Pediatric Sleep Questionnaire

A high score on the Sleep-Related Breathing Disorder scale predicts an approximately 3-fold increased risk of obstructive sleep apnea (OSA) in children.

• At baseline, a score 1 standard deviation above the mean on the SRBD scale is associated with an odds ratio of 2.80 for OSA diagnosis via polysomnography.
• One year after adenotonsillectomy, a high SRBD score still indicates an approximately 2-fold increased risk of residual OSA (odds ratio, 1.89).
• The SRBD scale more accurately predicts initial hyperactivity ratings and one-year improvements compared to standard polysomnographic measures.
• The baseline SRBD scale shows similar predictive ability for sleepiness and its improvement but does not reliably predict attention deficit or its improvement.
• The SRBD scale may be useful for research on OSA-related neurobehavioral issues but is not reliable enough for individual patient assessments.

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