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[Pediatricians and sleep-disordered breathing in the child]

Aracy Pereira Silveira Balbani1, Silke Anna Thereza Weber, Jair Cortez Montovani

  • 1Faculdade de Medicina, Departamento de Bioestatística, Instituto de Biociências, Universidade Estadual Paulista Júlio de Mesquita Filho. a_balbani@hotmail.com

Revista Da Associacao Medica Brasileira (1992)
|June 11, 2005
PubMed

Insights

Pediatricians report insufficient training in childhood sleep-disordered breathing (SDB). Current diagnostic and treatment practices for SDB in children show a significant gap from established research findings.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Public Health

Context:

  • Sleep-disordered breathing (SDB) is a prevalent condition in children, impacting their health and development.
  • Pediatricians are frontline healthcare providers for diagnosing and managing childhood SDB.
  • There is a need to understand current pediatric practices regarding SDB to identify areas for improvement.

Purpose:

  • To assess the opinions and practices of pediatricians regarding the diagnosis and treatment of sleep-disordered breathing (SDB) in children.
  • To evaluate pediatricians' knowledge and training in childhood SDB.
  • To identify discrepancies between SDB research and clinical practice in pediatrics.

Summary:

  • A survey of 516 pediatricians in São Paulo, Brazil, revealed that 65.2% found SDB education during medical school unsatisfactory.
  • Pediatricians' self-rated knowledge of SDB was often "regular" (43.8%) or "unsatisfactory" (15.2%).
  • Common diagnostic tools included cavum radiography and pulse oximetry, with limited use of polysomnography, indicating a gap between research and practice.

Impact:

  • Highlights a critical need for enhanced SDB education in pediatric training programs.
  • Suggests a disconnect between current SDB research advancements and pediatric clinical application.
  • Informs strategies to improve early detection and management of SDB in children, potentially improving long-term health outcomes.
Abstract

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