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Noninvasive Positive Airway Pressure Treatment in Children Less Than 12 Months of Age
Study Objectives. We identified the associated conditions of patients less than 12 months of age who were referred for polysomnogram (PSG) studies. We collated PSG findings and physician interpretation. We determined the correlation between the recommended treatment by the PSG interpreting physician...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925978/ https://www.ncbi.nlm.nih.gov/pubmed/27445563 http://dx.doi.org/10.1155/2016/7654631 |
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author | Adeleye, Adetayo Ho, Alice Nettel-Aguirre, Alberto Buchhalter, Jeffrey Kirk, Valerie |
author_facet | Adeleye, Adetayo Ho, Alice Nettel-Aguirre, Alberto Buchhalter, Jeffrey Kirk, Valerie |
author_sort | Adeleye, Adetayo |
collection | PubMed |
description | Study Objectives. We identified the associated conditions of patients less than 12 months of age who were referred for polysomnogram (PSG) studies. We collated PSG findings and physician interpretation. We determined the correlation between the recommended treatment by the PSG interpreting physician and actual prescribed treatment by the referring or subjects' physician. We determined adherence with noninvasive positive airway pressure (PAP) treatment. Methods. This was a retrospective cohort study. Participants included children less than 12 months of age referred for PSG studies between 2007 and 2012. Results. 92 patients under the age of 12 months were included in the study analysis. Mean (standard deviation, SD) age in days at time of the PSG study was 208.5 (101.2). 35 (38%) patients had a diagnosis of Trisomy 21. Seven (8%) patients had no prior diagnosis. Median (Q1, Q3) apnea hypopnea index (AHI) was 22.5 (11.3–37.0). Agreement between the PSG interpreting physician's recommendation and actual prescribed treatment by the referring or subjects' physician was 85.9% [95% CI 77.1–91.6]. Mean (SD) percentage days with PAP therapy usage more than 4 hours was 25.2% (32). Conclusions. In our experience, despite consistent physician messaging to families, adherence with noninvasive PAP treatment is low. |
format | Online Article Text |
id | pubmed-4925978 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-49259782016-07-11 Noninvasive Positive Airway Pressure Treatment in Children Less Than 12 Months of Age Adeleye, Adetayo Ho, Alice Nettel-Aguirre, Alberto Buchhalter, Jeffrey Kirk, Valerie Can Respir J Research Article Study Objectives. We identified the associated conditions of patients less than 12 months of age who were referred for polysomnogram (PSG) studies. We collated PSG findings and physician interpretation. We determined the correlation between the recommended treatment by the PSG interpreting physician and actual prescribed treatment by the referring or subjects' physician. We determined adherence with noninvasive positive airway pressure (PAP) treatment. Methods. This was a retrospective cohort study. Participants included children less than 12 months of age referred for PSG studies between 2007 and 2012. Results. 92 patients under the age of 12 months were included in the study analysis. Mean (standard deviation, SD) age in days at time of the PSG study was 208.5 (101.2). 35 (38%) patients had a diagnosis of Trisomy 21. Seven (8%) patients had no prior diagnosis. Median (Q1, Q3) apnea hypopnea index (AHI) was 22.5 (11.3–37.0). Agreement between the PSG interpreting physician's recommendation and actual prescribed treatment by the referring or subjects' physician was 85.9% [95% CI 77.1–91.6]. Mean (SD) percentage days with PAP therapy usage more than 4 hours was 25.2% (32). Conclusions. In our experience, despite consistent physician messaging to families, adherence with noninvasive PAP treatment is low. Hindawi Publishing Corporation 2016 2016-06-15 /pmc/articles/PMC4925978/ /pubmed/27445563 http://dx.doi.org/10.1155/2016/7654631 Text en Copyright © 2016 Adetayo Adeleye et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Adeleye, Adetayo Ho, Alice Nettel-Aguirre, Alberto Buchhalter, Jeffrey Kirk, Valerie Noninvasive Positive Airway Pressure Treatment in Children Less Than 12 Months of Age |
title | Noninvasive Positive Airway Pressure Treatment in Children Less Than 12 Months of Age |
title_full | Noninvasive Positive Airway Pressure Treatment in Children Less Than 12 Months of Age |
title_fullStr | Noninvasive Positive Airway Pressure Treatment in Children Less Than 12 Months of Age |
title_full_unstemmed | Noninvasive Positive Airway Pressure Treatment in Children Less Than 12 Months of Age |
title_short | Noninvasive Positive Airway Pressure Treatment in Children Less Than 12 Months of Age |
title_sort | noninvasive positive airway pressure treatment in children less than 12 months of age |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925978/ https://www.ncbi.nlm.nih.gov/pubmed/27445563 http://dx.doi.org/10.1155/2016/7654631 |
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