What does this research mean for the field?

The Sleep Clinical Record (SCR) demonstrates limited specificity and modest discrimination for pediatric obstructive sleep apnea in a Canadian cohort, failing to replicate its original validation performance and offering no advantage over the simpler Brouillette score. Novelty: ClaimNovelty.CONTRADICTORY. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

What question did this study set out to answer?

To evaluate the diagnostic performance of the Italian-developed Sleep Clinical Record and determine whether craniofacial and orthodontic features differ between children with and without confirmed obstructive sleep apnea.

August 30, 2026Open Access

Screening for pediatric obstructive sleep apnea : performance of the Sleep Clinical Record in a Canadian cohort

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To evaluate the diagnostic performance of the Italian-developed Sleep Clinical Record and determine whether craniofacial and orthodontic features differ between children with and without confirmed obstructive sleep apnea.
Prospective cohort study of 60 children aged 4–16 years (61.7% male) referred for level I overnight polysomnography at BC Children's Hospital.
Administered the Sleep Clinical Record, the Brouillette score, and a comprehensive orthodontic exam before polysomnography, evaluating performance across three Apnea-Hypopnea Index thresholds (≥1, ≥2, and ≥5 events/hour).
Obstructive sleep apnea prevalence was 90.0% at an Apnea-Hypopnea Index ≥1 event/hour, with the Sleep Clinical Record showing sensitivity of 74.3–91.7%, specificity of 31.8–50.0%, negative predictive value of 18.8%, and AUC of 0.54–0.68.
The simpler three-item Brouillette score demonstrated comparable discrimination (AUC 0.689), whereas an optimized Sleep Clinical Record cutoff (≥8.4) yielded 83.3% specificity but lower sensitivity (64.7%).
No anthropometric, craniofacial, or orthodontic parameters showed statistically significant differences between children with and without obstructive sleep apnea after Bonferroni correction.

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Implication

Prospective cohort study finds modest diagnostic accuracy of the Sleep Clinical Record in children referred for polysomnography, indicating limited clinical benefit over simpler screening tools.

Cite This Study

Lucy Leon (2026) studied this question.

synapsesocial.com/papers/6a93f0c06c1a8fb52e79d19d https://doi.org/10.14288/1.0455628

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Implication

Prospective cohort study finds modest diagnostic accuracy of the Sleep Clinical Record in children referred for polysomnography, indicating limited clinical benefit over simpler screening tools.

Screening for pediatric obstructive sleep apnea : performance of the Sleep Clinical Record in a Canadian cohort

Key Points

Discussion

Implication

Cite This Study

Screening for pediatric obstructive sleep apnea : performance of the Sleep Clinical Record in a Canadian cohort

Key Points

Discussion

Implication

Cite This Study

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