The Canadian Thoracic Society/Canadian Sleep Society Guideline on the diagnosis of obstructive sleep apnea in children.

Many children undergo treatment for OSA without confirmatory testing, are denied treatment in the absence of testing, or have a delay in treatment of other sleep disorders until OSA can be ruled out.

许多儿童在没有确诊测试的情况下接受了OSA治疗，或者在没有测试的情况下被拒绝治疗，或者在排除OSA之前，其他睡眠障碍的治疗被延迟。

Methods

An expert panel conducted a systematic reviewand meta-analysisexamining alternative testing to polysomnography.

一个专家小组进行了一项系统评价和荟萃分析，以检验多导睡眠图的替代测试方法。

Recommendations formulation followed a process of proposal, discussion, revisions and voting, considering the evidence, panel members' judgment, as well as patient and family preferences.

建议的制定遵循了一个提案、讨论、修订和投票的过程，同时考虑了证据、小组成员的判断以及患者和家庭的偏好。

Results

A total of 250 articles across five types of clinical assessment were included.

共纳入了250篇涵盖五种临床评估类型的文献。

Most articles excluded children with comorbidities or did not report exclusions (62% and 26%, respectively).

大多数文献排除了患有合并症的儿童，或者没有报告排除标准（分别占62%和26%）。

Only 13% of articles included children under 2-years of age.

仅有13%的文章包含了2岁以下的儿童。

Limited data were appropriate for meta-analysis.

有限的数据适合进行荟萃分析。

Conclusions

The panel upholds polysomnography as the recommended standard for the diagnosis of OSA in children given the absence of an alternative test that could be considered a replacement.

专家组坚持认为，鉴于缺乏可替代的检测方法，多导睡眠图（polysomnography）是诊断儿童阻塞性睡眠呼吸暂停（OSA）的推荐标准。

Level 3/Home Sleep Apnea Testing is recommended as an alternative option to diagnose OSA in otherwise healthy children over 5-years of age for whom access to polysomnography is effectively absent.

对于5岁以上且无法有效接受多导睡眠图检测的健康儿童，推荐使用3级/家庭睡眠呼吸暂停检测作为诊断OSA的替代选项。

While the Pediatric Sleep Questionnaire and overnight oximetry add information to the clinical assessment, we suggest that these should not be used to diagnose OSA in children.

尽管儿童睡眠问卷和夜间血氧监测为临床评估提供了额外信息，但我们建议这些不应被用来诊断儿童的阻塞性睡眠呼吸暂停（OSA）

Given patient and family preferences for testing at home, further investment is needed in developing accurate and accessible home-based testing options to diagnose OSA in children.

鉴于患者和家庭偏好在家进行检测，需要进一步投资开发准确且易于获取的家用检测选项，以便诊断儿童的阻塞性睡眠呼吸暂停（OSA）