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Evaluation of Sleep Quality in Asthmatic Children with the Paediatric Sleep Questionnaire (PSQ)
Mehmet Yaşar Özkars1, Seda Çevik1, Serap Ata2
1Department of Pediatric Allergy and Immunology, Ümraniye Training and Research Hospital, University of Health Sciences, 34764 Ümraniye, Türkiye.
Insights
Asthmatic children show higher sleep-related breathing disorder (SRBD) symptoms like snoring and sleepiness compared to healthy children. The Paediatric Sleep Questionnaire (PSQ) can effectively screen for these issues in asthma patients.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Asthma Research
Background:
- Sleep-related breathing disorders (SRBD) are common in asthma patients.
- Early identification of SRBD in children with asthma is crucial for management.
Purpose of the Study:
- To compare the prevalence of SRBD symptoms between children with asthma and healthy children.
- To evaluate the utility of the Paediatric Sleep Questionnaire (PSQ) as a screening tool for SRBD in asthmatic children.
Main Methods:
- A cross-sectional study involving 180 asthmatic children and 170 healthy children.
- Administration of a questionnaire including sociodemographic data and the 22-item Paediatric Sleep Questionnaire (PSQ).
- Comparison of PSQ total and subscale scores between the two groups.
Main Results:
- Asthmatic children exhibited significantly higher total PSQ scores compared to controls.
- Elevated scores for snoring, sleepiness, and inattention were observed in the asthma group.
- Negative correlation between sleepiness and BMI z-score; positive correlation between age and asthma duration.
Conclusions:
- The Paediatric Sleep Questionnaire (PSQ) is a valuable screening instrument for identifying SRBD risk in pediatric asthma patients.
- Timely referral to sleep specialists for SRBD evaluation is recommended for asthmatic children.
- Utilizing the PSQ can expedite polysomnography for high-risk children, improving asthma and sleep management.
Abstract:
Considering the high prevalence of sleep-related breathing disorders (SRBD) in asthmatic patients, we aimed to compare asthmatic children and healthy children in terms of SRBD according to Paediatric Sleep Questionnaire (PSQ) scores. A questionnaire covering sociodemographic characteristics of the patients and the PSQ, which evaluates sleep quality and consists of 22 questions, was administered. During the data collection process, 180 patients in the patient group and 170 patients in the control group were included. The patient group showed statistically significantly higher total scores and subscale scores for snoring, sleepiness, and inattention compared to the control group. Statistically significant correlations were found between the sleepiness subscale and body mass index z score in a negative direction and between age at presentation and duration of asthma in a positive direction. Our findings endorse employing the PSQ as a screening instrument in the outpatient environment to ensure timely referral of asthma patients to a sleep specialist for SRBD evaluation. Considering the widespread occurrence of snoring and asthma, this tool could aid in identifying patients with an elevated risk of SRBD and expedite the scheduling of nocturnal polysomnography for these children.
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