title: A simple diagnostic scale based on the analysis and screening of clinical parameters in paediatric obstructive sleep apnoea hypopnea syndrome.
abstract: OBJECTIVE
  This study aimed to develop a simple and accurate method to diagnose paediatric obstructive sleep apnoea hypopnea syndrome.
  
  
  METHODS
  A total of 311 children with suspected paediatric obstructive sleep apnoea hypopnea syndrome were included in the study. Multiple clinical parameters, including sex, age, body mass index, history of snoring or gasping, history of nasal obstruction, history of running nose, palatine tonsil size, adenoid to nasopharynx ratio, and tympanogram type, were compared with polysomnography results using relevant correlation and regression analyses. A diagnostic scale was established using the regression equation and the correlation between the polysomnography result and scale result was determined.
  
  
  RESULTS
  The apnoea-hypopnea index correlated significantly with a history of snoring or gasping, palatine tonsil size, and tympanogram type. Stepwise logistic regression analysis revealed that the polysomnography result correlated significantly with a history of snoring or gasping, palatine tonsil size, and the adenoid to nasopharynx ratio. The percentage correlation between the scale and polysomnography results was 77.8 per cent.
  
  
  CONCLUSIONS
  The diagnostic scale can be used to diagnose paediatric obstructive sleep apnoea hypopnea syndrome for clinical application when polysomnography cannot be performed. However, it is not suitable for assessing the severity of paediatric obstructive sleep apnoea hypopnea syndrome.
authors.affiliation: Department of Otolaryngology,General Hospital of Shenyang Military Area Command,Shenyang,China.
authors.forename: D
authors.initials: D
authors.lastname: Wu
authors.affiliation: Department of Otolaryngology,General Hospital of Shenyang Military Area Command,Shenyang,China.
authors.forename: X
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Otolaryngology,General Hospital of Shenyang Military Area Command,Shenyang,China.
authors.forename: X
authors.initials: X
authors.lastname: Guo
authors.affiliation: Department of Otolaryngology,General Hospital of Shenyang Military Area Command,Shenyang,China.
authors.forename: J
authors.initials: J
authors.lastname: Qin
authors.affiliation: Department of Otolaryngology,General Hospital of Shenyang Military Area Command,Shenyang,China.
authors.forename: S
authors.initials: S
authors.lastname: Li
mesh_terms: D000158:Acoustic Impedance Tests / Q000706:statistics & numerical data; D000234:Adenoids / Q000473:pathology; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D016015:Logistic Models; D008297:Male; D009305:Nasopharynx / Q000473:pathology; D009929:Organ Size; D014066:Palatine Tonsil / Q000473:pathology; D017286:Polysomnography / Q000706:statistics & numerical data; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis*; D012913:Snoring / Q000473:pathology; D018709:Statistics, Nonparametric; D063189:Symptom Assessment / Q000379:methods*
keywords: Child; Early Diagnosis; Obstructive Sleep Apnea; Questionnaire