Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians

Background. Pediatricians play an important role in the screening, diagnosis and management of childhood obstructive sleep apnea (OSA). This study used a questionnaire to explore the knowledge, self-confidence and general practices of childhood OSA among Thai pediatricians. Methods. This was a descriptive cross-sectional survey study, using a newly developed questionnaire; including: 21 knowledge items, 4 self-confidence items, questions regarding OSA screening, number of OSA cases per month and OSA management. Results. A total of 307, convenient pediatricians; from different types of hospitals across all regions of Thailand, participated in this study. The median, total knowledge score was 19 (range 14‒21). Two-thirds of the respondents felt confident/extremely confident in their ability to identify and manage children with OSA. The average number of OSA cases reported by pediatricians was 5.9 cases per month. During a general medical check-up, 86.6% of the respondents did not routinely ask about OSA symptoms. Significant odds ratios (ORs) for the use of montelukast, as the first-line drug for OSA in young children, were observed in pediatric allergists and pulmonologists (adjusted OR 2.58, 95% CI 1.11–6.01 and adjusted OR 2.20, 95% CI 1.2–4.02) (P = 0.008), respectively, compared to general pediatricians and other sub-specialties. Conclusions. Pediatricians had a high level of overall OSA knowledge, and good self-confidence in identifying and managing children with OSA. However, a low recognition rate and unawareness of OSA screening were observed.

___

1. Marcus CL, Brooks LJ, Draper KA, et al; American Academy of Pediatrics. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2012; 130: 576-584.

2. Alsubie HS, BaHammam AS. Obstructive sleep apnoea: children are not little adult. Paediatr Respir Rev 2017; 21: 72-79.

3. Berry RB, Budhiraja R, Gottlieb DJ, et al; American Academy of Sleep Medicine. Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events. J Clin Sleep Med 2012; 8: 597-619.

4. Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2002; 109: 704-712.

5. Blunden 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; 4: 167-176.

6. Erichsen D, Godoy C, Granse F, Axelsson J, Rubin D, Gozal D. Screening for sleep disorders in pediatric primary care: are we there yet? Clin Pediatr (Phila) 2012; 51: 1125-1129.

7. Rosen RC, Zozula R, Jahn EG, Carson JL. Low rates of recognition of sleep disorders in primary care: comparison of a community-based versus clinical academic setting. Sleep Med 2001; 2: 47-55.

8. Uong EC, Jeffe DB, Gozal D, et al. Development of a measure of knowledge and attitudes about obstructive sleep apnea in children (OSAKA-KIDS). Arch Pediatr Adolesc Med 2005; 159: 181-186.

9. Preutthipan A, Sritippayawan S, Kuptanon T. Thai Guideline for Childhood Obstructive Sleep Apnea. [internet.Bangkok: The Royal College Pediatricians of Thailand and Pediatric Society of Thailand; 2015. [cited 2019 Jan 1]. Available from: http://www. thaipediatrics.org/Media/media-20170913112354. pdf.

10. Ngamjarus C, Chongsuvivatwong V. n4Studies: Sample size and power calculations for iOS. The Royal Golden Jubilee Ph.D. Program - The Thailand Research Fund and Prince of Songkla University. Songkla: Prince of Songkla University, 2014.

11. Wayne WD, Cross CL. Biostatistics: A Foundation of Analysis in the Health Sciences. (11th ed). New York: John Wiley & Sons, 2018.

12. Corso RM, Sorbello M, Buccioli M, et al. Survey of knowledge and attitudes about obstructive sleep apnoea among Italian anaesthetists. Turkish JAnaesthesiol Reanim 2017; 45: 146-152.

13. Wang CL, Li XZ, Cai XL, Pan XL, Min J. Anesthesiologist’s knowledge and attitudes about obstructive sleep apnea: a survey study. Sleep Breath 2012; 16: 41-46.

14. Schotland HM, Jeffe DB. Development of the obstructive sleep apnea knowledge and attitudes (OSAKA) questionnaire. Sleep Med 2003; 4: 443-450.

15. Seidman MD, Gurgel RK, Lin SY, et al; Guideline Otolaryngology Development Group. AAOHNSF. Clinical practice guideline: Allergic rhinitis. Otolaryngology Head Neck Surg 2015; 152( Suppl 1): S1-S43.

16. Bridgeman MB. Overcoming barriers to intranasal corticosteroid us in patient with uncontrolled allergic rhinitis. Integr Pharm Res Pract 2017; 6: 109- 119.

17. Bethlehem J. Selection bias in web surveys. Int Stat Rev 2010; 78: 161-188.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
Sayıdaki Diğer Makaleler

Acute hemorrhagic edema of infancy – is it really a mild, benign disease?

Rasa MEDOVIC, Marija MEDOVIC, Zoran IGRUTINOVIC, Gordana KOSTIC, Biljana VULETIC, Slavica MARKOVIC, Aleksandar VLAHOVIC, Gordana RISTIC

The HLA groups and their relationship with clinical features in Turkish children and adolescents with celiac disease

Necati Balamtekin, Gökhan BAYSOY, Nuray USLU KIZILKAN, Hulya DEMIR, İnci Nur SALTIK TEMİZEL, HASAN ÖZEN, Aysel YÜCE, Figen GÜRAKAN, ÇAĞMAN TAN, İlhan TEZCAN

Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians

Kantara SAELIM, Monthida UTHAIRAT, Kanokpan RUANGNAPA, Pharsai PRASERTSAN, Wanaporn ANUNTASEREE

Evaluation of injury-related under-five mortality in Turkey between 2014-2017

Nilgün ÇAYLAN, Sıdıka Songül YALÇIN, Başak TEZEL, Şirin AYDIN, Önder ÖZEN, Meltem ŞENGELEN, Banu ÇAKIR

Endonasal choanal atresia repair; evaluating the surgical results of 58 cases

Münir Demir BAJİN, Rıza Önder GÜNAYDIN, Ömer Taşkın YÜCEL, Umut AKYOL, Övsen ÖNAY, Ömer ÜNAL, Canset AYDIN

Over restrictive elimination of foods in children with food allergy

Elif ÖZDOĞAN, Hacer Efnan MELEK ARSOY, Ayşe Betül BÜYÜKTİRYAKİ, Hikmet TEKİN NACAROĞLU, Raziye DUT, Özge SOYER, Ümit Murat ŞAHINER, Ebru ARIK YILMAZ, A. Deniz AKKAYA, Nuray USLU KIZILKAN, Cansın SAÇKESEN

Oral health status of asthmatic children using inhaled corticosteroids

Münevver DOĞAN, Ümit Murat ŞAHINER, Atilla Stephan ATAÇ, Elif BALLIKAYA, Özge SOYER, BÜLENT ENİS ŞEKEREL

Investigating the risk factors for antibiotic lock therapy failure in pediatric cancer: a single center retrospective analysis

Hatice KARAOĞLU ASRAK, Nurşen BELET, Özlem TÜFEKÇİ, Canan ÖZLÜ, Birsen BAYSAL, DİLEK İNCE

Ophthalmologic approach to babies with cerebral visual impairment

Aysun İDİL, Deniz ALTINBAY, ESRA ŞAHLI, Pınar Bingöl KIZILTUNÇ, Hatice Semrin Timlioğlu İPER, Kadriye ERKAN TURAN, Damla ERGİNTÜRK ACAR, Fatma Merve BEKTAŞ

Characteristics and outcomes of critically ill children transported by ambulance in a Turkish prehospital system: a multicenter prospective cohort study

Eylem ULAŞ SAZ, Caner TURAN, Murat ANIL, ALKAN BAL, GAMZE GÖKALP, Hayri YILMAZ, Sinem SARI GÖKAY, Tuğçe ÇELİK, Nilden TUYGUN, HALİSE AKÇA, Deniz TEKİN, Sinan OĞUZ, Tanju ÇELİK, Özlem TEKŞAM, Ayşe GÜLTEKİNGİL KESER, Gulser Esen BESLI, Murat DUMAN, Ali YURTSEVEN