Linguistic adaptation and validation of Italian version of OSA-18, a quality of life questionnaire for evaluation of children with obstructive sleep apnea-hypopnea syndrome (OSAS)

Arezzo, Elena; Festa, Paola; D’Antò, Vincenzo; Michelotti, Ambra; Vincentiis, Giovanni Carlo De; Sitzia, Emanuela; Giuliani, Michela; Piga, Simone; Galeotti, Angela

doi:10.1016/j.ijporl.2019.109727

Cited by 12 publications

(17 citation statements)

References 20 publications

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“…OSA can provoke significant morbidity and mortality, and it has been related to severe daytime hypersomnolence, automobile accidents, and cardiovascular complications [10,11]. Quality of life can also be severely affected [12][13][14]. The aetiopathogenesis of OSA is based on the difficulty of keeping patent upper airways during sleep; causes include (1) the loss of function of the pharyngeal dilator musculature; (2) the narrowing of the pharyngeal space secondary to anatomical abnormalities; and (3) the prominence of tongue base and palate [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Obstructive Sleep Apnoea in Patients Treated for Head and Neck Cancer: A Systematic Review of the Literature

et al. 2020

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Background and objectives: Obstructive sleep apnoea (OSA) is clinically defined by signs of daytime sleepiness and objective measures of disordered breathing during sleep. The literature is still controversial on the incidence and aetiology of OSA secondary to head and neck cancer treatment. The aim of this systematic review is to evaluate and discuss the prevalence of OSA in patients treated with surgery and/or chemo/radiotherapy for head and neck cancer. Materials and methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search was performed on May 2020 using the MEDLINE database, Scopus, and Google Scholar. The searches were conducted using combinations of the following terms: head and neck cancer, OSA, radiotherapy, chemotherapy, partial laryngectomy, laryngeal cancer, neoplasm, tumour, carcinoma, and oropharyngeal cancer. Results: Our results suggest that head and neck cancer patients have a higher incidence of OSA (59.78%) compared to the general population; differences may occur based on the type of treatment. Conclusions: Clinicians should recognise the higher prevalence of OSA in patients treated for head and neck cancer and should consider a comprehensive sleep history as part of the evaluation and management of these patients. Further research is needed to evaluate the exact prevalence, aetiology, and correct management of OSA after treatment for head and neck cancer.

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Section: Introductionmentioning

confidence: 99%

Obstructive Sleep Apnoea in Patients Treated for Head and Neck Cancer: A Systematic Review of the Literature

et al. 2020

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“…OSAS significantly affects quality of life of children and families, hence the scientific interest on the parent-report sleep questionnaires to screen pediatric OSAS has increasingly risen [ 2 ]. Currently, several questionnaires such as the Obstructive Sleep Apnea-18 (OSA-18 [ 3 ];), the Children’s Sleep Habits Questionnaire (CSHQ [ 4 ];), the Sleep Disturbance Scale for Children [ 5 ] and the Pediatric Sleep Questionnaire (PSQ [ 6 ];) are in circulation. Translation from the original English into other languages are available, CSHQ, PSQ, and OSA-18 being the most frequently translated tools.…”

Section: Introductionmentioning

confidence: 99%

Linguistic adaptation and psychometric evaluation of Italian version of children’s sleep habits questionnaire

et al. 2021

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Background The Children’s Sleep Habits Questionnaire (CSHQ) is a parent-report questionnaire used to examine sleep behavior in children. Linguistic adaptation of CSHQ into several languages and/or psychometric analysis of reliability have been published. Main text Our aim was to translate the original 33-items CSHQ from English to Italian and to examine its reliability for use in 4–10 years-old children of Italy. After translation and back-translation procedure of the original CSHQ, the Italian CSHQ (CSHQ-IT) was administered to 69 mothers of healthy children. Reliability of CSHQ-IT was examined by the internal consistency of the scale (using the Cronbach’s alpha coefficient), and by the test-retest analysis obtained by asking mothers who had completed the CSHQ-IT at baseline to re-complete it after a two-week interval (measured with the Lin’s Concordance Correlation Coefficient, CCC). The CSHQ-IT showed adequate internal consistency (Cronbach’s alpha = 0.81 for the total scale). The total CSHQ-IT score showed a strong correlation in retests (CCC 0.87; 95% Confidence Interval, 0.80; 0.92). Conclusion CSHQ-IT is a valuable tool for evaluating sleep behavior in children 4–10 years-old in Italy. Future research should be implemented to provide definitive validity of CSHQ-IT in children with sleep-disordered breathing.

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“…OSA-18 questionnaire [18] was administered to parents before surgery and 30 days after surgery. It assessed sleep disorders, including snoring (4 questions), physical suffering (4 questions), emotional distress (3 questions), daytime problems (3 questions) and caregiver concerns (4 questions); we asked parents to assign, for each point, a score from 1 to 7 for a maximum score of 126.…”

Section: Clinical and Follow-up Proceduresmentioning

confidence: 99%

“…Recently, there has been a rising interest in partial, subtotal, and intra-capsular tonsillectomy-also known as tonsillotomy-a procedure that can be performed with many surgical instruments as microdebrider, CO 2 laser, coblator, and monopolar or bipolar forceps [14]. This technique has been reported in both adults and in children [15][16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Partial intracapsular tonsillectomy in the treatment of pediatric obstructive sleep apnea/hypopnea syndrome: a prospective study with 5-year follow-up

Cavaliere

Luca

Bonis

et al. 2021

Eur Arch Otorhinolaryngol

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Objective To assess efficacy and safety of tonsil reduction with bipolar forceps electrocautery as treatment of paediatric obstructive sleep apnea/hypopnea syndrome (OSAHS). Study design Prospective interventional study. Methods Two hundred and sixty-three children aged 4–10 years with OSAHS and an apnea hypopnea index (AHI) > 3 were enrolled from March 2013 to January 2016. Pre-operative evaluation included oropharyngeal clinical examination with fiberoptic nasopharyngoscopy, OSA-18 questionnaire and overnight sleep study. All children were treated with adenoidectomy and tonsillotomy with bipolar forceps. OSA-18 questionnaire and overnight sleep study were performed 30 days after surgery. Results Pre-operative average of the OSA-18 questionnaires was of 70.3 (SD = 9.7); 30-day post-operative score was 23.15 (SD = 8.2; p = 0.045). Pre-operative average Apnea Hypopnea Index (AHI) score was 9.41 (SD = 4.1); 30-day post-operative average of AHI score was of 1.75 (SD = 0.8; p = 0.012). Oxygen Desaturation Index (ODI) rate changed from 7.39 (SD = 4) to 1.34 (30-day post-operative) (SD = 4.7; p = 0.085). NADIR rate changed from 79% (SD = 6.32) to 90% (30-day post-operative) (SD = 5.18; p = 0.00012). Peri- and post-operative complications in our sample were mainly pain (average 75 doses of paracetamol), while bleeding did not occur (0%). All patients received a follow-up examination 5 years after surgery to evaluate tonsil size; at this time-point, a reduction in tonsil size from 3.6 (3–4; SD = 4.2) to 1.3 (1–2; SD = 5.5) was found, while tonsil regrowth was observed in five children (2%). Conclusion This study showed that partial tonsillotomy with bipolar forceps electrocautery associated to adenoidectomy is an effective technique in treating OSAHS symptoms in children and ensures less complications in terms of hemorrhage, postoperative pain and infections compared to traditional adenotonsillectomy. The very low tonsillar regrowth rate reported in this study may support the routine use of this technique.

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Linguistic adaptation and validation of Italian version of OSA-18, a quality of life questionnaire for evaluation of children with obstructive sleep apnea-hypopnea syndrome (OSAS)

Cited by 12 publications

References 20 publications

Obstructive Sleep Apnoea in Patients Treated for Head and Neck Cancer: A Systematic Review of the Literature

Obstructive Sleep Apnoea in Patients Treated for Head and Neck Cancer: A Systematic Review of the Literature

Linguistic adaptation and psychometric evaluation of Italian version of children’s sleep habits questionnaire

Partial intracapsular tonsillectomy in the treatment of pediatric obstructive sleep apnea/hypopnea syndrome: a prospective study with 5-year follow-up

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