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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...

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Autores principales: Adeleye, Adetayo, Ho, Alice, Nettel-Aguirre, Alberto, Buchhalter, Jeffrey, Kirk, Valerie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
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.
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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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