Okuji David, Healy Elodi, Wu Yinxiang
Dr. Okuji is a senior associate director, NYU Langone Health, Hansjörg Wyss Department of Plastic Surgery, Division of Dental Medicine, New York City, N.Y., USA;, Email:
Ms. Healy is a fourth-year predoctoral student, Harvard School of Dental Medicine, Boston, Mass., USA.
Pediatr Dent. 2020 Nov 15;42(6):436-440.
This study's purpose was to examine the sociodemographic and clinical correlates of sleep-disordered breathing in children receiving care at health center dental clinics. Data were collected from the Pediatric Sleep Questionnaire and the health records for two- to 18-year-old children at health centers located in seven states. Subjects included 1,000 children (46.3 percent female, 53 percent Hispanic, 70.7 percent white), with mean (± standard deviation) age of 6.89±2.51. Of the sample, 11.9 percent had a Pediatric Sleep Questionnaire score of at least eight. On multiple logistic mixed-effect analysis, age, American Society of Anesthesiology status, anterior overjet, attention deficit hyper-activity disorder, and obesity were significant predictors of the presence of a Pediatric Sleep Questionnaire score of at least eight at a significance level of P=0.05. With 11.9 percent of the subjects at risk for sleep-disordered breathing conditions, dentists have an opportunity for interprofessional collaboration with primary and specialist physicians. Dentists should routinely screen children with the Pediatric Sleep Questionnaire tool, cross-reference-associated clinical indicators (such as age, American Society of Anesthesiology status, anterior overjet, attention deficit hyperactivity disorder, and obesity), optimize orofacial growth and development, and refer to and coordinate with physicians to manage high-risk children.
本研究的目的是调查在健康中心牙科诊所接受治疗的儿童睡眠呼吸障碍的社会人口统计学和临床相关因素。数据来自于《儿童睡眠问卷》以及位于七个州的健康中心中2至18岁儿童的健康记录。研究对象包括1000名儿童（46.3%为女性，53%为西班牙裔，70.7%为白人），平均（±标准差）年龄为6.89±2.51岁。在样本中，11.9%的儿童《儿童睡眠问卷》得分至少为8分。在多重逻辑混合效应分析中，年龄、美国麻醉医师协会身体状况分级、前牙覆盖、注意力缺陷多动障碍和肥胖是《儿童睡眠问卷》得分至少为8分的显著预测因素，显著性水平为P=0.05。由于11.9%的研究对象存在睡眠呼吸障碍疾病风险，牙医有机会与初级和专科医生进行跨专业合作。牙医应常规使用《儿童睡眠问卷》工具对儿童进行筛查，交叉参考相关临床指标（如年龄、美国麻醉医师协会身体状况分级、前牙覆盖、注意力缺陷多动障碍和肥胖），优化口腔颌面生长发育，并转诊至医生处并与其协调，以管理高危儿童。
