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A survey around the Italian pediatric units on current clinical practice for Sleep Disordered Breathing (SDB)

L Nosetti1, M G Paglietti2, L Brunetti3

  • 1Pediatric Clinic University of Insubria, Via Ravasi, 2, 21100, Varese, Italy. luana.nosetti@uninsubria.it.

Italian Journal of Pediatrics
|June 28, 2019
PubMed

Insights

Pediatric Sleep Disordered Breathing (SDB) diagnosis and treatment vary significantly across Italy. Many parents remain unaware of SDB and its complications, highlighting a need for increased awareness and standardized care.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Healthcare Management

Background:

  • Interest in pediatric Sleep Disordered Breathing (SDB) has grown due to its impact on child well-being and potential for serious health issues if untreated.
  • Undiagnosed and untreated SDB can negatively affect a child's quality of life and psycho-physical development.

Purpose of the Study:

  • To conduct an exploratory survey assessing the diagnostic and therapeutic approaches to pediatric SDB in Italian hospitals.
  • To evaluate the perception and relevance of SDB among healthcare professionals in Italy.

Main Methods:

  • An exploratory survey was conducted from January to December 2016.
  • A questionnaire was distributed to 180 Pediatric Units (PUs) across Italy.
  • 102 PUs responded, providing data on SDB diagnostic and treatment practices.

Main Results:

  • 57% of responding PUs manage pediatric SDB, with 94% recognizing it as a significant problem.
  • Diagnostic tools included pulse oximetry (66%), nocturnal polygraphy (46%), and polysomnography (23%).
  • Significant regional disparities were observed: Northern Italy favored instrumental diagnosis and surgical treatment, while Southern Italy relied on clinical diagnosis and drug treatment. Parental awareness of SDB and its complications was notably low (54% unaware of SDB, 84% unaware of complications).

Conclusions:

  • There is considerable heterogeneity in the diagnosis and treatment of pediatric SDB across Italy.
  • Low parental awareness of SDB and its complications necessitates targeted educational initiatives.
  • Healthcare provider satisfaction with SDB management correlates with the availability of diagnostic tools.
Abstract

Keywords:
ChildrenItalyPediatric unitsSleep disordered breathingSurvey

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