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Protocol - Sleep Apnea - Child

Add to My Toolkit
Description

See the protocol section for how to access this protocol

Specific Instructions

The Pediatric Sleep Questionnaire (PSQ) is a proprietary questionnaire. See protocol section for how to obtain the questionnaire.

Availability

This protocol has limited availability; permission required for use.

Protocol

The Pediatric Sleep Questionnaire (PSQ) can be licensed and obtained at https://secure.nouvant.com/umich/technology/3766/license/7

© 2007 The Regents of the University of Michigan

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Lifestage

Toddler, Child, Adolescent

Participants

Parents of children ages 2 to 18

Selection Rationale

This protocol was chosen because of its validation in several age groups of children, because of its relative ease of administration, and because it can be used in large cohorts.

Language

English

Standards
StandardNameIDSource
Logical Observation Identifiers Names and Codes (LOINC) Resp sleep apnea child proto 62637-4 LOINC
Human Phenotype Ontology Sleep Apnea HP:0010535 HPO
caDSR Form PhenX PX091502 - Sleep Apnea Child Protocol 5969663 caDSR Form
Derived Variables

None

Process and Review

Expert Review Panel #6 (ERP 6) reviewed the measures in the Respiratory domain.

Guidance from the ERP 6 includes:

• Link to proprietary protocol provided

Back-compatible: no changes to Data Dictionary

Previous version in Toolkit archive (link)

Protocol Name from Source

The Pediatric Sleep Questionnaire (PSQ), Version 070424

Source

University of Michigan, Pediatric Sleep Questionnaire, Version 070424

General References

Chervin, R. D., Hedger, K., Dillon, J. E., & Pituch, K. J. (2000). Pediatric Sleep Questionnaire (PSQ): Validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Medicine, 1, 21-32.

Chervin, R. D., Weatherly, R. A., Garetz, S. L., Ruzicka, D. L., Giordani, B. J., Hodges, E. K., Dillon, J. E., & Guire, K. E. (2007). Pediatric Sleep Questionnaire: Prediction of sleep apnea and outcomes. Archives of Otolaryngology-Head & Neck Surgery, 133, 216-222.

Protocol ID

91502

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX091502_Child_ADD_ADHD_Ever
PX091502470000 Has a health professional ever said that more
your child has attention-deficit disorder (ADD) or attention-deficit/hyperactivity disorder (ADHD)? show less
N/A
PX091502_Child_Appear_Sleepy_Day
PX091502310000 Has a teacher or other supervisor commented more
that your child appears sleepy during the day? show less
N/A
PX091502_Child_Bedtime_Difficult_Routines_Rituals
PX091502250000 At bedtime does your child usually have more
difficult routines or rituals, argue a lot, or otherwise behave badly? show less
N/A
PX091502_Child_Birth_Date
PX091502030000 Date of Child's Birth? Variable Mapping
PX091502_Child_Breathe_Through_Mouth_Day
PX091502170100 DOES YOUR CHILD tend to breathe through the more
mouth during the day? show less
N/A
PX091502_Child_Caffeinated_Beverage
PX091502410100 Does your child drink caffeinated beverages more
on a typical day (cola, tea, coffee)? show less
N/A
PX091502_Child_Congested_Stuffed_Nose_Night
PX091502150000 Is your child's nose usually congested or more
stuffed at night? show less
N/A
PX091502_Child_Current_Medication_Date_Taken_1
PX091502500104 Please list any medications your child more
currently takes: Dates Taken. show less
N/A
PX091502_Child_Current_Medication_Date_Taken_3
PX091502500304 Please list any medications your child more
currently takes: Dates Taken. show less
N/A
PX091502_Child_Current_Medication_Dose_1
PX091502500102 Please list any medications your child more
currently takes: Size (mg) or amount per dose. show less
N/A
PX091502_Child_Current_Medication_Dose_3
PX091502500302 Please list any medications your child more
currently takes: Size (mg) or amount per dose. show less
N/A
PX091502_Child_Current_Medication_Effect_2
PX091502500205 Please list any medications your child more
currently takes: Effect. show less
N/A
PX091502_Child_Current_Medication_Effect_4
PX091502500405 Please list any medications your child more
currently takes: Effect. show less
N/A
PX091502_Child_Current_Medication_Frequency_Taken_2
PX091502500203 Please list any medications your child more
currently takes: Taken how often? show less
N/A
PX091502_Child_Current_Medication_Frequency_Taken_4
PX091502500403 Please list any medications your child more
currently takes: Taken how often? show less
N/A
PX091502_Child_Current_Medication_Medicine_2
PX091502500201 Please list any medications your child more
currently takes: Medicine. show less
N/A
PX091502_Child_Current_Medication_Medicine_4
PX091502500401 Please list any medications your child more
currently takes: Medicine. show less
N/A
PX091502_Child_Difficulty_Falling_Asleep_Night
PX091502230000 Does your child have difficulty falling more
asleep at night? show less
N/A
PX091502_Child_Easily_Distracted
PX091502560300 This child often is easily distracted by more
extraneous stimuli. show less
N/A
PX091502_Child_Get_Up_Change_A_Lot
PX091502280000 Does the time at which your child gets up more
from bed change a lot from day to day? show less
N/A
PX091502_Child_Grind_Teeth_Night
PX091502170500 DOES YOUR CHILD grind his or her teeth at night? N/A
PX091502_Child_Growing_Pains_Worst_Bed
PX091502110400 DOES YOUR CHILD have growing pains that are more
worst in bed? show less
N/A
PX091502_Child_Hard_Wake_Up_Morning
PX091502330000 Is it hard to wake your child up in the morning? N/A
PX091502_Child_Headache_More_Once_Month
PX091502350000 Does your child get a headache at least once more
a month, on average? show less
N/A
PX091502_Child_Height_Feet
PX091502050100 Current Height (feet/inches)? N/A
PX091502_Child_High_Arched_Palate_Roof_Mouth
PX091502450000 Has a doctor ever told you that your child more
has a high-arched palate (roof of the mouth)? show less
N/A
PX091502_Child_Irresistible_Urge_Nap
PX091502390000 Has your child felt an irresistible urge to more
take a nap at times, forcing him or her to stop what he or she is doing in order to sleep? show less
N/A
PX091502_Child_Legs_Repeated_Kicks_Regular
PX091502120200 WHILE YOUR CHILD SLEEPS, HAVE YOU SEEN more
repeated kicks or jerks of the legs at regular intervals (i.e., about every 20 to 40 seconds)? show less
N/A
PX091502_Child_Long_Term_Medical_Problem_1
PX091502490100 If your child has long-term medical more
problems, please list the three you think are most significant. show less
N/A
PX091502_Child_Long_Term_Medical_Problem_3
PX091502490300 If your child has long-term medical more
problems, please list the three you think are most significant. show less
N/A
PX091502_Child_Neither_Awake_Asleep_Ever
PX091502220100 Has your child ever been moving or behaving, more
at night, in a way that made you think your child was neither completely awake nor asleep? show less
N/A
PX091502_Child_Nightmare
PX091502200000 Does your child have nightmares once a week more
or more on average? show less
N/A
PX091502_Child_Night_Get_Out_Bed
PX091502130200 AT NIGHT, DOES YOUR CHILD USUALLY get out of more
bed (for any reason)? show less
N/A
PX091502_Child_Night_Urinate_Times
PX091502130302 If YOUR CHILD USUALLY get out of bed to more
urinate, how many times each night, on average? show less
N/A
PX091502_Child_Not_Seem_Listen
PX091502560100 This child often does not seem to listen more
when spoken to directly. show less
N/A
PX091502_Child_On_Go_Driven_By_Motor
PX091502560500 This child often is on the go or often acts more
as if driven by a motor. show less
N/A
PX091502_Child_Overweight
PX091502440100 Is your child overweight? N/A
PX091502_Child_Past_Medication_Date_Taken_1
PX091502510104 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Dates Taken. show less
N/A
PX091502_Child_Past_Medication_Date_Taken_3
PX091502510304 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Dates Taken. show less
N/A
PX091502_Child_Past_Medication_Dose_1
PX091502510102 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Size (mg) or amount per dose. show less
N/A
PX091502_Child_Past_Medication_Dose_3
PX091502510302 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Size (mg) or amount per dose. show less
N/A
PX091502_Child_Past_Medication_Effect_2
PX091502510205 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Effect. show less
N/A
PX091502_Child_Past_Medication_Effect_4
PX091502510405 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Effect. show less
N/A
PX091502_Child_Past_Medication_Frequency_Taken_2
PX091502510203 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Taken how often? show less
N/A
PX091502_Child_Past_Medication_Frequency_Taken_4
PX091502510403 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Taken how often? show less
N/A
PX091502_Child_Past_Medication_Medicine_2
PX091502510201 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Medicine. show less
N/A
PX091502_Child_Past_Medication_Medicine_4
PX091502510401 Please list any medication your child has more
taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Medicine. show less
N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Diagnosis_2
PX091502530201 Please list any psychological, psychiatric, more
emotional, or behavioral problems diagnosed or suspected by a physician in your child. show less
N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Diagnosis_4
PX091502530401 Please list any psychological, psychiatric, more
emotional, or behavioral problems diagnosed or suspected by a physician in your child. show less
N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Start_Date_1
PX091502530102 The date the psychological, psychiatric, more
emotional, or behavioral problem started? show less
N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Start_Date_3
PX091502530302 The date the psychological, psychiatric, more
emotional, or behavioral problem started? show less
N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Still_Present_2
PX091502530203 Is the psychological, psychiatric, more
emotional, or behavioral problem still present? show less
N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Still_Present_4
PX091502530403 Is the psychological, psychiatric, more
emotional, or behavioral problem still present? show less
N/A
PX091502_Child_Racial_Ethnic
PX091502080000 Racial/Ethnic Background of your Child? N/A
PX091502_Child_Restless_Legs_In_Bed
PX091502110200 DOES YOUR CHILD describe restlessness of the more
legs when in bed? show less
Variable Mapping
PX091502_Child_Sleepiness_Problem_Day
PX091502300200 DOES YOUR CHILD have a problem with more
sleepiness during the day? show less
N/A
PX091502_Child_Sleep_Disorder_Diagnosis_2
PX091502520201 Please list any sleep disorders diagnosed or more
suspected by a physician in your child. show less
N/A
PX091502_Child_Sleep_Disorder_Diagnosis_4
PX091502520401 Please list any sleep disorders diagnosed or more
suspected by a physician in your child. show less
N/A
PX091502_Child_Sleep_Disorder_Start_Date_1
PX091502520102 The date the sleep disorder started? N/A
PX091502_Child_Sleep_Disorder_Start_Date_3
PX091502520302 The date the sleep disorder started? N/A
PX091502_Child_Sleep_Disorder_Still_Present_2
PX091502520203 Is the sleep disorder still present? N/A
PX091502_Child_Sleep_Disorder_Still_Present_4
PX091502520403 Is the sleep disorder still present? N/A
PX091502_Child_Sleep_Walking
PX091502180000 Has your child ever walked during sleep more
(sleep walking)? show less
N/A
PX091502_Child_Snore_Loudly
PX091502090400 WHILE SLEEPING, DOES YOUR CHILD snore loudly? N/A
PX091502_Child_Snore_More_Half_Time
PX091502090200 WHILE SLEEPING, DOES YOUR CHILD snore more more
than half the time? show less
N/A
PX091502_Child_Stop_Breathing_Night_Description
PX091502100102 HAVE YOU EVER been concerned about your more
child's breathing during sleep? show less
N/A
PX091502_Child_Sudden_Weak_Legs_Ever
PX091502380300 HAS YOUR CHILD EVER become suddenly weak in more
the legs, or anywhere else, after laughing or being surprised by something? show less
N/A
PX091502_Child_Surgery_Ever
PX091502380201 HAS YOUR CHILD EVER had surgery? Variable Mapping
PX091502_Child_Tonsils_Remove
PX091502370100 Does your child still have tonsils? N/A
PX091502_Child_Tonsils_Remove_Reason
PX091502370300 Why were they removed? Variable Mapping
PX091502_Child_Trouble_Back_Asleep_Morning
PX091502260400 DOES YOUR CHILD wake up early in the morning more
and have difficulty going back to sleep? show less
N/A
PX091502_Child_Trouble_Struggle_Breathing
PX091502090600 WHILE SLEEPING, DOES YOUR CHILD have trouble more
breathing, or struggle to breathe? show less
N/A
PX091502_Child_Upset_Stomach_Night
PX091502170300 DOES YOUR CHILD complain of an upset stomach more
at night? show less
N/A
PX091502_Child_Use_Cigarette_Tobacco_List
PX091502430200 Which tobacco products does your child use? N/A
PX091502_Child_Use_Recreational_Drug
PX091502420100 Does your child use any recreational drugs? N/A
PX091502_Child_Use_Recreational_Drug_Frequency
PX091502420300 How often does your child use recreational drugs? N/A
PX091502_Child_Wake_Multiple_Times_Night
PX091502260200 DOES YOUR CHILD wake up more than twice a more
night on average? show less
N/A
PX091502_Child_Wake_Snoring_Sound_Ever
PX091502100400 HAVE YOU EVER seen your child wake up with a more
snorting sound? show less
N/A
PX091502_Child_Weight_Pound
PX091502060000 Current Weight (pound)? N/A
PX091502_Interview_Date
PX091502010000 Today's Date? Variable Mapping
PX091502_Sleep_Behavior_Disorder_Condition_1
PX091502540102 Please list any sleep or behavior disorders more
diagnosed or suspected in your child's brothers, sisters, or parents: Condition. show less
N/A
PX091502_Sleep_Behavior_Disorder_Condition_2
PX091502540202 Please list any sleep or behavior disorders more
diagnosed or suspected in your child's brothers, sisters, or parents: Condition. show less
N/A
PX091502_Sleep_Behavior_Disorder_Condition_3
PX091502540302 Please list any sleep or behavior disorders more
diagnosed or suspected in your child's brothers, sisters, or parents: Condition. show less
N/A
PX091502_Time_Child_Bed_Weekend_Vacation
PX091502290200 WHAT TIME DOES YOUR CHILD USUALLY go to bed more
on the weekend or vacation? show less
N/A
PX091502_Time_Child_Get_Up_Weekend_Vacation
PX091502290400 WHAT TIME DOES YOUR CHILD USUALLY get out of more
bed on weekend or vacation mornings? show less
N/A
Respiratory
Measure Name

Sleep Apnea

Release Date

January 29, 2010

Definition

This measure identifies people with sleep apnea.

Purpose

Sleep apnea is a serious, potentially life-threatening condition that is far more common than is generally understood. Sleep apnea occurs in all age groups and both genders.

Keywords

Respiratory, snoring, Berlin Questionnaire, Respiratory, Pediatric Sleep Questionnaire, PSQ, proprietary

Measure Protocols
Protocol ID Protocol Name
91501 Sleep Apnea - Adult
91502 Sleep Apnea - Child

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