SciELO - Scientific Electronic Library Online

 
vol.51 número2A vacinação no conteúdo de livros escolaresPerfil dos médicos auditores no estado do Rio Grande do Sul índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

Compartilhar


Revista da Associação Médica Brasileira

versão impressa ISSN 0104-4230versão On-line ISSN 1806-9282

Resumo

BALBANI, Aracy Pereira Silveira; WEBER, Silke Anna Thereza; MONTOVANI, Jair Cortez  e  CARVALHO, Lídia Raquel de. Pediatricians and sleep-disordered breathing in the child. Rev. Assoc. Med. Bras. [online]. 2005, vol.51, n.2, pp.80-86. ISSN 1806-9282.  https://doi.org/10.1590/S0104-42302005000200014.

OBJECTIVES: assessment of opinions and practices of pediatricians concerning sleep-disordered breathing (SDB) in children. METHODS: randomly 516 pediatricians were selected in the state of São Paulo, Brazil. A survey mailed to them included questions regarding: their professional profile, knowledge about SDB in childhood, opinions and practices for diagnosis and treatment of these diseases. RESULTS: 112 anonymous completed surveys were returned (21.7%). The teaching of SDB during medical school and pediatric residency raining was considered unsatisfactory respectively by 65.2% and 34.8% of the pediatricians. Forty-nine respondents (43.8%) rated their knowledge about SDB in children as regular, 39 (34.8%) as good and 17 (15.2%) as unsatisfactory. The most important sleep-related questions were: mouth breathing, breathing pauses, sleep amount, excessive daytime sleepiness and nocturnal wheezing. Clinical aspects regarded as the most significant for suspecting obstructive sleep apnea syndrome (OSAS) were: breathing pauses, adenoid hypertrophy, mouth breathing, craniofacial anomaly and snoring. The most frequent practices for evaluation of OSAS in children were: cavum radiography with referral to an otorhinolarnygologist (25%) and nocturnal pulse oximetry (14.2%). Only 11.6% of pediatricians recommended overnight polysomnography and 4.5%, nap polysomnography. The most effective practices for SDB were considered to be: adenoidectomy and adenotonsillectomy, parents counseling, weight loss and sleep hygiene. CONCLUSIONS: there is a gap between research on SDB in childhood and pediatric practice.

Palavras-chave : Child; Obstructive sleep apnea; Snoring; Medical education.

        · resumo em Português     · texto em Português     · Português ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons