Pediatras e os distúrbios respiratórios do sono na criança

dc.contributor.authorBalbani, Aracy Pereira Silveira [UNESP]
dc.contributor.authorWeber, Silke Anna Thereza [UNESP]
dc.contributor.authorMontovani, Jair Cortez [UNESP]
dc.contributor.authorDe Carvalho, Lídia Raquel [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:21:17Z
dc.date.available2014-05-27T11:21:17Z
dc.date.issued2005-03-01
dc.description.abstractOBJECTIVES. 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 training 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. © 2006 Associação Médica Brasileira.en
dc.description.affiliationFaculdade de Medicina de Botucatu Departamento de Bioestatística Universidade Estadual Paulista (UNESP)
dc.description.affiliation, R. Capitão Lisboa, 715 - cj 33, CEP: 18270-070 - Tatuí - SP
dc.description.affiliationUnespFaculdade de Medicina de Botucatu Departamento de Bioestatística Universidade Estadual Paulista (UNESP)
dc.format.extent80-86
dc.identifierhttp://dx.doi.org/10.1590/S0104-42302005000200014
dc.identifier.citationRevista da Associacao Medica Brasileira, v. 51, n. 2, p. 80-86, 2005.
dc.identifier.doi10.1590/S0104-42302005000200014
dc.identifier.file2-s2.0-33644694714.pdf
dc.identifier.issn0104-4230
dc.identifier.lattes6507858203899415
dc.identifier.scieloS0104-42302005000200014
dc.identifier.scopus2-s2.0-33644694714
dc.identifier.urihttp://hdl.handle.net/11449/68154
dc.language.isopor
dc.relation.ispartofRevista da Associação Médica Brasileira
dc.relation.ispartofjcr0.736
dc.relation.ispartofsjr0,265
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectChild
dc.subjectMedical education
dc.subjectObstructive sleep apnea
dc.subjectSnoring
dc.titlePediatras e os distúrbios respiratórios do sono na criançapt
dc.title.alternativePediatricians and sleep-disordered breathing in the childen
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/ramb/paboutj.htm#03
unesp.author.lattes6507858203899415
unesp.campusUniversidade Estadual Paulista (Unesp), Instituto de Biociências, Botucatupt

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