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2. Application of latent class analysis in assessing the awareness, attitude, practice and satisfaction of paediatricians on sleep disorder management in children in Italy

Author

Nosetti L, Paglietti MG, Brunetti L, Masini L, La Grutta S, Cilluffo G, Ferrante G, Zaffanello M, Verrillo E, Pavone M, Niespolo AC, Broggi G, Cutrera R, Diletta Valentini, Dominga Cardaropoli, Carolina De Chiara, Valentina Tranchino, Salvatore Iasevoli, Angela Salvatore, Amelia Balzarini, Valeria Spica Russotto, Stefania Porcu, Paolo Barracchini, Sinibaldo Iemboli, Giuseppe Rosselli, and Nosetti L, Paglietti MG, Brunetti L, Masini L, La Grutta S, Cilluffo G, Ferrante G, Zaffanello M, Verrillo E, Pavone M, Niespolo AC, Broggi G, Cutrera R, Diletta Valentini, Dominga Cardaropoli, Carolina De Chiara, Valentina Tranchino, Salvatore Iasevoli, Angela Salvatore, Amelia Balzarini, Valeria Spica Russotto, Stefania Porcu, Paolo Barracchini, Sinibaldo Iemboli, Giuseppe Rosselli

Subjects
Questionnaires, European People, Health Knowledge, Attitudes, Practice, Medical Doctors, Cross-sectional study, Health Care Providers, Pilot Projects, Personal Satisfaction, Practice Patterns, Logistic regression, Pediatrics, Families, latent class analysis, sleep disorder, children, paediatricians, 0302 clinical medicine, Sleep-Disordered Breathing, Surveys and Questionnaires, Medicine and Health Sciences, Ethnicities, Medical Personnel, Practice Patterns, Physicians', Child, Transients and Migrants, Sleep disorder, Practice, Multidisciplinary, Health Knowledge, Armenia, Middle Aged, Hospitals, Pediatric, Latent class model, Italian People, Professions, Health Education and Awareness, Neurology, Italy, Research Design, Respondent, Practice Guidelines as Topic, Pediatric Otolaryngology, Medicine, Job satisfaction, Health education, Female, Sexual Health, Research Article, Adult, medicine.medical_specialty, Adolescent, Science, education, Mothers, Research and Analysis Methods, 03 medical and health sciences, Young Adult, Sleep Apnea Syndromes, children, 030225 pediatrics, Physicians, medicine, latent class analysis, Humans, Pediatricians, Demography, Survey Research, Physicians', business.industry, medicine.disease, Health Surveys, Health Care, Cross-Sectional Studies, Otorhinolaryngology, Age Groups, Family medicine, Attitudes, People and Places, Population Groupings, business, Sleep Disorders, 030217 neurology & neurosurgery, paediatricians
Abstract

Aim To identify subgroups regarding paediatricians’ awareness, attitude, practice and satisfaction about management of Sleep-Disordered Breathing (SDB) in Italy using Latent Class Analysis (LCA). Methods A cross-sectional study was conducted on a large sample of Italian paediatricians. Using a self-administered questionnaire, the study collected information on 420 Paediatric Hospital Paediatricians (PHPs) and 594 Family Care Paediatricians (FCPs). LCA was used to discover underlying response patterns, thus allowing identification of respondent groups with similar awareness, attitude, practice and satisfaction. A logistic regression model was used to investigate which independent variables influenced latent class membership. Analyses were performed using R 3.5.2 software. A p-value

Published
2020

3. A survey around the Italian pediatric units on current clinical practice for Sleep Disordered Breathing (SDB)

Author

L. Nosetti, M. G. Paglietti, L. Brunetti, L. Masini, S. La Grutta, G. Cilluffo, M. Zaffanello, E. Verrillo, M. Pavone, A. C. Niespolo, G. Broggi, R. Cutrera, the Italian Pediatric Respiratory Diseases Society (SIMRI) Sleep Disordered Breathing Working Group, Nosetti L., Paglietti M.G., Brunetti L., Masini L., La Grutta S., Cilluffo G., Zaffanello M., Verrillo E., Pavone M., Niespolo A.C., Broggi G., and Cutrera R.

Subjects
Male, medicine.medical_specialty, Practice Patterns, Polysomnography, Children, Italy, Pediatric units, Sleep disordered breathing, Survey, Child, Female, Humans, Practice Patterns, Physicians', Sleep Apnea Syndromes, Surveys and Questionnaires, 03 medical and health sciences, Exploratory survey, 0302 clinical medicine, Quality of life, 030225 pediatrics, mental disorders, medicine, cardiovascular diseases, 030212 general & internal medicine, Physicians', medicine.diagnostic_test, Pediatric respiratory diseases, business.industry, Research, lcsh:RJ1-570, lcsh:Pediatrics, Pediatric age, nervous system diseases, respiratory tract diseases, Northern italy, Clinical Practice, Emergency medicine, business
Abstract

Background During recent years, interest on Sleep Disordered Breathing (SDB) in pediatric age has increased, due to the impact on quality of life, psycho-physical attitude and other serious morbidities if undiagnosed and untreated. Methods Italian Pediatric Respiratory Diseases Society (SIMRI) SDB-Working Group carried out an exploratory survey in Italy, from January to December 2016, to assess the diagnostic and therapeutic pathways, perception and relevance of SDB in Italian Hospitals. Results A questionnaire was sent to 180 Pediatric Units (PUs) distributed throughout the Italy; 102 Pediatric Units (PUs; 56.6%) answered and among them 57% dealt with SDB, and 94% recognized SDB as a major problem. Instrumental tests performed by the PUs were saturimetry (66%), nocturnal polygraphy with complete cardio-respiratory monitoring (46%) and full polysomnography (23%). In addition, hospital pediatricians reported that 54% of parents were unaware of the SDB and 84% did not know their complications. In the Northern Italy, the diagnosis was frequently performed with instrumental tools and the treatment was often surgical. In the Southern Italy the diagnosis was clinical, and the treatment was usually with drugs. Conclusions The results of our study showed a heterogeneity in the diagnosis and treatment of SDB throughout Italy. Parents know little about SDB and their complications. The operator satisfaction was associated with the availability of tools for diagnosing SDB. Electronic supplementary material The online version of this article (10.1186/s13052-019-0658-2) contains supplementary material, which is available to authorized users.

Published
2019

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