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The McGill score as a screening test for obstructive sleep disordered breathing in children with co-morbidities.
Sleep Medicine ( IF 3.8 ) Pub Date : 2019-12-28 , DOI: 10.1016/j.sleep.2019.12.010
Federica Trucco 1 , Mark Rosenthal 2 , Andrew Bush 3 , Hui-Leng Tan 2
Affiliation  

BACKGROUND The McGill score is used to stratify severity of oximetry in children referred for investigation of obstructive sleep apnoea (OSA) to identify those with more severe disease and prioritize treatment. We hypothesized that its positive predictive value (PPV) and negative predictive value (NPV) in detecting OSA differs significantly between children with medical conditions and otherwise healthy children. METHODS We performed a two-year retrospective analysis of children referred for investigation of OSA who underwent a cardiorespiratory (CR) polygraphy study. McGill score was calculated from the oximetry trace blinded to polygraphy results. We looked at two definitions of OSA: Obstructive Apnoea Hypopnoea Index (oAHI) ≥1 and ≥ 5. McGill sensitivity, specificity, PPV and NPV were calculated. McGill score = 1 was considered normal or inconclusive, >1 abnormal. RESULTS We studied 312 children, 190 males (61%), median age 4.5 (2.4-7.9) years. 129 were otherwise healthy and 183 had associated medical conditions. The PPV of the McGill score was significantly lower in children with medical conditions than otherwise healthy children. The NPV was similar in both groups of children. CONCLUSIONS The higher number of false positives in children with medical conditions may be due to non-obstructive causes such as central apnoeas. Children with underlying lung disease are also more likely to desaturate following a brief apnoea or hypopnoea. Children with co-morbidities who have an abnormal McGill score should not be assumed to have OSA and need more detailed sleep studies to determine the reason for the oxygen desaturations.

中文翻译:

麦吉尔评分是对合并症患儿阻塞性睡眠呼吸障碍的筛查测试。

背景技术McGill评分用于对阻塞性睡眠呼吸暂停(OSA)进行调查的儿童的血氧饱和度严重程度进行分层,以鉴定患有较严重疾病的患者并优先进行治疗。我们假设在患OSA的儿童与其他健康儿童之间,其检测OSA的阳性预测值(PPV)和阴性预测值(NPV)显着不同。方法我们对接受过OSA复查研究的OSA患儿进行了为期两年的回顾性分析。麦吉尔评分是根据对测谎结果不知情的血氧定量曲线计算得出的。我们研究了OSA的两种定义:阻塞性呼吸暂停低通气指数(oAHI)≥1和≥5。计算了麦吉尔敏感性,特异性,PPV和NPV。McGill评分= 1被认为是正常的或不确定的,> 1异常。结果我们研究了312名儿童,其中190名男性(占61%),中位年龄为4.5岁(2.4-7.9岁)。另有129例健康,另有183例患有相关疾病。有健康状况的儿童的McGill评分的PPV显着低于其他健康儿童。两组儿童的NPV相似。结论患病儿童的假阳性率较高,可能是由于中枢性呼吸暂停等非阻塞性原因引起的。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。1个异常。结果我们研究了312名儿童,其中190名男性(占61%),中位年龄为4.5岁(2.4-7.9岁)。另有129例健康,另有183例患有相关疾病。有健康状况的儿童的McGill评分的PPV显着低于其他健康儿童。两组儿童的NPV相似。结论患病儿童的假阳性率较高,可能是由于中枢性呼吸暂停等非阻塞性原因引起的。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。1个异常。结果我们研究了312名儿童,其中190名男性(占61%),中位年龄为4.5岁(2.4-7.9岁)。另有129例健康,另有183例患有相关疾病。有健康状况的儿童的McGill评分的PPV显着低于其他健康儿童。两组儿童的NPV相似。结论患病儿童的假阳性率较高,可能是由于中枢性呼吸暂停等非阻塞性原因引起的。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。9)年。另有129例健康,另有183例患有相关疾病。有健康状况的儿童的McGill评分的PPV显着低于其他健康儿童。两组儿童的NPV相似。结论患病儿童的假阳性率较高,可能是由于中枢性呼吸暂停等非阻塞性原因引起的。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。9)年。另有129例健康,另有183例患有相关疾病。有健康状况的儿童的McGill评分的PPV显着低于其他健康儿童。两组儿童的NPV相似。结论患病儿童的假阳性率较高,可能是由于中枢性呼吸暂停等非阻塞性原因引起的。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。有健康状况的儿童的McGill评分的PPV显着低于其他健康儿童。两组儿童的NPV相似。结论患病儿童的假阳性率较高,可能是由于非阻塞性原因,例如中枢性呼吸暂停所致。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。有健康状况的儿童的McGill评分的PPV显着低于其他健康儿童。两组儿童的NPV相似。结论患病儿童的假阳性率较高,可能是由于中枢性呼吸暂停等非阻塞性原因引起的。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。潜在的肺部疾病患儿在短暂的呼吸暂停或呼吸不足后也更容易脱饱和。麦吉尔评分异常的合并症患儿不应被认为患有OSA,需要更详细的睡眠研究以确定氧饱和度下降的原因。
更新日期:2019-12-29
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