Objective: The Sleep clinical record (SCR) has been used for the diagnosis of mild obstructive sleep apnea syndrome (OSAS) (apnea-hypopnea index-AHI =1/h) in children where access to polysomnography (PSG) is limited. We aimed to evaluate the use of the SCR in the diagnosis of children with clinically suspected moderate-to-severe OSAS (AHI =5/h).

Methods: Children with snoring who were referred for PSG were recruited prospectively and SCR was measured.

Results: 263 children were recruited (mean age 6.3 ± 2.53 years; median obstructive AHI 2.93 episodes/hr range 0–61.1). Mean SCR score was 6.89 ± 3.59. 42 children had moderate-to-severe OSAS. Children with moderate-to-severe OSA had significantly greater mean score in SCR (10.26 ± 2.97) than those with mild OSA (6.29 ± 3.351; P< 0.001). The sensitivity of the SCR to identify children with moderate-to-severe OSA was 73.81% and the specificity 78.01%. Nevertheless, the positive predicted value was 37.8% and the negative predictive value 94.3%.

Conclusion: SCR is modestly useful for the identification children with moderate-to-severe OSAS.

1.      Sleep clinical record: an aid to rapid and accurate diagnosis of paediatric sleep disordered breathing. Villa MP, Paolino MC, Castaldo R, Vanacore N, Rizzoli A, Miano S, Del Pozzo M, Montesano M. Eur Respir J. 2013 Jun;41(6):1355-61.