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What is next? • Accurate scoring of clinical symptoms needed • Which symptoms have more weight? • Larger numbers • Multi centre studies to create best screening tool • Retrospective study in polysomnography centre • Study to correlate symptoms, polysomnography and clinical evolution • ?Role of sleep nasendoscopy to evaluate obstruction
Conclusion - Need for robust data from multi centre studies to identify best screening tool for OSA - And if we find a good screening tool, then what do we do about it?
Page 1 and 2: Dr I Hadjikoumi, Dr S Jheeta, Dr M
Page 3 and 4: What is it? • Upper airway at the
Page 5 and 6: Symptoms of OSA • Mouth breathing
Page 7 and 8: Why is it common in DS? • Anatomi
Page 9 and 10: Consequences of untreated OSA • P
Page 11 and 12: St George’s Hospital Study Stages
Page 13 and 14: Retrospective analysis • 44 patie
Page 15 and 16: Results • 16% - diagnosed OSA by
Page 17 and 18: Stage 2- repeat questionnaire • 8
Page 19 and 20: 2011: Implementation at SGH • Fol
Page 21 and 22: Sleep Apnoea Down Syndrome Study Un
Page 23 and 24: Telephone questionnaire n=10 • 3
Page 25 and 26: Equipment used • TOSCA 500 device
Page 27 and 28: Criteria for a screening programme
Page 29: Questions • Is capnography useful
Page 33: Acknowledgements • Dr R Chavasse-

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