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Published on: October 11, 2018
Sleep disorders in children
Teresa Ward1, Thornton B A Mason
1Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104-4399, USA. wardt@email.chop.edu
Insights
Pediatric sleep disorders significantly impact children and families. Effective management requires a comprehensive assessment, including medical history, physical exams, and specialized testing, often involving a multidisciplinary team.
Area of Science:
- Pediatric Healthcare
- Sleep Medicine
- Child Psychology
Background:
- Sleep disorders are prevalent in children, affecting their well-being and family dynamics.
- Early identification and management are crucial for optimal child development.
- Growing research highlights the importance of restorative sleep in childhood.
Purpose of the Study:
- To outline a comprehensive approach to diagnosing and managing pediatric sleep disorders.
- To emphasize the role of a multidisciplinary team in pediatric sleep medicine.
- To review common childhood sleep disorders and diagnostic methodologies.
Main Methods:
- Initiating assessment with detailed sleep history and review of associated health conditions.
- Conducting thorough physical examinations to identify contributing factors.
- Utilizing ancillary testing to support clinical diagnoses for conditions like OSA, narcolepsy, RLS/PLMD, and parasomnias.
Main Results:
- A structured diagnostic process, starting with history and physical examination, is essential.
- Ancillary testing aids in confirming diagnoses for various pediatric sleep disorders.
- A collaborative, multidisciplinary approach involving various pediatric specialists enhances patient care.
Conclusions:
- Diagnosing pediatric sleep disorders presents challenges but is manageable with a systematic approach.
- Multidisciplinary collaboration among pediatric psychology, pulmonology, neurology, and other specialists improves patient outcomes.
- Increased research and awareness are advancing the field of pediatric sleep disorder management.
Abstract:
Sleep disorders are common in childhood, and may affect multiple aspects of a child's life and the lives of other family members. A sleep disorder assessment should begin with detailed sleep history and a review of interrelated health issues. Factors contributing to disturbed sleep may be discovered or confirmed by a thorough physical examination. Thereafter, appropriate ancillary testing can provide support for a specific clinical diagnosis. The spectrum of childhood sleep disorders includes OSA, narcolepsy, RLS/PLMD, sleep onset association disorder, and parasomnias. Diagnosing sleep disorders in children remains a challenge; however, a multidisciplinary approach may provide an opportunity for productive collaboration and, thereby, more effective patient management. Centers treating pediatric sleep disorders may include providers from a variety of disciplines in pediatric healthcare, such as child psychology, pulmonology, neurology, psychiatry, nursing, and otolaryngology. Over the last decade, research in pediatric sleep disorders has expanded greatly, paralleled by an increased awareness of the importance of adequate, restorative sleep in childhood.
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