https://doi.org/10.1111/ped.14663" @default.
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