{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T22:37:24Z","timestamp":1793054244552,"version":"4.5.0"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diagnosing obstructive sleep apnea (OSA) in children is challenging, with long wait times for polysomnography (PSG). This study assessed the diagnostic accuracy of home\u2010recorded video clips for OSA compared to PSG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Children (2\u221218 years) referred for PSG for suspected OSA were enrolled. Parents recorded video clips of their child sleeping and completed the Pediatric Sleep Questionnaire (PSQ). Blinded clinicians scored videos using the Monash Obstructive Sleep Apnea score (MS). Participants underwent PSG, and outcomes included obstructive apnea\u2010hypopnea index (OAHI) and oximetry metrics (i.e., McGill Oximetry Score [MOS]; 3% Oxygen Desaturation Index [ODI3]). Diagnostic characteristics of MS, PSQ, MOS, and ODI3 were compared for detection of any (OAHI \u2265\u20091.5 events\/h) and moderate\u2010severe OSA (OAHI \u2265\u20095 events\/h).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty\u2010one children (age 7.0 years, 49% female) participated. Median OAHI was 0.6 events\/h (IQR 0.3, 3.1); 16 (39%) had OAHI \u2265\u20091.5 events\/h, 5 (12%) had OAHI \u2265\u20095 events\/h. PSQ identified 36 (88%) participants with a score \u2265\u20090.33. One child had MOS \u2265\u20092; ODI3 was \u2265\u20094.3 in 8 (20%) and &gt;\u20097 in 6 (15%). Mean MS was 3.6 (SD 2.1). MS had 81.2% sensitivity and 52.0% specificity for any OSA and 100% sensitivity and 44.4% specificity for moderate\u2010severe OSA. A combination of MS and ODI3 improved diagnostic accuracy with an AUC of 98.3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MS demonstrated high sensitivity but low specificity for the detection of moderate\u2010severe OSA. Video scores outperformed PSQ but were less accurate than oximetry. Combining MS and ODI3 yielded the strongest diagnostic characteristics. Video scores may aid in pediatric OSA screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71228","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:15:59Z","timestamp":1755861359000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Preliminary Estimates of the Diagnostic Accuracy of Video Clips for Obstructive Sleep Apnea in Children"],"prefix":"10.1002","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1879-1990","authenticated-orcid":false,"given":"Sherri L.","family":"Katz","sequence":"first","affiliation":[{"name":"Department of Pediatrics Division of Respirology, Children's Hospital of Eastern Ontario Ontario Ottawa Canada"},{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"},{"name":"Faculty of Medicine University of Ottawa Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Barwell","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vid","family":"Bijeli\u0107","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Barrowman","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"},{"name":"Faculty of Medicine University of Ottawa Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrietta","family":"Blinder","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Dussah","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roya","family":"Shamsi","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexa R.","family":"Leitman","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Refika","family":"Ersu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Respirology, Children's Hospital of Eastern Ontario Ontario Ottawa Canada"},{"name":"Children's Hospital of Eastern Ontario Research Institute Ontario Ottawa Canada"},{"name":"Faculty of Medicine University of Ottawa Ontario Ottawa 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