TY - JOUR
T1 - Comparative assessment of drug-induced sleep endoscopy scoring systems in pediatric sleep apnea
AU - Tejan, Joseph
AU - Medina, Melecio
AU - Ulualp, Seckin O.
N1 - Publisher Copyright:
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2019/9
Y1 - 2019/9
N2 - Objectives/Hypothesis: A wide variety of drug-induced sleep endoscopy (DISE) scoring systems has been used to evaluate sites of upper airway obstruction in children and adults; however, a universally accepted DISE scoring system dedicated to children has not been developed. We evaluated the utility of DISE scoring systems in the assessment of obstructive sleep apnea (OSA) using a single cohort of pediatric patients. Study Design: Retrospective chart review. Methods: The medical records of surgically naïve–healthy children with OSA who had undergone DISE were reviewed. Information about demographics, past medical history, and severity of OSA were obtained. A literature review was conducted to identify DISE scoring systems used in children with OSA. Recordings of DISE were analyzed without knowledge of patient information and severity of OSA. The effect of age, obesity, severity of OSA, and oxygen nadir on DISE score was assessed. Results: Sixty-eight patients (46 male, 22 female, age range: 19 months–18 years) were included. Forty-three patients were obese and 25 were nonobese. The severity of OSA was mild in 12 patients, moderate in 13 patients, and severe in 43 patients. DISE scoring systems did not document differences among the groups of patients with mild OSA, moderate OSA, and severe OSA (P >.05). DISE scores were not different among the studied age and weight categories (P >.05). Conclusions: The DISE scoring systems did not show differences in DISE scores in surgically naïve–healthy children with varying age, weight, and OSA severity categories. Our findings provide preliminary evidence for the need of a universally applicable pediatric DISE scoring system for OSA. Level of Evidence: 4. Laryngoscope, 129:2195–2198, 2019.
AB - Objectives/Hypothesis: A wide variety of drug-induced sleep endoscopy (DISE) scoring systems has been used to evaluate sites of upper airway obstruction in children and adults; however, a universally accepted DISE scoring system dedicated to children has not been developed. We evaluated the utility of DISE scoring systems in the assessment of obstructive sleep apnea (OSA) using a single cohort of pediatric patients. Study Design: Retrospective chart review. Methods: The medical records of surgically naïve–healthy children with OSA who had undergone DISE were reviewed. Information about demographics, past medical history, and severity of OSA were obtained. A literature review was conducted to identify DISE scoring systems used in children with OSA. Recordings of DISE were analyzed without knowledge of patient information and severity of OSA. The effect of age, obesity, severity of OSA, and oxygen nadir on DISE score was assessed. Results: Sixty-eight patients (46 male, 22 female, age range: 19 months–18 years) were included. Forty-three patients were obese and 25 were nonobese. The severity of OSA was mild in 12 patients, moderate in 13 patients, and severe in 43 patients. DISE scoring systems did not document differences among the groups of patients with mild OSA, moderate OSA, and severe OSA (P >.05). DISE scores were not different among the studied age and weight categories (P >.05). Conclusions: The DISE scoring systems did not show differences in DISE scores in surgically naïve–healthy children with varying age, weight, and OSA severity categories. Our findings provide preliminary evidence for the need of a universally applicable pediatric DISE scoring system for OSA. Level of Evidence: 4. Laryngoscope, 129:2195–2198, 2019.
KW - Drug-induced sleep endoscopy
KW - obstructive sleep apnea
KW - scoring scale
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U2 - 10.1002/lary.27829
DO - 10.1002/lary.27829
M3 - Review article
C2 - 30671952
AN - SCOPUS:85060515847
SN - 0023-852X
VL - 129
SP - 2195
EP - 2198
JO - Laryngoscope
JF - Laryngoscope
IS - 9
ER -