Prevalence of OSA in chilean children  and adolescents based on subscale of pediatric sleep questionnaire.

Francisca Verdugo-Paiva; Catalina Würth; Sebastián Godoy; Pilar Santelices

doi:10.17126/joralres.2019.055

Francisca Verdugo-Paiva School of Dentistry, Faculty of Medicine-Clínica Alemana Santiago, Universidad del Desarrollo. Santiago, Chile.
Catalina Würth School of Dentistry, Faculty of Medicine-Clínica Alemana Santiago, Universidad del Desarrollo. Santiago, Chile.
Sebastián Godoy School of Dentistry, Faculty of Medicine-Clínica Alemana Santiago, Universidad del Desarrollo. Santiago, Chile.
Pilar Santelices School of Dentistry, Faculty of Medicine-Clínica Alemana Santiago, Universidad del Desarrollo. Santiago, Chile.

DOI: https://doi.org/10.17126/joralres.2019.055

Abstract

Objectives: We aimed to determine the prevalence of Obstructive Sleep Apnea (OSA) in children and adolescents from four districts of Santiago, Chile by using a six-question subscale from the Sleep-Related Breathing Disorders (SRBD) scale, which measures respiratory symptoms while sleeping. Material and Methods: Cross-sectional observational study. The six-question subscale of the SRBD scale was applied to the parents or guardians of the children and adolescents from four educational establishments in different districts of Santiago. Convenience sampling was used. This subscale allowed to divide the sample into two groups: one group with OSA and one at low risk of OSA. In addition, statistical tests were applied to evaluate the variation between gender and age range. Results: Of the total number of subjects (n=838, 4-18 years, mean: 11.3±4.2), 681 were included. According to the six-question subscale, 2.2% (CI 95% 1.64-2.76%) of the sample had OSA. There is a slight predominance in males, without statistically significant difference (p=0.083). In relation to the age of the participants, there was no statistically significant difference (p=0.512).Conclusion: The prevalence of OSA in Chilean children and adolescents was similar to previous reports. The results obtained by the analysis of the six-question subscale of the SRBD scale allow a more accurate detection of OSA. Future research should promote the translation of this questionnaire into the Chilean context and its use throughout the country.

References

1. Kocevska D, Rijlaarsdam J, Ghassabian A, Jaddoe VW, Franco OH, Verhulst FC, et al. Early childhood sleep patterns and cognitive development at age 6 years: The generation R study. J Pediatr Psychol. 2017;42(3):260–8.
2. Sateia MJ. International classification of sleep disorders-third edition highlights and modifications. Chest. 2014;146(5):1387–94.
3. Bergamo AZN, Itikawa CE, Almeida LA de, Sander HH, Fernandes RMF, Anselmo-Lima WT, Valera FCP, Matsumoto MAN. Adenoid hypertrophy, craniofacial morphology in apneic children. Pediatr Dent J. 2014;24(2):71-77.
4. Kaditis AG, Alonso Alvarez ML, Boudewyns A, Alexopoulos EI, Ersu R, Joosten K, Larramona H, Miano S, Narang I, Trang H, Tsaoussoglou M, Vandenbussche N, Villa MP, Van Waardenburg D, Weber S, Verhulst S. Obstructive sleep disordered breathing in 2- to 18-year-old children: Diagnosis and management. Eur Respir J. 2016;47(1):69-94.
5. Yüksel H, Söğüt A, Yılmaz O, Kutluay E. Reliability and validity of the Turkish version of the pediatric sleep questionnaire: a tool for prediction of sleep related breathing disorder. Tuberk Toraks. 2011;59(3):236–41.
6. Tan H-L, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update. Nat Sci Sleep. 2013;5:109–23.
7. Banabilh SM. Orthodontic view in the diagnoses of obstructive sleep apnea. J Orthod Sci. 2017;6:81–5.
8. Elso T. MJ, Brockmann VP, Zenteno AD. Consecuencias del síndrome de apnea obstructiva del sueño. Rev Chil Pediatr. 2013;84(2):128–37.
9. Marcus CL, Brooks LJ, Draper KA, Gozal D, Halbower AC, Jones J, Schechter MS, Ward SD, Sheldon SH, Shiffman RN, Lehmann C, Spruyt K; American Academy of Pediatrics. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012;130(3):e714–55.
10. Qaseem A, Holty JE, Owens DK, Dallas P, Starkey M, Shekelle P. Management of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2013;159(7):471-83.
11. Owens J, Opipari L, Nobile C, Spirito A. Sleep and Daytime Behavior in Children With Obstructive Sleep Apnea and Behavioral Sleep Disorders. Paediatrics.1998;102(5):1178-84.
12. Ronald D. Chervin, MD, MS; Robert A. Weatherly, MD; Susan L. Garetz, MD; Deborah L. Ruzicka, RN, PhD; Bruno J. Giordani, PhD; Elise K. Hodges, PhD; James E. Dillon, MD; Kenneth E. Guire M. Pediatric Sleep Questionnaire (PSQ). Arch Otolaryngol Head Neck Surg. 2007;133:216-22.
13. Chervin R, Hedger K, Dillon J, Pituch K. Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med. 2000;1(1):21–32.
14. Vila M, Torres A, Soto B. Versión española del Pediatric Sleep Questionnaire. Un instrumento útil en la investigación de los trastornos del sueño en la infancia. Análisis de su fiabilidad. An Pediatría. 2007;66(2):121–8.
15. Bertran K, Mesa T, Rosso K, Krakowiak MJ, Pincheira E, Brockmann PE. Diagnostic accuracy of the Spanish version of the Pediatric Sleep Questionnaire for screening of obstructive sleep apnea in habitually snoring children. Sleep Med. 2015;16(5):631-6.
16. Ingram D, Lee-Chiong T, Londoño D. Cost and economic impact of obstructive sleep apnea-hypopnea syndrome (OSAHS) on public health. Rev Fac Med. 2017;65(1):141.
17. Mosovich J, Ontivero DP, Beskow DG, Fernández L, Vallejos J. Trastornos respiratorios del sueño en niños, Rev. FASO.2011:(4):50-4
18. Medicina FDE, Para MAO, Doctor GDE. Departamento de Pediatría alta durante el sueño en una población pediátrica: su relación con el asma y la rinitis alérgica. 2010.
19. Hidalgo-Matrinez P, Lobelo R. Global, Latin-American and Colombian epidemiology and mortality by obstructive sleep apnea-hypopnea syndrome (OSAHS). Rev Fac Med.2017; 65(1):17-20.
20. Pardo TT, Holmgren NL, Cerda LJ, Brockmann PE. Prevalencia disímil de trastornos respiratorios del sueño en escolares. Rev Chil Pediatr. 2013;84(2):145–51.
21. Brockmann PE, Bertrand P, Pardo T, Cerda J, Reyes B, Holmgren NL. Prevalence of habitual snoring and associated neurocognitive consequences among Chilean school aged children. Int J Pediatr Otorhinolaryngol. 2012;76(9):1327–31.
22. Santelices P, Wurth C, Verdugo F, Godoy S. Prevalence of sleep related breathing disorder in children and adolescents in Santiago, Chile, by the use of the reduced pediatric sleep questionnaire. Sleep Med. 2017;40(2017):e292.
23. Williams AK, Thomson D. Standard 6: Age Groups for Pediatric Trials. Pediatrics. 2015;129.
24. De Luca Canto G, Singh V, Major MP, Witmans M, El-Hakim H, Major PW, Flores-Mir C. Diagnostic capability of questionnaires and clinical examinations to assess sleep-disordered breathing in children: a systematic review and meta-analysis. J Am Dent Assoc. 2014;145(2):165–78.
25. Vitelli O, Tabarrini A, Miano S, Rabasco J, Pietropaoli N, Forlani M, Parisia P, Villa MP. Impact of obesity on cognitive outcome in children with sleep-disordered breathing. Sleep Med. 2015;16(5):625–30.
26. Sánchez T, Rojas C, Casals M, Bennett JT, Gálvez C, Betancur C, Mesa JT, Brockmann PE. Trastornos respiratorios del sueño en niños escolares chilenos: prevalencia y factores de riesgo. Revista chilena de pediatría.2018;89(6):718-25.