A Survey on Knowledge Gaps in the Assessment of Pediatric Obstructive Sleep Disordered Breathing
Abstract
Background: Pediatric obstructive sleep disordered breathing (OSDB) is on a continuum of increasing severity from snoring to hypopnea to obstructive sleep apnea. The incidence of children with OSDB is 2-11%; 25% of children with obstructive sleep apnea are misdiagnosed with attention-deficit/hyperactivity disorder. In 27-62% of pediatric obstructive sleep apnea cases, failure to thrive is reported. Children with OSDB have a higher rate of antibiotic use, 40% more hospital visits, and an overall elevation of 215% in healthcare usage. Untreated OSDB may induce non-reversible deficits if occurring during a period of physical and neuro-psychic development. Pediatric primary care providers are generally the gatekeepers to appropriate screening of OSDB. The primary goal of this survey study was to perform a needs assessment that identified any gaps of knowledge regarding at-risk characteristics and symptoms of patients for whom screening for OSDB is appropriate, according to the most recent guidelines in otolaryngology and pediatric medicine. Methods: An online survey utilizing SurveyMonkey was created and distributed to pediatric primary care providers (family medicine doctors, pediatricians, physician assistants, nurse practitioners, pediatric dentists, and orthodontists) and specialists (otolaryngologists, pulmonologists, and sleep medicine doctors). The survey consisted of questions regarding 1) demographics; 2) exam based/clinical findings which would lead to screening; 3) basic knowledge; 4) behavioral/cognitive findings; 5) knowledge of treatment; 6) accessibility; 7) free response. The survey was anonymous. Results: There were 197 survey respondents. Only 101 were fully completed and consisted of respondents who saw patients from the age 2-12. All other responses were excluded from the statistical analysis.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 01, 2022
- Accession Number
- AD1186184
Entities
People
- Natalie A. Campbell
Organizations
- Uniformed Services University of the Health Sciences