PEDOSA
Pediatric OSA Screening Tool
An Initiative of the Institute of Sleep Science
Make Sleep Health a Priority
Pediatric OSA Screening Tool
An Initiative of the Institute of Sleep Science Make Sleep Health a Priority
Worried About Your Child’s Sleep?
Get a Free Assessment for Child Sleep Disorders
Let experts help identify sleep-related issues early.
Quick & Easy Pediatric Sleep Focused
Institute of Sleep Science – Improving Sleep. Enhancing Lives.
Get a Free Assessment for Child Sleep Disorders
Let experts help identify sleep-related issues early.
Quick & Easy Pediatric Sleep Focused Institute of Sleep Science – Improving Sleep. Enhancing Lives.
PEDOSA-7 Screening Questions
Category Questions Night-time Breathing 1. Loud snoring (≥3 nights/week)?
2. Breathing pauses during sleep? Sleep Behavior 3. Difficulty falling asleep (>30 minutes)?
4. Restless sleep (frequent kicking, tossing)? Daytime Symptoms 5. Difficult to wake in the morning?
6. Tiredness or sleepiness during the day?
7. Difficulty concentrating or behavioral problems at school?
| Category | Questions |
|---|---|
| Night-time Breathing | 1. Loud snoring (≥3 nights/week)? 2. Breathing pauses during sleep? |
| Sleep Behavior | 3. Difficulty falling asleep (>30 minutes)? 4. Restless sleep (frequent kicking, tossing)? |
| Daytime Symptoms | 5. Difficult to wake in the morning? 6. Tiredness or sleepiness during the day? 7. Difficulty concentrating or behavioral problems at school? |
Scoring & Interpretation
Questions 1–2: 2 points each
Questions 3–7: 1 point each
Total Score: 9 points
Cutoff:
≥3 points → Increased risk for OSA
≤3 points → Low risk
≥5 points → High risk for moderate/severe OSA
Questions 3–7: 1 point each
Total Score: 9 points
Cutoff:
≥3 points → Increased risk for OSA≤3 points → Low risk
≥5 points → High risk for moderate/severe OSA
Next Steps (Clinical Pathway)
Score ≥3: Refer for a sleep study
Score <3 with symptoms: Monitor, repeat screening
Clinical Evaluation is strongly recommended regardless of score
Always consider other clinical and risk factors:
Family history of sleep disordersObesity, craniofacial abnormalities
ADHD or learning issues
Growth failure or enuresis
Score <3 with symptoms: Monitor, repeat screening
ADHD or learning issues
Growth failure or enuresis
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