Development of a pediatric obstructive sleep apnea triage algorithm.
D S HeathH El-HakimY Al-RahjiE EksteenT C UwieraA IsaacM Castro-CodesalC GerdungJ MacleanPuishkumar J MandhanePublished in: Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale (2021)
Tonsil size was the strongest predictor of AT, while oximetry helped stratify individual risk for AT. We recommend that referral letters for snoring children include graded tonsil size to aid in the triage based on our findings. Children with 2+ tonsil sizes should be triaged to otolaryngology, while the remainder should be referred to a pediatric sleep specialist.