{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:41:29Z","timestamp":1772160089957,"version":"3.50.1"},"reference-count":59,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T00:00:00Z","timestamp":1724284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to devise a modified oximetry scoring system and calculate its diagnostic accuracy in detecting paediatric obstructive sleep apnoea syndrome (OSAS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>This prospective diagnostic accuracy study was divided into two phases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted at a quaternary teaching hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Polysomnograms performed from 1 April 2014 to 31 December 2021 were included. In Phase 1, the parameters of 95 oximetry trend graphs were evaluated, and a modified scoring system was constructed. In Phase 2, the modified scoring system was employed in 272 oximetry trend graphs, and its diagnostic accuracy was determined. A logistic regression model was used to assess the ability of each scoring system to predict paediatric OSAS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 367 patients were recruited. In Phase 1, a four\u2010tier severity classification system was constructed. In Phase 2, its diagnostic accuracy was found to be 53.3% sensitive, 97% specific, with positive predictive value of 98.5% and negative predictive value of 34.6%. The lowest detectable apnoea\u2013hypopnoea index (AHI) was 4.5. The inter\u2010rater reliability calculated was 80%. Logistic regression was applied to assess associations of the modified McGill score (MMS) or McGill oximetry score (MOS) with OSAS. The area under the receiver operating characteristic curve was higher for the MMS than for MOS (0.78 [95% CI 0.73\u20130.84] vs. 0.59 [95% CI 0.51\u20130.66]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrated that our modified scoring system had increased sensitivity at detecting OSAS at a much lower AHI and showed a much greater ability to predict paediatric OSAS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14214","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T01:59:03Z","timestamp":1724378343000},"page":"801-809","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Modification of\n                    <scp>McGill<\/scp>\n                    Oximetry Score in Improving the Diagnostic Capability of Paediatric\n                    <scp>OSA<\/scp>"],"prefix":"10.1111","volume":"49","author":[{"given":"Wannitta E. Ting","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-4379","authenticated-orcid":false,"given":"Jeyasakthy","family":"Saniasiaya","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nur Syazwani Mohd","family":"Salehuddin","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Hospital Sultan Idris Shah  Serdang Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shih Ying","family":"H'ng","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Marie","family":"Nathan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/32.6.731"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.134858"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.3.554"},{"issue":"1553","key":"e_1_2_12_5_1","first-page":"62","article-title":"CPAP for Pediatric Patients in Aotearoa New Zealand: Audit of a Developing Service at Capital and Coast DHB 2005\u20132020","volume":"135","author":"Elder D.","year":"2022","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9922"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.2478\/aoj-2023-0003"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.141192"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022\u20103476(82)80231\u2010x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/28.7.885"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.68.3.360"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617703970056"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.10453"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012\u20101672"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13851"},{"key":"e_1_2_12_16_1","first-page":"252","volume-title":"Fundamentals of Sleep Medicine","author":"Richard B. 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