{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T02:12:54Z","timestamp":1789179174892,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,1,17]],"date-time":"2016-01-17T00:00:00Z","timestamp":1452988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Assess the reliability of a Sleep Endoscopy Rating Scale (SERS) and its relationship with pediatric obstructive sleep apnea (OSA) severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series of pediatric patients who underwent drug\u2010induced sleep endoscopy (DISE) at the time of surgery for OSA from January 1, 2013 to May 1, 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three blinded otolaryngologists scored obstruction on DISE recordings as absent (0), partial (+1), or complete (+2) at six anatomic levels: nasal airway, nasopharynx, velopharynx, oropharynx, hypopharynx, and arytenoids. Ratings were summed for a SERS total score (range, 0\u201312). Reliability was calculated using a \u03ba statistic with linear weighting. SERS ratings and obstructive apnea\u2010hypopnea index (OAHI) were compared using Spearman correlation. A receiver operating characteristic (ROC) analysis determined the ability of the SERS total score to predict severe OSA (OAHI &gt;10).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010nine patients were included (mean age, 8.3 \u00b1 5.1 years; 36% obese; mean OAHI, 19.1 \u00b1 23.7). Intrarater and inter\u2010rater reliability was substantial\u2010to\u2010excellent (\u03ba = 0.61\u20100.83) and fair\u2010to\u2010substantial (\u03ba = 0.33\u20100.76), respectively. Ratings correlated best with OAHI for the oropharynx (<jats:italic>r<\/jats:italic> = 0.54, <jats:italic>P<\/jats:italic> = .02), hypopharynx (<jats:italic>r<\/jats:italic> = 0.48, <jats:italic>P<\/jats:italic> = .04), and SERS total score (<jats:italic>r<\/jats:italic> = 0.75, <jats:italic>P<\/jats:italic> = .002). In ROC analysis, a SERS total score \u22656 demonstrated sensitivity\/specificity of 81.8%\/87.5%, respectively, and correctly classified 84% of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The SERS can be applied reliably in children undergoing DISE for OSA. Ratings of the oropharynx, hypopharynx, and SERS total score demonstrated significant correlation with OSA severity. A SERS total score \u22656 was an accurate predictor of severe OSA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 126:1492\u20131498, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25842","type":"journal-article","created":{"date-parts":[[2016,1,17]],"date-time":"2016-01-17T08:42:40Z","timestamp":1453020160000},"page":"1492-1498","source":"Crossref","is-referenced-by-count":56,"title":["Assessment of pediatric obstructive sleep apnea using a drug\u2010induced sleep endoscopy rating scale"],"prefix":"10.1002","volume":"126","author":[{"given":"Derek J.","family":"Lam","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Oregon Health and Science University Portland Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward M.","family":"Weaver","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck 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Surgery Oregon Health and Science University Portland Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thuan","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Public Health and Preventive Medicine Division of Biostatistics Oregon Health and Science University Portland Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven A.","family":"Shea","sequence":"additional","affiliation":[{"name":"Oregon Institute of Occupational Health Sciences Oregon Health and Science University Portland Oregon 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