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Healthcare provider contact for children with symptoms of sleep-disordered breathing: a population survey

  • G Gudnadottir (a1), A Ehnhage (a2) (a3), M Bende (a4), M Andersson (a5), A Cervin (a6), L O Cardell (a7) and J Hellgren (a1)...

Symptoms of sleep-disordered breathing in children, such as frequent snoring, apnoea and choking, may lead to health problems if untreated. The caregiver's level of awareness of these symptoms has been poorly studied. This study aimed to study healthcare provider contact related to sleep-disordered breathing symptoms in a population of children aged 0–11 years.


A total of 1320 children were randomly selected from a national database that included all children living in Sweden. Caregivers answered a questionnaire about sleep-disordered breathing symptoms during the last month and healthcare provider contact related to these symptoms.


A total of 754 answers were received. The prevalence of sleep-disordered breathing symptoms was 4.8 per cent. Of this subgroup, 69 per cent had not been in contact with a healthcare provider regarding their symptoms.


This study shows that sleep-disordered breathing in children is underestimated and that there is a need to increase caregiver and healthcare provider awareness of sleep-disordered breathing in children.

Corresponding author
Address for correspondence: Dr J Hellgren, Department of Otorhinolaryngology, Head and Neck Surgery, Gröna Stråket 9, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden Fax: +46 31 82 56 79 E-mail:
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1Lumeng JC, Chervin RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc 2008;5:242–52
2Marcus CL, Brooks LJ, Draper KA, Gozal D, Halbower AC, Jones J et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2012;130:714–55
3Jackman AR, Biggs SN, Walter LM, Embuldeniya US, Davey MJ, Nixon GM et al. Sleep disordered breathing in early childhood: quality of life for children and families. Sleep 2013;36:1639–46
4Marcus CL, Moore RH, Rosen CL, Giordani B, Garetz SL, Taylor HG et al. A randomized trial of adenotonsillectomy for childhood sleep apnea. N Engl J Med 2013;368:2366–76
5Chervin RD, Archbold KH, Panahi P, Pituch KJ. Sleep problems seldom addressed at two general pediatric clinics. Pediatrics 2001;107:1375–80
6Blunden S, Lushington K, Lorenzen B, Wong J, Balendran R, Kennedy D. Symptoms of sleep breathing disorders in children are underreported by parents at general practice visits. Sleep Breath 2003;7:167–76
7Erichsen D, Godoy C, Gränse F, Axelsson J, Rubin D, Gozal D. Screening for sleep disorders in pediatric primary care: are we there yet? Clin Pediatr (Phila) 2012;51:1125–9
8Carroll JL, McColley SA, Marcus CL, Curtis S, Loughlin GM. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest 1995;108:610–18
9Brietzke SE, Katz ES, Roberson DW. Can history and physical examination reliably diagnose pediatric obstructive sleep apnea/hypopnea syndrome? A systematic review of the literature. Otolaryngol Head Neck Surg 2004;131:827–32
10Franco RA Jr, Rosenfeld RM, Rao M. Quality of life for children with obstructive sleep apnea. Otolaryngol Head Neck Surg 2000;123:916
11Good P. Permutation Tests: A Practical Guide to Resampling Methods for Testing Hypotheses, 3rd edn.New York: Springer Verlag, 2000
12Pringle MB, Natesh BG, Buchanan EM. National UK survey on the assessment and surgical management of suspected paediatric obstructive sleep apnoea syndrome. Int J Pediatr Otorhinolaryngol 2013;77:1689–96
13Strocker AM, Shapiro NL. Parental understanding and attitudes of pediatric obstructive sleep apnea and adenotonsillectomy. Int J Pediatr Otorhinolaryngol 2007;71:1709–15
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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