Analysis of General Knowledge on Obstructive Sleep Apnea Syndrome (OSAS) among Italian Pediatricians

Author:

Saran Stefano1ORCID,Saccomanno Sabina2,Viti Simonetta3,Mastrapasqua Rodolfo Francesco4,Viti Grazia1,Giannotta Nicola1,Fioretti Paola5,Lorenzini Elisa5,Raffaelli Luca6ORCID,Levrini Luca1ORCID

Affiliation:

1. Department of Human Sciences, Innovation and Territory, School of Dentistry, Postgraduate of Orthodontics, University of Insubria, 21100 Varese, Italy

2. Orthodontic Residency, Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy

3. Department of Dentistry, Dental School, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy

4. ENT Department, Rivoli Hospital, ASL TO3, 10098 Rivoli, Italy

5. Department of Medicine and Surgery, Hygiene and Public Health Section, University of Perugia, 06123 Perugia, Italy

6. Dental School, Catholic University of the Sacred Heart, 00168 Rome, Italy

Abstract

Introduction: Obstructive sleep apnea syndrome (OSAS) is a disorder characterized by partial or total airway obstruction during sleep. Studies have shown variability in the level of knowledge and awareness about OSAS among pediatricians. The management of childhood obstructive sleep apnea syndrome (OSAS) depends on the severity of the disease, the presence of comorbidities, and the child’s age. The American Pediatric Academy recommends a multidisciplinary approach involving a pediatrician, a sleep specialist, and an otolaryngologist to provide comprehensive care for children with OSAS. The aim of this cross-sectional study is to evaluate the level of knowledge among pediatricians in Italy regarding the diagnosis of pediatric OSAS. Material and Methods: An anonymized survey was conducted among Italian pediatricians. The survey was administered electronically using Google Forms, and a total of 350 pediatricians were invited to participate. Out of the 350 invitations, 299 pediatricians responded to the survey. The statistical analysis performed consisted of descriptive analysis. The study included 297 pediatricians. Results: Pediatricians demonstrated proficiency in identifying common nocturnal and day symptoms of OSAS. A majority (68.9%) considered the oral and otorhinolaryngologist areas during checkups. Approximately 70.6% took patient weight into account, and 62.8% were aware of the regional diagnostic-therapeutic-assistance pathway. Conclusions: According to the results of this manuscript, there is evidence of a good level of knowledge about OSAS, but disseminating more information about OSAS and all the health issues associated with this syndrome is suggested. This study also has limitations caused by the complexity of the pathology.

Publisher

MDPI AG

Reference35 articles.

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2. OSA and Cardiovascular Risk in Pediatrics;Smith;Chest,2019

3. Physiological effects of obstructive sleep apnea syndrome in childhood;Muzumdar;Respir. Physiol. Neurobiol.,2013

4. Diagnosis and management of childhood obstructive sleep apnea syndrome;Marcus;Pediatrics,2012

5. Obstructive sleep apnea in developmental age. A narrative review;Salvaggio;Eur. J. Pediatr.,2020

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