{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T22:26:44Z","timestamp":1775168804165,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,4,25]],"date-time":"2016-04-25T00:00:00Z","timestamp":1461542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2016,6]]},"abstract":"Summary<\/jats:title>Background<\/jats:title>Polysomnography (PSG<\/jats:styled-content>) remains the gold standard for diagnosing obstructive sleep apnea (OSA<\/jats:styled-content>) and sleep\u2010disordered breathing in children. Yet, simple screening tools are needed as it is not feasible to perform PSG<\/jats:styled-content> in all patients with possible OSA<\/jats:styled-content>.<\/jats:p><\/jats:sec>Aim<\/jats:title>The study adapted questions from the Pediatric Sleep Questionnaire\u2010Sleep\u2010Related Breathing Disorder (SRBD) Questionnaire to develop a predictive scale for OSA<\/jats:styled-content> identified on PSG<\/jats:styled-content>. We also tested whether adding anthropometric measurements (body mass index and neck circumference) improved prediction of OSA<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>After IRB<\/jats:styled-content> approval, OSA<\/jats:styled-content> questionnaires and anthropometric measurements were collected on 948 consecutive patients scheduled for PSG<\/jats:styled-content>, aged 4 months to 24.5 years (median = 8.5 years). The sample was reduced to 636 patients in the age range (6\u201318 years old) where normative values for neck circumference are defined. OSA<\/jats:styled-content> was characterized using the obstructive apnea\u2013hypopnea index (AHI<\/jats:styled-content>). After identifying questions related to OSA<\/jats:styled-content> in univariate logistic regression, multivariable models were fitted to select questions for a short scale, and points for exceeding body mass or neck circumference cutoffs were added to assess improvement in predictive value.<\/jats:p><\/jats:sec>Results<\/jats:title>A long scale of 16 questionnaire items was constructed using univariate models, while six items were selected for the short scale by multivariable regression. The short scale was associated with greater odds of moderate\/severe OSA<\/jats:styled-content> (OR<\/jats:styled-content> = 1.964; 95% CI<\/jats:styled-content> = 1.620, 2.381; P<\/jats:italic> < 0.001) and attained good predictive value (area under receiver operating characteristics curve [AUC<\/jats:styled-content>] = 0.74), which was not significantly improved by addition of BMI<\/jats:styled-content> and neck circumference data (AUC<\/jats:styled-content> = 0.75).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>We developed a six\u2010question scale with good predictive utility for OSA<\/jats:styled-content>. These findings may contribute to developing a preoperative clinical tool to help clinicians identify children with OSA<\/jats:styled-content> for determining risk stratification and postoperative disposition.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12911","type":"journal-article","created":{"date-parts":[[2016,4,25]],"date-time":"2016-04-25T14:49:14Z","timestamp":1461595754000},"page":"655-664","source":"Crossref","is-referenced-by-count":35,"title":["Utility of screening questionnaire, obesity, neck circumference, and sleep polysomnography to predict sleep\u2010disordered breathing in children and adolescents"],"prefix":"10.1111","volume":"26","author":[{"given":"Vidya T.","family":"Raman","sequence":"first","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine Nationwide Children's Hospital Columbus OH USA"},{"name":"Department of Anesthesiology & Pain Medicine The Ohio State University Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Splaingard","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Division of Pediatric Pulmonology Nationwide Children's Hospital Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dmitry","family":"Tumin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine Nationwide Children's Hospital Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Rice","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine Nationwide Children's Hospital Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kris R.","family":"Jatana","sequence":"additional","affiliation":[{"name":"Department of Pediatric Otolaryngology Nationwide Children's Hospital Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph D.","family":"Tobias","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine Nationwide Children's Hospital Columbus OH USA"},{"name":"Department of Anesthesiology & Pain Medicine The Ohio State University Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2013.10.012"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e318294fc47"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.3.216"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318123ee56"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.108.3.610"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0242"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2307\/2531595"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0731"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2010.02.002"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-3164"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12155"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20505"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpan.12911","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.12911","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T11:23:09Z","timestamp":1696245789000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.12911"}},"subtitle":[],"editor":[{"given":"Jerrold","family":"Lerman","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2016,4,25]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1111\/pan.12911"],"URL":"https:\/\/doi.org\/10.1111\/pan.12911","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4,25]]}}}