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Healthcare provider contact for children with symptoms of sleep-disordered breathing: a population survey

Published online by Cambridge University Press:  17 December 2015

G Gudnadottir
Affiliation:
Department of Otorhinolaryngology, Institution for Clinical Sciences, Sahlgrenska Academy at Gothenburg University, Sahlgrenska University Hospital, Gothenburg, Sweden
A Ehnhage
Affiliation:
Department of Clinical Sciences, Intervention and Technology, Division Otorhinolaryngology, Karolinska Institutet, Sweden Nacka Närsjukhus Proxima, Stockholm, Sweden
M Bende
Affiliation:
Department of Otorhinolaryngology, Central Hospital, Skövde, Sweden
M Andersson
Affiliation:
Department of Otorhinolaryngology, Head & Neck Surgery, Skåne University Hospital, Lund and Malmö, Sweden
A Cervin
Affiliation:
Royal Brisbane & Women's Hospital, School of Medicine, University of Queensland, Australia
L O Cardell
Affiliation:
Division of ENT Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet, Huddinge, Sweden
J Hellgren*
Affiliation:
Department of Otorhinolaryngology, Institution for Clinical Sciences, Sahlgrenska Academy at Gothenburg University, Sahlgrenska University Hospital, Gothenburg, Sweden
*
Address for correspondence: Dr J Hellgren, Department of Otorhinolaryngology, Head and Neck Surgery, Gröna Stråket 9, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden Fax: +46 31 82 56 79 E-mail: johan.hellgren@gu.se

Abstract

Background:

Symptoms of sleep-disordered breathing in children, such as frequent snoring, apnoea and choking, may lead to health problems if untreated. The caregiver's level of awareness of these symptoms has been poorly studied. This study aimed to study healthcare provider contact related to sleep-disordered breathing symptoms in a population of children aged 0–11 years.

Methods:

A total of 1320 children were randomly selected from a national database that included all children living in Sweden. Caregivers answered a questionnaire about sleep-disordered breathing symptoms during the last month and healthcare provider contact related to these symptoms.

Results:

A total of 754 answers were received. The prevalence of sleep-disordered breathing symptoms was 4.8 per cent. Of this subgroup, 69 per cent had not been in contact with a healthcare provider regarding their symptoms.

Conclusion:

This study shows that sleep-disordered breathing in children is underestimated and that there is a need to increase caregiver and healthcare provider awareness of sleep-disordered breathing in children.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Lumeng, JC, Chervin, RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc 2008;5:242–52CrossRefGoogle ScholarPubMed
2Marcus, CL, Brooks, LJ, Draper, KA, Gozal, D, Halbower, AC, Jones, J et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2012;130:714–55CrossRefGoogle ScholarPubMed
3Jackman, AR, Biggs, SN, Walter, LM, Embuldeniya, US, Davey, MJ, Nixon, GM et al. Sleep disordered breathing in early childhood: quality of life for children and families. Sleep 2013;36:1639–46CrossRefGoogle ScholarPubMed
4Marcus, CL, Moore, RH, Rosen, CL, Giordani, B, Garetz, SL, Taylor, HG et al. A randomized trial of adenotonsillectomy for childhood sleep apnea. N Engl J Med 2013;368:2366–76CrossRefGoogle ScholarPubMed
5Chervin, RD, Archbold, KH, Panahi, P, Pituch, KJ. Sleep problems seldom addressed at two general pediatric clinics. Pediatrics 2001;107:1375–80CrossRefGoogle ScholarPubMed
6Blunden, S, Lushington, K, Lorenzen, B, Wong, J, Balendran, R, Kennedy, D. Symptoms of sleep breathing disorders in children are underreported by parents at general practice visits. Sleep Breath 2003;7:167–76CrossRefGoogle ScholarPubMed
7Erichsen, D, Godoy, C, Gränse, F, Axelsson, J, Rubin, D, Gozal, D. Screening for sleep disorders in pediatric primary care: are we there yet? Clin Pediatr (Phila) 2012;51:1125–9CrossRefGoogle ScholarPubMed
8Carroll, JL, McColley, SA, Marcus, CL, Curtis, S, Loughlin, GM. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest 1995;108:610–18CrossRefGoogle ScholarPubMed
9Brietzke, SE, Katz, ES, Roberson, DW. Can history and physical examination reliably diagnose pediatric obstructive sleep apnea/hypopnea syndrome? A systematic review of the literature. Otolaryngol Head Neck Surg 2004;131:827–32CrossRefGoogle ScholarPubMed
10Franco, RA Jr, Rosenfeld, RM, Rao, M. Quality of life for children with obstructive sleep apnea. Otolaryngol Head Neck Surg 2000;123:916CrossRefGoogle ScholarPubMed
11Good, P. Permutation Tests: A Practical Guide to Resampling Methods for Testing Hypotheses, 3rd edn.New York: Springer Verlag, 2000CrossRefGoogle Scholar
12Pringle, MB, Natesh, BG, Buchanan, EM. National UK survey on the assessment and surgical management of suspected paediatric obstructive sleep apnoea syndrome. Int J Pediatr Otorhinolaryngol 2013;77:1689–96CrossRefGoogle ScholarPubMed
13Strocker, AM, Shapiro, NL. Parental understanding and attitudes of pediatric obstructive sleep apnea and adenotonsillectomy. Int J Pediatr Otorhinolaryngol 2007;71:1709–15CrossRefGoogle ScholarPubMed