Korean Journal of Otorhinolaryngology-Head and Neck Surgery

Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회)
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Scoring Methods of Polysomnography for Diagnosis of Sleep Apnea in Adolescents

청소년에서 수면 무호흡 진단을 위한 수면 다원 검사의 판독 방법

  • Lee, Keu Sung (Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine) ;
  • Sheen, Seung Soo (Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine) ;
  • Lee, Il Jae (Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine) ;
  • Choi, Byung-Joo (Department of Cardiology, Ajou University School of Medicine) ;
  • Choi, Ji Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Park, Do-Yang (Department of Otolaryngology, Ajou University School of Medicine) ;
  • Kim, Han Tai (Department of Otolaryngology, Ajou University School of Medicine) ;
  • Kim, Hyun Jun (Department of Otolaryngology, Ajou University School of Medicine)
  • 이규성 (아주대학교 의과대학 호흡기내과학교실) ;
  • 신승수 (아주대학교 의과대학 호흡기내과학교실) ;
  • 이일재 (아주대학교 의과대학 성형외과학교실) ;
  • 최병주 (아주대학교 의과대학 순환기내과학교실) ;
  • 최지호 (순천향대학교 의과대학 부천병원 이비인후과학교실) ;
  • 박도양 (아주대학교 의과대학 이비인후과학교실) ;
  • 김한태 (아주대학교 의과대학 이비인후과학교실) ;
  • 김현준 (아주대학교 의과대학 이비인후과학교실)
  • Received : 2018.01.30
  • Accepted : 2018.04.25
  • Published : 2018.11.25
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Abstract

Background and Objectives Respiratory scoring guidelines for children and adults have been used for evaluating adolescents both in the 2007 and 2012 American Academy of Sleep Medicine (AASM) scoring manuals. We compared the scoring methods of polysomnography used in these scoring manuals, where pediatric and adult scoring rules were adopted for the diagnosis of sleep apnea in adolescents. Subjects and Method 106 Korean subjects aged between 13 and 18 years were enrolled. All subjects underwent overnight polysomnography in a sleep laboratory. Data were scored according to both pediatric and adult guidelines in the 2007 and 2012 AASM scoring manuals. Results Both pediatric and adult apnea hypopnea index (AHI) using the 2012 method were significantly higher than those using the 2007 method. The difference in AHI compared between pediatric and adult scores with the 2012 AASM scoring system was markedly decreased from that with the 2007 method. There was a significant discordance in sleep apnea diagnosis between pediatric and adult scoring rules in the 2012 method. Conclusion Both pediatric and adult rules were used for the diagnosis of adolescent sleep apnea in the 2012 method. However, there was significant discordance in the diagnosis between pediatric and adult scoring guidelines in the 2012 AASM manual, probably due to different cut-off values of AHI for the diagnosis of sleep apnea in pediatric (${\geq}1$) and adult (${\geq}5$) patients. Further studies are needed to determine a more reasonable cut-off value for the diagnosis of sleep apnea in adolescents.

Keywords

Acknowledgement

Supported by : Ministry of Health & Welfare

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