Are physicians aware of obstructive sleep apnea in children?

Zeynep Tamay1, Ahmet Akcay, Gurkan Kilic

  • 1Division of Allergy and Chest Diseases, Department of Pediatrics, Istanbul Medical Faculty, Capa, 34390 Istanbul, Turkey. eztamay@yahoo.com

Sleep Medicine
|September 26, 2006
PubMed

Insights

Physicians show knowledge gaps regarding childhood obstructive sleep apnea (OSA). Improved educational programs are crucial for early diagnosis and treatment of pediatric OSA to prevent long-term health issues.

Area of Science:

  • Pediatric Medicine
  • Sleep Medicine
  • Medical Education

Background:

  • Childhood obstructive sleep apnea (OSA) affects 1-3% of preschool children.
  • Untreated pediatric OSA can lead to significant morbidity, including growth issues, cardiac problems, and neurocognitive deficits.
  • Early identification and management are vital for improving child and family quality of life.

Purpose of the Study:

  • To assess physician knowledge and attitudes towards pediatric OSA.
  • Utilized the Obstructive Sleep Apnea Knowledge and Attitudes in Children (OSAKA-KIDS) questionnaire.

Main Methods:

  • Developed the OSAKA-KIDS questionnaire with two sections: 18 true-or-false items for knowledge and 5 Likert scale items for attitudes.
  • Administered the questionnaire to 230 physicians, including pediatricians, general practitioners, and pulmonologists.

Main Results:

  • Physicians achieved a mean knowledge score of 66.7% and a mean attitude score of 3.4.
  • Higher knowledge scores correlated with sub-specialty training and inversely with higher academic degrees.
  • Knowledge and attitude scores showed a positive correlation.

Conclusions:

  • Physicians demonstrate knowledge deficits concerning pediatric OSA and its treatment.
  • There is a need for enhanced educational initiatives in medical schools and residency programs.
  • Targeted educational programs can improve physician competence in managing childhood OSA.
Abstract

Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Other Pulmonary Disorders01:17

Other Pulmonary Disorders

Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...