Reasons and predictors for early termination of pediatric polysomnography: one children’s hospital’s experience
- S-Med
- 1 day ago
- 1 min read
Many children with possible obstructive sleep apnea remain unidentified due to low referral rates and low PSG completion rates. However, few data have been published about reasons for this gap and ways to improve referral rates and study completion. One study1 showed that only 5.9% of snoring children were referred by their primary care providers for PSG despite having received prompting of a positive screen through a computer decision support system. Of those referred, only 54% completed the PSG. In a retrospective study2 of 829 patients at an urban safety-net hospital, age was found to be the only significant factor affecting rate of completion of PSG. Twenty-four percent of patients referred did not complete the study after 1 year; they either never scheduled, did not show up, or terminated the PSG early with inconclusive results. Toddlers had the highest rate of study completion (81%) and teenagers the lowest (68%), without any statistical significance between different socioeconomic and racial groups.
Comments