Accordance of clinical symptoms of OSAS (obstructive sleep apnea syndrome) with polisomnography results

Alicja Sapała-Smoczyńska¹, *Teresa Jackowska^1,2

Summary
Introduction. OSAS is characterized by symptoms that occur during the day and night, such as snoring, sleep apnea, tiredness, drowsiness and behavioral disorders. A gold standard in diagnosing OSAS is polysomnography.
Aim. This study aims to compare the accordance of suspicion of OSAS posed by primary care physicians based on an interview and a physical examination with polysomnography results.
Material and methods. 66 children (43 males and 23 females), aged from 5 months to 16 years were hospitalized at the Department of Pediatrics (September 2009 to August 2011). Polysomnography was performed in Sleep Lab with the Elmico EEG DiGi Track device, with software extended for PSG.
Results. 24 patients (36%) met the criteria of OSAS. Among the children studied, in 8 (12%) cases we diagnosed a clinically significant central apnea, and in 13 patients (19.6%), the syndrome of an increased airway resistance was found. Altogether, in 45 children (68.2%) abnormalities in the PSG were observed, and in 21 children (31.8%) the examination showed no abnormalities.
Conclusions. A diagnosis of OSAS enables its treatment, and thereby prevents the related diseases and disorders such as hypertension, nocturia, obesity or behavioral disorders. Based on the results, where the compatibility of the symptoms with the results of PSG was observed in 36% cases, we are certain that the benefits of performing PSG for patients are rational, despite the occasional unjustifiable referrals for the test.

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