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001) predicted the diagnosis of OSA. We divided patients with OSA into two groups (mild versus moderate to severe OSA). Patients with OAHI ≥5/h were defined as having moderate-to-severe OSA. No clinical factors significantly predicted OAHI ≥5. Of the 189 participants, 58 children (31%) were diagnosed with severe OSA (OAHI ≥1. The only PSG factor that predicted severe OSA was the arousal index (P 0.001). The observed incidence of OSA in children aged 3-15 years with ATH and normal/inconclusive overnight oximetry was very high.