Original ArticlesSymptoms of sleep disturbances among children at two general pediatric clinics☆,☆☆
Section snippets
Patients
Between February 5, 1998, and May 1, 2000, parents and children (aged 2.0-13.9 years) were recruited while they waited for a general pediatrics appointment. Research assistants attempted to approach all child-parent pairs at the clinics on designated days. Inclusion criteria, designed to impose few restrictions and maximize generalizability of findings, were (1) the presence of a parent or guardian who was able to read and write, (2) the absence of any current treatment or previous surgery for
Patients
Parents of approximately 1400 children were approached and 1038 questionnaires were completed: 328 in the winter, 292 in the spring, 114 in the summer, and 304 in the fall. The mean subject age was 6.7 ± 3.2 years, 554 (53.4%) of the patients were boys, and 484 (46.6%) were girls. Reported racial and ethnic backgrounds were 606 (58.4%) white, 201 (19.4%) African American, 59 (5.7%) Asian-American, 16 (1.5%) Hispanic, 5 (0.5%) American Indian, and 151 (14.5%) other or unknown. Proportions of
Discussion
The results of this observational study of 1038 general pediatric outpatients suggest that several sleep-related problems are highly prevalent in this population. Published frequencies of childhood obstructive sleep apnea range from 1% to 3% but are largely based on questionnaire data7 or relatively insensitive recording techniques.4 No estimates of the number of children with upper airway resistance syndrome are available. The PSQ probably identified many children with each type of SDB,14 but
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Supported by a grant from the NINDS No. K02-NS02009 (R.D.C.) and by the University of Michigan General Clinical Research Center (MOI-RR00042).
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Reprint requests: Ronald D. Chervin, MD, MS, Michael S. Aldrich Sleep Disorders Laboratory, 8D8702 University Hospital, Box 0117, 1500 E Medical Center Dr, Ann Arbor, MI 48109-0117.