Spruyt and Gozal used 6 questions to screen a pediatric patient for sleep-disordered breathing. The authors are from Comer Children's Hospital and the Univiersity of Chicago.
Patient selection: 5-9 years old with habitual snoring
Questions:
(Q1) shake the child to breath
(Q2) apnea during sleep
(Q3) struggle breathing when asleep
(Q4) breathing concerns when asleep
(Q5) loudness of snoring
(Q6) snoring during sleep
Responses for Q1-Q4, Q6
Points
never
0
rarely (<= 1x per week)
1
occasionally
2
frequently
3
almost always (> 4x per week)
4
Responses for Q5
Points
mildly quiet
0
medium loud
1
loud
2
very loud
3
extremely loud
4
A = (Q1+Q2) / 2
B = (A + Q3) / 2
C = (B +Q4) /2
D = (C+Q5)/2
score on the severity hierarchy of complaints = (D + Q6)/2
Interpretation:
• A score > 2.72 identifies a pediatric patient at high risk.
• Additional testing is required to confirm the diagnosis.
Performance:
• The area under the ROC curve was 0.79.
• The sensitivity was 59% and specificity 83%.
The score is equivalent to Q1/32+Q2/32+Q3/16+Q4/8+Q5/4+Q6/2
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