Prevalence of Sleep Disorders in Thai Children

Montida Veeravigrom1,2,3, Tayard Desudchit4,5,6

  • 1Excellence Center for Sleep Disorders, King Chulalongkorn Memorial Hospital/The Thai Red Cross Society, Bangkok, Thailand. vmontida@hotmail.com.

Insights

Sleep disorders are highly prevalent in Thai children undergoing polysomnography, with obstructive sleep apnea being the most common diagnosis. Limited access and high costs of sleep studies contribute to this high prevalence.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Neurology

Background:

  • Sleep disorders significantly impact children's health and development.
  • Polysomnography (PSG) is a crucial diagnostic tool for various sleep-related conditions.
  • Data on the prevalence of sleep disorders in Thai pediatric populations are limited.

Purpose of the Study:

  • To determine the prevalence of sleep disorders in Thai children who underwent polysomnography.
  • To identify common sleep disorders diagnosed in this pediatric cohort.
  • To highlight potential barriers to diagnosis and treatment.

Main Methods:

  • Retrospective analysis of pediatric polysomnographic studies conducted between January 2011 and December 2014.
  • Inclusion of diagnostic, split-night, and positive airway pressure (PAP) titration studies.
  • Review of presenting symptoms and final diagnoses.

Main Results:

  • Obstructive sleep apnea (OSA) was the most frequent diagnosis (92.7%), with 40.4% having severe OSA.
  • Periodic limb movement disorder affected 20.6% of patients.
  • Sleep-related hypoventilation was diagnosed in 15.4% of children.

Conclusions:

  • Sleep disorders are highly prevalent in Thai children referred for polysomnography.
  • Limited availability and high costs of PSG in Thailand may contribute to underdiagnosis.
  • Increased awareness among pediatricians is recommended to facilitate early detection of pediatric sleep disorders.
Abstract

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