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Protocol - Sleep Apnea - Child

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Description:

See the protocol section for how to access this protocol

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

Protocol Name from Source:

The Pediatric Sleep Questionnaire (PSQ)

Availability:

Publicly available

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

Life Stage:

Toddler, Child, Adolescent

Participants:

Parents of children ages 2 to 18

Specific Instructions:

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

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
Common Data Elements (CDE) Person Sleep Apnea Text 2970224 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Resp sleep apnea child proto 62637-4 LOINC
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)

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 NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX091502_Additional_Comments PX091502550000 Please print any additional comments you feel are important. Please also describe details regarding any of the above questions. 4 N/A
PX091502_Child_ADD_ADHD_Ever PX091502470000 Has a health professional ever said that your child has attention-deficit disorder (ADD) or attention-deficit/hyperactivity disorder (ADHD)? 4 N/A
PX091502_Child_Allergies_Affect_Breathe_Nose PX091502160000 Do any allergies affect your child's ability to breathe through the nose? 4 N/A
PX091502_Child_Always_Snore PX091502090300 WHILE SLEEPING, DOES YOUR CHILD always snore? 4 N/A
PX091502_Child_Appear_Sleepy_Day PX091502310000 Has a teacher or other supervisor commented that your child appears sleepy during the day? 4 N/A
PX091502_Child_Bang_Head_Rock_Body PX091502260100 DOES YOUR CHILD bang his or her head or rock his or her body when going to sleep? 4 N/A
PX091502_Child_Bedtime_Change_A_Lot PX091502270000 Does the time at which your child goes to bed change a lot from day to day? 4 N/A
PX091502_Child_Bedtime_Difficult_Routines_Rituals PX091502250000 At bedtime does your child usually have difficult "routines" or "rituals," argue a lot, or otherwise behave badly? 4 N/A
PX091502_Child_Birth_Date PX091502030000 Date of Child's Birth? 4 N/A
PX091502_Child_Breathe_Through_Mouth_Day PX091502170100 DOES YOUR CHILD tend to breathe through the mouth during the day? 4 N/A
PX091502_Child_Burning_Throat_Night PX091502170400 DOES YOUR CHILD get a burning feeling in the throat at night? 4 N/A
PX091502_Child_Caffeinated_Beverage PX091502410100 Does your child drink caffeinated beverages on a typical day (cola, tea, coffee)? 4 N/A
PX091502_Child_Caffeinated_Beverage_Quantity PX091502410200 How many cups or cans per day? 4 N/A
PX091502_Child_Condition_Difficulty_Breathing_Ever PX091502380101 HAS YOUR CHILD EVER had a condition causing difficulty with breathing? 4 N/A
PX091502_Child_Congested_Stuffed_Nose_Night PX091502150000 Is your child's nose usually congested or "stuffed" at night? 4 N/A
PX091502_Child_Current_Medication_Date_Taken_1 PX091502500104 Please list any medications your child currently takes: Dates Taken. 4 N/A
PX091502_Child_Current_Medication_Date_Taken_2 PX091502500204 Please list any medications your child currently takes: Dates Taken. 4 N/A
PX091502_Child_Current_Medication_Date_Taken_3 PX091502500304 Please list any medications your child currently takes: Dates Taken. 4 N/A
PX091502_Child_Current_Medication_Date_Taken_4 PX091502500404 Please list any medications your child currently takes: Dates Taken. 4 N/A
PX091502_Child_Current_Medication_Dose_1 PX091502500102 Please list any medications your child currently takes: Size (mg) or amount per dose. 4 N/A
PX091502_Child_Current_Medication_Dose_2 PX091502500202 Please list any medications your child currently takes: Size (mg) or amount per dose. 4 N/A
PX091502_Child_Current_Medication_Dose_3 PX091502500302 Please list any medications your child currently takes: Size (mg) or amount per dose. 4 N/A
PX091502_Child_Current_Medication_Dose_4 PX091502500402 Please list any medications your child currently takes: Size (mg) or amount per dose. 4 N/A
PX091502_Child_Current_Medication_Effect_1 PX091502500105 Please list any medications your child currently takes: Effect. 4 N/A
PX091502_Child_Current_Medication_Effect_2 PX091502500205 Please list any medications your child currently takes: Effect. 4 N/A
PX091502_Child_Current_Medication_Effect_3 PX091502500305 Please list any medications your child currently takes: Effect. 4 N/A
PX091502_Child_Current_Medication_Effect_4 PX091502500405 Please list any medications your child currently takes: Effect. 4 N/A
PX091502_Child_Current_Medication_Frequency_Taken_1 PX091502500103 Please list any medications your child currently takes: Taken how often? 4 N/A
PX091502_Child_Current_Medication_Frequency_Taken_2 PX091502500203 Please list any medications your child currently takes: Taken how often? 4 N/A
PX091502_Child_Current_Medication_Frequency_Taken_3 PX091502500303 Please list any medications your child currently takes: Taken how often? 4 N/A
PX091502_Child_Current_Medication_Frequency_Taken_4 PX091502500403 Please list any medications your child currently takes: Taken how often? 4 N/A
PX091502_Child_Current_Medication_Medicine_1 PX091502500101 Please list any medications your child currently takes: Medicine. 4 N/A
PX091502_Child_Current_Medication_Medicine_2 PX091502500201 Please list any medications your child currently takes: Medicine. 4 N/A
PX091502_Child_Current_Medication_Medicine_3 PX091502500301 Please list any medications your child currently takes: Medicine. 4 N/A
PX091502_Child_Current_Medication_Medicine_4 PX091502500401 Please list any medications your child currently takes: Medicine. 4 N/A
PX091502_Child_Difficulty_Breathing_Occur_Surgery PX091502380202 Did any difficulties with breathing occur before, during, or after surgery? 4 N/A
PX091502_Child_Difficulty_Falling_Asleep_Night PX091502230000 Does your child have difficulty falling asleep at night? 4 N/A
PX091502_Child_Difficulty_Organizing PX091502560200 This child often has difficulty organizing tasks and activities. 4 N/A
PX091502_Child_Dry_Mouth_Waking_Morning PX091502170200 DOES YOUR CHILD have a dry mouth on waking up in the morning? 4 N/A
PX091502_Child_Easily_Distracted PX091502560300 This child often is easily distracted by extraneous stimuli. 4 N/A
PX091502_Child_Feel_Sleepy_Day PX091502300300 DOES YOUR CHILD complain that he or she feels sleepy during the day? 4 N/A
PX091502_Child_Fidget_Hands_Feet_Squirm PX091502560400 This child often fidgets with hands or feet or squirms in seat. 4 N/A
PX091502_Child_Gender PX091502040000 Sex? 4 N/A
PX091502_Child_Get_Up_Change_A_Lot PX091502280000 Does the time at which your child gets up from bed change a lot from day to day? 4 N/A
PX091502_Child_Grade_In_School PX091502070000 Grade in school (if applicable)? 4 N/A
PX091502_Child_Grind_Teeth_Night PX091502170500 DOES YOUR CHILD grind his or her teeth at night? 4 N/A
PX091502_Child_Growing_Pains_Worst_Bed PX091502110400 DOES YOUR CHILD have "growing pains" that are worst in bed? 4 N/A
PX091502_Child_Growing_Unexplained_Leg_Pains PX091502110300 DOES YOUR CHILD have "growing pains" (unexplained leg pains)? 4 N/A
PX091502_Child_Hard_Wake_Up_Morning PX091502330000 Is it hard to wake your child up in the morning? 4 N/A
PX091502_Child_Headache_More_Once_Month PX091502350000 Does your child get a headache at least once a month, on average? 4 N/A
PX091502_Child_Heavy_Loud_Breathing PX091502090500 WHILE SLEEPING, DOES YOUR CHILD have "heavy" or loud breathing? 4 N/A
PX091502_Child_Height_Feet PX091502050100 Current Height (feet/inches)? 4 N/A
PX091502_Child_Height_Inches PX091502050200 Current Height (feet/inches)? 4 N/A
PX091502_Child_High_Arched_Palate_Roof_Mouth PX091502450000 Has a doctor ever told you that your child has a high-arched palate (roof of the mouth)? 4 N/A
PX091502_Child_Interrupt_Intrude_Others PX091502560600 This child often interrupts or intrudes on others (e.g., butts into conversations or games.) 4 N/A
PX091502_Child_Irresistible_Urge_Nap PX091502390000 Has your child felt an irresistible urge to take a nap at times, forcing him or her to stop what he or she is doing in order to sleep? 4 N/A
PX091502_Child_Legs_Brief_Kicks PX091502120100 WHILE YOUR CHILD SLEEPS, HAVE YOU SEEN brief kicks of one leg or both legs? 4 N/A
PX091502_Child_Legs_Repeated_Kicks_Regular PX091502120200 WHILE YOUR CHILD SLEEPS, HAVE YOU SEEN repeated kicks or jerks of the legs at regular intervals (i.e., about every 20 to 40 seconds)? 4 N/A
PX091502_Child_Long_Term_Medical_Problem_1 PX091502490100 If your child has long-term medical problems, please list the three you think are most significant. 4 N/A
PX091502_Child_Long_Term_Medical_Problem_2 PX091502490200 If your child has long-term medical problems, please list the three you think are most significant. 4 N/A
PX091502_Child_Long_Term_Medical_Problem_3 PX091502490300 If your child has long-term medical problems, please list the three you think are most significant. 4 N/A
PX091502_Child_Medical_Problem PX091502480000 If you are currently at a clinic with your child to see a physician, what is the problem that brought you? 4 N/A
PX091502_Child_Neither_Awake_Asleep_Ever PX091502220100 Has your child ever been moving or behaving, at night, in a way that made you think your child was neither completely awake nor asleep? 4 N/A
PX091502_Child_Neither_Awake_Asleep_EverDescribe PX091502220101 Has your child ever been moving or behaving, at night, in a way that made you think your child was neither completely awake nor asleep? If so, please describe what has happened: 4 N/A
PX091502_Child_Nightmare PX091502200000 Does your child have nightmares once a week or more on average? 4 N/A
PX091502_Child_Night_Get_Out_Bed PX091502130200 AT NIGHT, DOES YOUR CHILD USUALLY get out of bed (for any reason)? 4 N/A
PX091502_Child_Night_Sweaty_Wet_Perspiration PX091502130100 AT NIGHT, DOES YOUR CHILD USUALLY become sweaty, or do the pajamas usually become wet with perspiration? 4 N/A
PX091502_Child_Night_Urinate PX091502130301 AT NIGHT, DOES YOUR CHILD USUALLY get out of bed to urinate? 4 N/A
PX091502_Child_Night_Urinate_Times PX091502130302 If YOUR CHILD USUALLY get out of bed to urinate, how many times each night, on average? 4 N/A
PX091502_Child_Not_Seem_Listen PX091502560100 This child often does not seem to listen when spoken to directly. 4 N/A
PX091502_Child_On_Go_Driven_By_Motor PX091502560500 This child often is "on the go" or often acts as if "driven by a motor". 4 N/A
PX091502_Child_Overweight PX091502440100 Is your child overweight? 4 N/A
PX091502_Child_Overweight_First_Age PX091502440200 At what age did this first develop? 4 N/A
PX091502_Child_Past_Medication_Date_Taken_1 PX091502510104 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Dates Taken. 4 N/A
PX091502_Child_Past_Medication_Date_Taken_2 PX091502510204 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Dates Taken. 4 N/A
PX091502_Child_Past_Medication_Date_Taken_3 PX091502510304 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Dates Taken. 4 N/A
PX091502_Child_Past_Medication_Date_Taken_4 PX091502510404 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Dates Taken. 4 N/A
PX091502_Child_Past_Medication_Dose_1 PX091502510102 Please list any medication your child has 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. 4 N/A
PX091502_Child_Past_Medication_Dose_2 PX091502510202 Please list any medication your child has 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. 4 N/A
PX091502_Child_Past_Medication_Dose_3 PX091502510302 Please list any medication your child has 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. 4 N/A
PX091502_Child_Past_Medication_Dose_4 PX091502510402 Please list any medication your child has 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. 4 N/A
PX091502_Child_Past_Medication_Effect_1 PX091502510105 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Effect. 4 N/A
PX091502_Child_Past_Medication_Effect_2 PX091502510205 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Effect. 4 N/A
PX091502_Child_Past_Medication_Effect_3 PX091502510305 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Effect. 4 N/A
PX091502_Child_Past_Medication_Effect_4 PX091502510405 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Effect. 4 N/A
PX091502_Child_Past_Medication_Frequency_Taken_1 PX091502510103 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Taken how often? 4 N/A
PX091502_Child_Past_Medication_Frequency_Taken_2 PX091502510203 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Taken how often? 4 N/A
PX091502_Child_Past_Medication_Frequency_Taken_3 PX091502510303 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Taken how often? 4 N/A
PX091502_Child_Past_Medication_Frequency_Taken_4 PX091502510403 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Taken how often? 4 N/A
PX091502_Child_Past_Medication_Medicine_1 PX091502510101 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Medicine. 4 N/A
PX091502_Child_Past_Medication_Medicine_2 PX091502510201 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Medicine. 4 N/A
PX091502_Child_Past_Medication_Medicine_3 PX091502510301 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Medicine. 4 N/A
PX091502_Child_Past_Medication_Medicine_4 PX091502510401 Please list any medication your child has taken in the past if the purpose of the medication was to improve his or her behavior, attention, or sleep: Medicine. 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Diagnosis_1 PX091502530101 Please list any psychological, psychiatric, emotional, or behavioral problems diagnosed or suspected by a physician in your child. 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Diagnosis_2 PX091502530201 Please list any psychological, psychiatric, emotional, or behavioral problems diagnosed or suspected by a physician in your child. 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Diagnosis_3 PX091502530301 Please list any psychological, psychiatric, emotional, or behavioral problems diagnosed or suspected by a physician in your child. 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Diagnosis_4 PX091502530401 Please list any psychological, psychiatric, emotional, or behavioral problems diagnosed or suspected by a physician in your child. 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Start_Date_1 PX091502530102 The date the psychological, psychiatric, emotional, or behavioral problem started? 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Start_Date_2 PX091502530202 The date the psychological, psychiatric, emotional, or behavioral problem started? 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Start_Date_3 PX091502530302 The date the psychological, psychiatric, emotional, or behavioral problem started? 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Start_Date_4 PX091502530402 The date the psychological, psychiatric, emotional, or behavioral problem started? 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Still_Present_1 PX091502530103 Is the psychological, psychiatric, emotional, or behavioral problem still present? 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Still_Present_2 PX091502530203 Is the psychological, psychiatric, emotional, or behavioral problem still present? 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Still_Present_3 PX091502530303 Is the psychological, psychiatric, emotional, or behavioral problem still present? 4 N/A
PX091502_Child_Psychological_Psychiatric_Behavior_Still_Present_4 PX091502530403 Is the psychological, psychiatric, emotional, or behavioral problem still present? 4 N/A
PX091502_Child_Racial_Ethnic PX091502080000 Racial/Ethnic Background of your Child? 4 N/A
PX091502_Child_Restless_Legs_In_Bed PX091502110200 DOES YOUR CHILD describe restlessness of the legs when in bed? 4 N/A
PX091502_Child_Restless_Sleep PX091502110100 DOES YOUR CHILD have restless sleep? 4 N/A
PX091502_Child_Sense_Dreaming_Awake_Ever PX091502400000 Has your child ever sensed that he or she was dreaming (seeing images or hearing sounds) while still awake? 4 N/A
PX091502_Child_Sleepiness_Problem_Day PX091502300200 DOES YOUR CHILD have a problem with sleepiness during the day? 4 N/A
PX091502_Child_Sleep_Disorder_Diagnosis_1 PX091502520101 Please list any sleep disorders diagnosed or suspected by a physician in your child. 4 N/A
PX091502_Child_Sleep_Disorder_Diagnosis_2 PX091502520201 Please list any sleep disorders diagnosed or suspected by a physician in your child. 4 N/A
PX091502_Child_Sleep_Disorder_Diagnosis_3 PX091502520301 Please list any sleep disorders diagnosed or suspected by a physician in your child. 4 N/A
PX091502_Child_Sleep_Disorder_Diagnosis_4 PX091502520401 Please list any sleep disorders diagnosed or suspected by a physician in your child. 4 N/A
PX091502_Child_Sleep_Disorder_Start_Date_1 PX091502520102 The date the sleep disorder started? 4 N/A
PX091502_Child_Sleep_Disorder_Start_Date_2 PX091502520202 The date the sleep disorder started? 4 N/A
PX091502_Child_Sleep_Disorder_Start_Date_3 PX091502520302 The date the sleep disorder started? 4 N/A
PX091502_Child_Sleep_Disorder_Start_Date_4 PX091502520402 The date the sleep disorder started? 4 N/A
PX091502_Child_Sleep_Disorder_Still_Present_1 PX091502520103 Is the sleep disorder still present? 4 N/A
PX091502_Child_Sleep_Disorder_Still_Present_2 PX091502520203 Is the sleep disorder still present? 4 N/A
PX091502_Child_Sleep_Disorder_Still_Present_3 PX091502520303 Is the sleep disorder still present? 4 N/A
PX091502_Child_Sleep_Disorder_Still_Present_4 PX091502520403 Is the sleep disorder still present? 4 N/A
PX091502_Child_Sleep_Mouth_Open PX091502140000 Does your child usually sleep with the mouth open? 4 N/A
PX091502_Child_Sleep_Talking PX091502190000 Have you ever heard your child talk during sleep ("sleep talking")? 4 N/A
PX091502_Child_Sleep_Walking PX091502180000 Has your child ever walked during sleep ("sleep walking")? 4 N/A
PX091502_Child_Snore_Ever PX091502090100 WHILE SLEEPING, DOES YOUR CHILD ever snore? 4 N/A
PX091502_Child_Snore_Loudly PX091502090400 WHILE SLEEPING, DOES YOUR CHILD snore loudly? 4 N/A
PX091502_Child_Snore_More_Half_Time PX091502090200 WHILE SLEEPING, DOES YOUR CHILD snore more than half the time? 4 N/A
PX091502_Child_Stop_Breathing_Night_Description PX091502100102 HAVE YOU EVER been concerned about your child's breathing during sleep? 4 N/A
PX091502_Child_Stop_Breathing_Night_Ever PX091502100101 HAVE YOU EVER seen your child stop breathing during the night? 4 N/A
PX091502_Child_Stop_Growing_Normal_Rate PX091502360100 Did your child stop growing at a normal rate at any time since birth? 4 N/A
PX091502_Child_Sudden_Weak_Legs_Ever PX091502380300 HAS YOUR CHILD EVER become suddenly weak in the legs, or anywhere else, after laughing or being surprised by something? 4 N/A
PX091502_Child_Surgery_Ever PX091502380201 HAS YOUR CHILD EVER had surgery? 4 N/A
PX091502_Child_Take_Ritalin_Ever PX091502460000 Has your child ever taken Ritalin (methylphenidate) for behavioral problems? 4 N/A
PX091502_Child_Time_Falling_Asleep_Night PX091502240000 How long does it take your child to fall asleep at night? (a guess is O.K.) 4 N/A
PX091502_Child_Tonsils_Remove PX091502370100 Does your child still have tonsils? 4 N/A
PX091502_Child_Tonsils_Remove_Date PX091502370200 When were they removed? 4 N/A
PX091502_Child_Tonsils_Remove_Reason PX091502370300 Why were they removed? 4 N/A
PX091502_Child_Trouble_Back_Asleep_Morning PX091502260400 DOES YOUR CHILD wake up early in the morning and have difficulty going back to sleep? 4 N/A
PX091502_Child_Trouble_Back_Asleep_Night PX091502260300 DOES YOUR CHILD have trouble falling back asleep if he or she wakes up at night? 4 N/A
PX091502_Child_Trouble_Struggle_Breathing PX091502090600 WHILE SLEEPING, DOES YOUR CHILD have trouble breathing, or struggle to breathe? 4 N/A
PX091502_Child_Unable_Move_Able_Look_Ever PX091502380400 HAS YOUR CHILD EVER felt unable to move for a short period, in bed, though awake and able to look around? 4 N/A
PX091502_Child_Upset_Stomach_Night PX091502170300 DOES YOUR CHILD complain of an upset stomach at night? 4 N/A
PX091502_Child_Use_Cigarette_Tobacco PX091502430100 Does your child use cigarettes, smokeless tobacco, snuff, or other tobacco products? 4 N/A
PX091502_Child_Use_Cigarette_Tobacco_Frequency PX091502430300 How often does your child use cigarettes, smokeless tobacco, snuff, or other tobacco products? 4 N/A
PX091502_Child_Use_Cigarette_Tobacco_List PX091502430200 Which tobacco products does your child use? 4 N/A
PX091502_Child_Use_Recreational_Drug PX091502420100 Does your child use any recreational drugs? 4 N/A
PX091502_Child_Use_Recreational_Drug_Frequency PX091502420300 How often does your child use recreational drugs? 4 N/A
PX091502_Child_Use_Recreational_Drug_List PX091502420200 Which recreational drugs does your child use? 4 N/A
PX091502_Child_Usually_Nap_Day PX091502320000 Does your child usually take a nap during the day? 4 N/A
PX091502_Child_Wake_Multiple_Times_Night PX091502260200 DOES YOUR CHILD wake up more than twice a night on average? 4 N/A
PX091502_Child_Wake_Snoring_Sound_Ever PX091502100400 HAVE YOU EVER seen your child wake up with a snorting sound? 4 N/A
PX091502_Child_Wake_Up_Headache_Morning PX091502340000 Does your child wake up with headaches in the morning? 4 N/A
PX091502_Child_Wake_Up_Screaming_Night PX091502210000 Has your child ever woken up screaming during the night? 4 N/A
PX091502_Child_Wake_Up_Unrefreshed_Morning PX091502300100 DOES YOUR CHILD wake up feeling unrefreshed in the morning? 4 N/A
PX091502_Child_Weight_Pound PX091502060000 Current Weight (pound)? 4 N/A
PX091502_Child_Wet_Bed PX091502170600 DOES YOUR CHILD occasionally wet the bed? 4 N/A
PX091502_Interview_Date PX091502010000 Today's Date? 4 N/A
PX091502_Interview_Location PX091502020000 Where are you completing this questionnaire? 4 N/A
PX091502_Shake_Wake_Sleeping_Child_Breathe PX091502100300 HAVE YOU EVER had to shake your sleeping child to get him or her to breathe, or wake up and breathe? 4 N/A
PX091502_Sleep_Behavior_Disorder_Condition_1 PX091502540102 Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Condition. 4 N/A
PX091502_Sleep_Behavior_Disorder_Condition_2 PX091502540202 Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Condition. 4 N/A
PX091502_Sleep_Behavior_Disorder_Condition_3 PX091502540302 Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Condition. 4 N/A
PX091502_Sleep_Behavior_Disorder_Relative_1 PX091502540101 Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Relative. 4 N/A
PX091502_Sleep_Behavior_Disorder_Relative_2 PX091502540201 Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Relative. 4 N/A
PX091502_Sleep_Behavior_Disorder_Relative_3 PX091502540301 Please list any sleep or behavior disorders diagnosed or suspected in your child's brothers, sisters, or parents: Relative. 4 N/A
PX091502_Time_Child_Bed_Weekday PX091502290100 WHAT TIME DOES YOUR CHILD USUALLY go to bed during the week? 4 N/A
PX091502_Time_Child_Bed_Weekend_Vacation PX091502290200 WHAT TIME DOES YOUR CHILD USUALLY go to bed on the weekend or vacation? 4 N/A
PX091502_Time_Child_Get_Up_Weekday PX091502290300 WHAT TIME DOES YOUR CHILD USUALLY get out of bed on weekday mornings? 4 N/A
PX091502_Time_Child_Get_Up_Weekend_Vacation PX091502290400 WHAT TIME DOES YOUR CHILD USUALLY get out of bed on weekend or vacation mornings? 4 N/A
Research Domain Information
Measure Name:

Sleep Apnea

Release Date:

November 28, 2017

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