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Polysomnography findings were scored and the apnoea\/hypopnoea index (AHI<jats:sub>PSG<\/jats:sub>) was tabulated, while oximetry data yielded an estimated AHI<jats:sub>OXI<\/jats:sub>using a validated algorithm.<\/jats:p><jats:p>The accuracy of the oximeter in identifying correctly patients with OSAS in general, or with mild (AHI 1\u20135\u2005events\u00b7h<jats:sup>\u22121<\/jats:sup>), moderate (5\u201310\u2005events\u00b7h<jats:sup>\u22121<\/jats:sup>) or severe (&gt;10\u2005events\u00b7h<jats:sup>\u22121<\/jats:sup>) OSAS was examined in 432 subjects (6.5\u00b13.2\u2005years), with 343 having AHI<jats:sub>PSG<\/jats:sub>&gt;1\u2005event\u00b7h<jats:sup>\u22121<\/jats:sup>. The accuracies of AHI<jats:sub>OXI<\/jats:sub>were consistently &gt;79% for all levels of OSAS severity, and specificity was particularly favourable for AHI &gt;10\u2005events\u00b7h<jats:sup>\u22121<\/jats:sup>(92.7%). Using the criterion of AHI<jats:sub>PSG<\/jats:sub>&gt;1\u2005event\u00b7h<jats:sup>\u22121<\/jats:sup>, only 4.7% of false-negative cases emerged, from which only 0.6% of cases showed moderate or severe OSAS.<\/jats:p><jats:p>Overnight oximetry processed<jats:italic>via<\/jats:italic>Bluetooth technology by a cloud-based machine learning-derived algorithm can reliably diagnose OSAS in children with clinical symptoms suggestive of the disease. This approach provides virtually limitless scalability and should alleviate the substantial difficulties in accessing paediatric sleep laboratories while markedly reducing the costs of OSAS diagnosis.<\/jats:p>","DOI":"10.1183\/13993003.01788-2018","type":"journal-article","created":{"date-parts":[[2018,11,29]],"date-time":"2018-11-29T05:25:11Z","timestamp":1543469111000},"page":"1801788","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":45,"title":["Cloud algorithm-driven oximetry-based diagnosis of obstructive sleep apnoea in symptomatic habitually snoring children"],"prefix":"10.1183","volume":"53","author":[{"given":"Zhifei","family":"Xu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gonzalo C.","family":"Guti\u00e9rrez-Tobal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunxiao","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Kheirandish-Gozal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Ni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Hornero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Gozal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"81","published-online":{"date-parts":[[2018,11,28]]},"reference":[{"key":"2024102100442046000_53.2.1801788.1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1672"},{"key":"2024102100442046000_53.2.1801788.2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.2.351"},{"key":"2024102100442046000_53.2.1801788.3","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1186\/s13052-017-0424-2","article-title":"Impact of adenotonsillectomy on pediatric quality of life: review of the literature","volume":"43","author":"Torretta","year":"2017","journal-title":"Ital J Pediatr"},{"key":"2024102100442046000_53.2.1801788.4","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1007\/s00405-018-4984-6","article-title":"The predictive value of polysomnography combined with quality of life for treatment decision of children with habitual snoring related to adenotonsillar hypertrophy","volume":"275","author":"Zhao","year":"2018","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2024102100442046000_53.2.1801788.5","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/S0300-2896(11)70026-6","article-title":"Documento de consenso del s\u00edndrome de apneas-hipopneas durante el sue\u00f1o en ni\u00f1os. 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