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Factors affecting completion of sleep studies in pediatric patients with sleep-disordered breathing

Jocelyn L Kohn1, Samuel J Rubin1, Jay Patel2

  • 1Department of Otolaryngology-Head and Neck Surgery, Boston University Medical Center, Boston, Massachusetts, U.S.A.

The Laryngoscope
|May 31, 2019
PubMed

Insights

Age significantly impacts the completion of polysomnograms (PSGs) for pediatric patients with sleep-disordered breathing (SDB). Teenagers are less likely to complete these sleep studies compared to toddlers.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine

Background:

  • Sleep-disordered breathing (SDB) is prevalent in children.
  • Polysomnograms (PSGs) are crucial for diagnosing SDB.
  • Understanding factors influencing PSG completion is vital for effective patient management.

Purpose of the Study:

  • To identify demographic factors associated with the failure to complete ordered polysomnograms (PSGs) in pediatric patients diagnosed with sleep-disordered breathing (SDB).

Main Methods:

  • Retrospective case series analysis of 829 pediatric patients (0-18 years) with SDB.
  • Data collected on age, race, language, and insurance status.
  • Univariate and multivariate analyses were performed to assess factors influencing PSG completion.

Main Results:

  • 24% of patients failed to complete their PSGs.
  • Age was a significant factor: teenagers had lower completion rates (68%) than toddlers (81%).
  • Race and primary language were not statistically significant predictors of PSG completion.

Conclusions:

  • Age is a significant demographic factor influencing PSG completion in pediatric SDB patients.
  • Racial and linguistic minorities did not show lower PSG completion rates.
  • Further research may explore other barriers to PSG completion in this population.
Abstract

Keywords:
Polysomnographydemographicpediatricsleep-disordered breathing

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