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Current Practice Patterns in the Diagnosis and Management of Sleep-Disordered Breathing in Infants

Rachana Kombathula1, David G Ingram2, Zarmina Ehsan2

  • 1School of Medicine, University of Missouri-Kansas City, Kansas City, Missouri.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|October 10, 2019
PubMed

Insights

Pediatric sleep providers show significant variation in diagnosing and managing infant sleep-disordered breathing (SDB). More research and evidence-based guidelines are needed for optimal infant care.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine

Background:

  • Current diagnostic and management guidelines for sleep-disordered breathing (SDB) in infants lack universal acceptance.
  • This variability impacts consistent and optimal care for infants with SDB.

Purpose of the Study:

  • To survey pediatric sleep medicine providers on their current practices for diagnosing and managing SDB in infants.
  • To identify variations in diagnostic criteria and treatment approaches.

Main Methods:

  • An anonymous, web-based survey was distributed to pediatric sleep and pulmonary medicine providers globally.
  • The survey included 71 questions covering diagnostic and management patterns for infant SDB.

Main Results:

  • Fifty-four providers from eight countries participated, with 96% performing infant sleep studies.
  • No consensus existed on the definition of obstructive sleep apnea (OSA) in infants using the apnea-hypopnea index (AHIo) cutoff.
  • Significant variation was observed in the management of typical SDB cases.

Conclusions:

  • Substantial variability exists in the diagnosis and management of SDB in infants among pediatric sleep providers.
  • Further research is crucial to gather normative infant sleep data.
  • The development of evidence-based guidelines is essential for improving infant SDB care.
Abstract

Keywords:
infantssleep apneasleep-disordered breathingsurvey

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