title: Modified STOP-Bang Tool for Stratifying Obstructive Sleep Apnea Risk in Adolescent Children.
abstract: OBJECTIVE
  Obstructive sleep apnea (OSA) is prevalent in children and diagnostic polysomnography is costly and not readily available in all areas. We developed a pediatric modification of a commonly used adult clinical prediction tool for stratifying the risk of OSA and the need for polysomnography.
  
  
  METHODS
  A total of 312 children (age 9-17 years) from phase 2 of the Tucson Children's Assessment of Sleep Apnea cohort study, with complete anthropomorphic data, parent questionnaires, and home polysomnograms were included. An adolescent modification of STOP-Bang (teen STOP-Bang) was developed and included snoring, tired, observed apnea, blood pressure ≥ 95th percentile, BMI > 95th percentile, academic problems, neck circumference >95th percentile for age, and male gender. An apnea-hypopnea index ≥ 1.5 events/hour was considered diagnostic of OSA.
  
  
  RESULTS
  Receiver Operator Characteristic (ROC) curves for parent-reported STOP-Bang scores were generated for teenage and pre-teen children. A STOP-Bang score of < 3 in teenagers was associated with a negative predictive value of 0.96. ROC curves were also generated based upon child-reported sexual maturity rating (SMR; n = 291). The ability of teen STOP-Bang to discriminate the presence or absence of OSA as measured by the AUC for children with SMR ≥ 4 (0.83; 95%CI 0.71-0.95) was better than children with SMR < 4 (0.63; 95%CI 0.46-0.81; p = 0.048).
  
  
  CONCLUSIONS
  In community dwelling adolescents, teen STOP-Bang may be useful in stratifying the risk of OSA.
authors.affiliation: Department of Pediatrics, University of Arizona, Tucson, AZ, United States of America.|Arizona Respiratory Center, University of Arizona, Tucson, AZ, United States of America.|Department of Medicine, University of Arizona, Tucson, AZ, United States of America.
authors.forename: Daniel
authors.initials: D
authors.lastname: Combs
authors.affiliation: Arizona Respiratory Center, University of Arizona, Tucson, AZ, United States of America.
authors.forename: James L
authors.initials: JL
authors.lastname: Goodwin
authors.affiliation: Arizona Respiratory Center, University of Arizona, Tucson, AZ, United States of America.|Division of Sleep and Circadian Disorders, Brigham and Women's Hospital and Division of Sleep Medicine, Harvard Medical School, Boston, MA, United States of America.
authors.forename: Stuart F
authors.initials: SF
authors.lastname: Quan
authors.affiliation: Department of Pediatrics, University of Arizona, Tucson, AZ, United States of America.|Arizona Respiratory Center, University of Arizona, Tucson, AZ, United States of America.
authors.forename: Wayne J
authors.initials: WJ
authors.lastname: Morgan
authors.affiliation: Arizona Respiratory Center, University of Arizona, Tucson, AZ, United States of America.|Department of Medicine, University of Arizona, Tucson, AZ, United States of America.|Center for Sleep Disorders and Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Arizona, Tucson, AZ, United States of America.
authors.forename: Sairam
authors.initials: S
authors.lastname: Parthasarathy
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D017286:Polysomnography; D011379:Prognosis; D012307:Risk Factors; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000503:physiopathology