Autor: |
Qinye Zhu, Hiroo Wada, Keisike Onuki, Takayuki Kitazawa, Ritsuko Furuya, Mariko Miyakawa, Setsuko Sato, Naohiro Yonemoto, Yuito Ueda, Hiroshi Nakano, David Gozal, Takeshi Tanigawa |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
Sleep medicine. 101 |
ISSN: |
1878-5506 |
Popis: |
This study aimed to evaluate the validity and reliability of the Japanese version of the severity hierarchy score (J-SHS) in the screening of pediatric obstructive sleep apnea (OSA) among Japanese community children.A total of 922 children from elementary schools in Tokyo were recruited. Their parents completed the J-SHS questionnaire, and the children underwent an overnight Tracheal Sound (TS) recording. The reliability of the J-SHS was assessed by Cronbach's alpha coefficients and Spearman's correlation. Construct validity was determined by factor analysis. The discriminative ability to diagnose OSA was evaluated by constructing ROC curves.Five hundred and seventeen children (51.8% male, mean age 7.1 ± 0.7 years) were included. Cronbach's alpha coefficient was 0.80. Factor analysis resulted in a two-factor structure, with factor loadings all above 0.4. A J-SHS score of1.88 exhibited a 60% sensitivity, 93% specificity, and an area under the curve (AUC) of 0.78 for detecting an apnea-hypopnea index (AHI) of ≥5/h; a J-SHS score of2.06 exhibited a 75% sensitivity, 84% specificity and AUC of 0.84 for detecting an AHI of ≥3/h among the children with a snoring frequency above two nights/wk.The J-SHS exhibits good performance as a screening tool providing a quick and straightforward approach for identifying Japanese children at risk for OSA. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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