Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians

Background. Pediatricians play an important role in the screening, diagnosis and management of childhood obstructive sleep apnea (OSA). This study used a questionnaire to explore the knowledge, self-confidence and general practices of childhood OSA among Thai pediatricians. Methods. Th...

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Main Authors: Kantara Saelim, Monthida Uthairat, Kanokpan Ruangnapa, Pharsai Prasertsan, Wanaporn Anuntaseree
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2021-02-01
Series:The Turkish Journal of Pediatrics
Subjects:
Online Access:https://turkjpediatr.org/article/view/271
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author Kantara Saelim
Monthida Uthairat
Kanokpan Ruangnapa
Pharsai Prasertsan
Wanaporn Anuntaseree
author_facet Kantara Saelim
Monthida Uthairat
Kanokpan Ruangnapa
Pharsai Prasertsan
Wanaporn Anuntaseree
author_sort Kantara Saelim
collection DOAJ
description Background. Pediatricians play an important role in the screening, diagnosis and management of childhood obstructive sleep apnea (OSA). This study used a questionnaire to explore the knowledge, self-confidence and general practices of childhood OSA among Thai pediatricians. Methods. This was a descriptive cross-sectional survey study, using a newly developed questionnaire; including: 21 knowledge items, 4 self-confidence items, questions regarding OSA screening, number of OSA cases per month and OSA management. Results. A total of 307, convenient pediatricians; from different types of hospitals across all regions of Thailand, participated in this study. The median, total knowledge score was 19 (range 14-21). Two-thirds of the respondents felt confident/extremely confident in their ability to identify and manage children with OSA. The average number of OSA cases reported by pediatricians was 5.9 cases per month. During a general medical check-up, 86.6% of the respondents did not routinely ask about OSA symptoms. Significant odds ratios (ORs) for the use of montelukast, as the first-line drug for OSA in young children, were observed in pediatric allergists and pulmonologists (adjusted OR 2.58, 95% CI 1.11-6.01 and adjusted OR 2.20, 95% CI 1.2-4.02) (P = 0.008), respectively, compared to general pediatricians and other sub-specialties. Conclusions. Pediatricians had a high level of overall OSA knowledge, and good self-confidence in identifying and managing children with OSA. However, a low recognition rate and unawareness of OSA screening were observed.
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spelling doaj-art-9ca7d24316404a4eb41c8f5277ffc7132025-08-20T02:01:51ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212021-02-0163110.24953/turkjped.2021.01.008Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatriciansKantara Saelim0Monthida Uthairat1Kanokpan Ruangnapa2Pharsai Prasertsan3Wanaporn Anuntaseree4Division of Pulmonary and Critical Care, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Thailand.Division of Pulmonary and Critical Care, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Thailand.Division of Pulmonary and Critical Care, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Thailand.Division of Pulmonary and Critical Care, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Thailand.Division of Pulmonary and Critical Care, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Thailand. Background. Pediatricians play an important role in the screening, diagnosis and management of childhood obstructive sleep apnea (OSA). This study used a questionnaire to explore the knowledge, self-confidence and general practices of childhood OSA among Thai pediatricians. Methods. This was a descriptive cross-sectional survey study, using a newly developed questionnaire; including: 21 knowledge items, 4 self-confidence items, questions regarding OSA screening, number of OSA cases per month and OSA management. Results. A total of 307, convenient pediatricians; from different types of hospitals across all regions of Thailand, participated in this study. The median, total knowledge score was 19 (range 14-21). Two-thirds of the respondents felt confident/extremely confident in their ability to identify and manage children with OSA. The average number of OSA cases reported by pediatricians was 5.9 cases per month. During a general medical check-up, 86.6% of the respondents did not routinely ask about OSA symptoms. Significant odds ratios (ORs) for the use of montelukast, as the first-line drug for OSA in young children, were observed in pediatric allergists and pulmonologists (adjusted OR 2.58, 95% CI 1.11-6.01 and adjusted OR 2.20, 95% CI 1.2-4.02) (P = 0.008), respectively, compared to general pediatricians and other sub-specialties. Conclusions. Pediatricians had a high level of overall OSA knowledge, and good self-confidence in identifying and managing children with OSA. However, a low recognition rate and unawareness of OSA screening were observed. https://turkjpediatr.org/article/view/271knowledgeobstructive sleep apneapediatricianspracticeself-confidence
spellingShingle Kantara Saelim
Monthida Uthairat
Kanokpan Ruangnapa
Pharsai Prasertsan
Wanaporn Anuntaseree
Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians
The Turkish Journal of Pediatrics
knowledge
obstructive sleep apnea
pediatricians
practice
self-confidence
title Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians
title_full Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians
title_fullStr Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians
title_full_unstemmed Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians
title_short Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians
title_sort practice self confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians
topic knowledge
obstructive sleep apnea
pediatricians
practice
self-confidence
url https://turkjpediatr.org/article/view/271
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