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Factors affecting polysomnography compliance and delays to surgical treatment of obstructive sleep apnea

John Sommerfeldt1, Alexander Duffy2, Conor Blanco3

  • 1Department of Otolaryngology-Head and Neck Surgery, Tripler Army Medical Center, Honolulu, HI, 96859, USA.

International Journal of Pediatric Otorhinolaryngology
|June 22, 2023
PubMed

Insights

Pediatric polysomnography adherence is 65.4%, with lower socioeconomic status and medically complex children needing more support. Prior otolaryngology intervention improves adherence to sleep studies and surgery.

Area of Science:

  • Pediatric Sleep Medicine
  • Healthcare Access and Disparities

Background:

  • Polysomnography (PSG) is crucial for diagnosing sleep-disordered breathing in children.
  • Adherence to PSG and subsequent surgical intervention can be influenced by various patient and family factors.

Purpose of the Study:

  • To evaluate adherence to polysomnography (PSG) in pediatric patients.
  • To determine associations between demographics, socioeconomic status, PSG indication, or prior otolaryngology intervention and PSG adherence.
  • To assess the impact of these factors on the time to definitive surgery.

Main Methods:

  • Retrospective review of electronic medical records at a tertiary-care children's hospital.
  • Identified patients with PSG orders between January and May 2019.
  • Collected and analyzed demographic data, time to sleep study, and time to surgery.

Main Results:

  • Overall PSG adherence rate was 65.4% among 304 recommended patients.
  • No significant differences in adherence or loss to follow-up were found based on sex, age, language, socioeconomic status, or PSG indication.
  • Prior otolaryngology intervention was associated with higher PSG adherence and shorter time to surgery; lower median household income correlated with longer times to PSG and surgery.

Conclusions:

  • Families of children with lower socioeconomic status or medical complexity may need additional support for PSG and surgical treatment.
  • Children without prior otolaryngology intervention may benefit from enhanced navigation assistance for the PSG process and subsequent care.
Abstract

Keywords:
Care deliveryDelays in careObstructive sleep apneaPediatricsPolysomnography

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