Kitamura Takuro
   Department   University Hospital  Otorhinolaryngology-Head and Neck Surgery, Clinical Departments
Article types journal article
Language English
Peer review Peer reviewed
Title Obstructive sleep apnea in preschool-aged Japanese children - efficiency of screening using lateral neck radiography.
Journal Formal name:Acta oto-laryngologica
Abbreviation:Acta Otolaryngol
ISSN code:16512251/00016489
Volume, Issue, Page 136(6),606-12頁
Author and coauthor Kitamura Takuro, Miyazaki Soichiro, Kobayashi Ryuichi, Kadotani Hiroshi, Kanemura Takashi, Komada Ichiro, Nishikawa Michiko, Okawa Masako, Koizumi Hiroki, Takeuchi Shoko, Suzuki Hideaki
Publication date 2016/06
Summary Conclusions The prevalence of obstructive sleep apnea (OSA) in preschool-aged children diagnosed by the International Classification of Sleep Disorders (ICSD) version 3 criteria was relatively higher than that diagnosed by ICSD-2. Although the assessment of the upper airway by lateral neck radiography was effective for detecting OSA in this age group, this assessment is not recommended for all children as a screening method because of parental concern related to radiation exposure. Objective This study investigated the prevalence of OSA and the screening capacity of lateral neck radiography in community-based preschool-aged children. Methods Parents of 211 children aged 3-6 years were requested to complete the sleep-related questionnaire. Subjects who agreed to further investigations were invited to undergo home type 3 portable monitoring and clinical examination, including radiography. We estimated the prevalence of OSA and evaluated the detection power of radiography for predicting OSA. Results One hundred and eighty-eight (89.1%) subjects completed the questionnaire and 67 (31.8%) agreed to further examinations. The weighted prevalence was 7.3% and 12.8% by ICSD-2 and 3, respectively. Area under the receiver operator curve for the adenoidal/nasopharyngeal and tonsil/pharyngeal ratios measured using radiography was slightly larger than that for tonsil size graded by visual inspection.
DOI 10.3109/00016489.2016.1144144
PMID 26901288