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1. Insomnia and other sleep disorders in adolescence

Author

Desaline Joseph, Mary-Kate Delahoyde, Charlie Tyack, and Sarusan Kugarajah

Subjects
Pediatrics, RJ1-570
Abstract

Sleep is important for our survival. Research suggests that getting ‘good’ sleep is a problem for a proportion of adolescents. The paper advocates for holistic treatment of sleep disorders incorporating expertise from a multidisciplinary team. Much of the assessment and treatment of sleep disorders in adolescents comes from research within adult populations, therefore, there is a need for further research to be completed within the adolescent population to ensure there is a robust evidence base for assessment and treatment of sleep disorders.

Published
2024
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2. Feasibility and parental perception of home sleep studies during COVID-19: a tertiary sleep centre experience

Author

Desaline Joseph, Ross Hanwell, Jane Orgill, Kirandeep van den Eshof, Federica Trucco, Susan E. F Jones, Michael Farquhar, Tharima Chowdhury, and Paul Gringras

Subjects
Male, Parents, Pediatrics, medicine.medical_specialty, 2019-20 coronavirus outbreak, Adolescent, Coronavirus disease 2019 (COVID-19), Polysomnography, Respiratory polygraphy, Tertiary Care Centers, Surveys and Questionnaires, Humans, Medicine, Sleep study, Parental perception, Child, Retrospective Studies, Sleep Apnea, Obstructive, Home environment, business.industry, Age Factors, COVID-19, Infant, medicine.disease, Sleep in non-human animals, United Kingdom, Self-Testing, Child, Preschool, Quarantine, Pediatrics, Perinatology and Child Health, Feasibility Studies, Autism, Female, Perception, business
Abstract

ObjectiveRapid implementation of home sleep studies during the first UK COVID-19 ‘lockdown’—completion rates, family feedback and factors that predict success.DesignWe included all patients who had a sleep study conducted at home instead of as inpatient from 30 March 2020 to 30 June 2020. Studies with less than 4 hours of data for analysis were defined ‘unsuccessful’.Results137 patients were included. 96 underwent home respiratory polygraphy (HRP), median age 5.5 years. 41 had oxycapnography (O2/CO2), median age 5 years. 56% HRP and 83% O2/CO2 were successful. A diagnosis of autism predicted a lower success rate (29%) as did age under 5 years.ConclusionSwitching studies rapidly from an inpatient to a home environment is possible, but there are several challenges that include a higher failure rate in younger children and those with neurodevelopmental disorders.

Published
2021

3. Response to 'How to interpret polysomnography' by Leong

Author

Michael, Farquhar, Donald S, Urquhart, Kylie, Russo, Francois, Abel, Heather E, Elphick, Neil, Gibson, Paul, Gringras, Catherine, Hill, Desaline, Joseph, Ruth N, Kingshott, Jane, Orgill, Omendra, Narayan, Martin, Samuels, and Hui-Leng, Tan

Subjects
Polysomnography, Humans
Published
2019

4. Response to ‘How to interpret polysomnography’ by Leong et al

Author

Michael Farquhar, Catherine Hill, Heather Elphick, Hui Leng Tan, Martin Samuels, Omendra Narayan, Desaline Joseph, Ruth N. Kingshott, Paul Gringras, Don S. Urquhart, Jane Orgill, Neil A. Gibson, Kylie Russo, and Francois Abel

Subjects
medicine.medical_specialty, medicine.diagnostic_test, business.industry, Polysomnography, Respiratory polygraphy, nervous system diseases, respiratory tract diseases, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, mental disorders, Pediatrics, Perinatology and Child Health, Physical therapy, medicine, Breathing, business, Paediatric patients
Abstract

We read with interest the article by Leong et al on the use of polysomnography (PSG) in children,1 covering indications for PSG, along with limitations of oximetry, and clearly outlining how to undertake and interpret PSG in paediatric patients. It briefly discusses limited channel recordings (respiratory polygraphy, RP) and concludes that this ‘is not standard practice’. In many paediatric centres RP is standard practice, and routinely used for assessment of sleep-disordered breathing (SDB) in children, with the most common diagnosis being obstructive sleep apnoea (OSA). In a recent survey …

Published
2020

5. Paediatric neurodisability and sleep disorders: clinical pathways and management strategies

Author

Aoife McDonald and Desaline Joseph

Subjects
medicine.medical_specialty, Health professionals, business.industry, media_common.quotation_subject, Review, 03 medical and health sciences, Presentation, 0302 clinical medicine, neurodisability, multidisciplinary teamcare, Pediatrics, Perinatology and Child Health, Health care, medicine, Neurodisability, Working through, 030212 general & internal medicine, Sleep (system call), sleep, paediatric practice, medical education, business, Intensive care medicine, 030217 neurology & neurosurgery, media_common
Abstract

Sleep disorders are common in children with neurodisability. Their presentation is often complex. This complexity of presentation can make sleep disorders in children with neurodisability daunting to diagnose and manage. Both parents and healthcare professionals have identified sleep disorders as a healthcare outcome that they prioritise in children with neurodisability. We aim to explore the challenges of diagnosing sleep problems, discuss common difficulties with sleep in children with neurodisability and will touch on how to set up a service to support and manage sleep, working through case examples.

Published
2019

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