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Polysomnography is an Important Method for Diagnosing Pediatric Sleep Problems: Experience of One Children’s Hospital
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  • Chien-Heng Lin,
  • Chieh-Ho Chen,
  • Syuan-Yu Hong,
  • I-Ching Chou,
  • Shinn-Jye Liang,
  • Liang-Wen Hang
Chien-Heng Lin
China Medical University
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Chieh-Ho Chen
China Medical University
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Syuan-Yu Hong
China Medical University
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I-Ching Chou
China Medical University
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Shinn-Jye Liang
China Medical University
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Liang-Wen Hang
China Medical University
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Abstract

In this study, we collected and analyzed PSG data to investigate that value of polysomnography (PSG) in diagnosing sleep problems in children. The results of PSG studies of children (< 18 years old) with sleep problems conducted from April 2015 to May 2017 at a children’s hospital in Taiwan were collected and analyzed retrospectively. Data for 310 patients (209 males and 101 females) who underwent PSG were collected. The final diagnoses were as follows: obstructive sleep apnea in 159 (51.3%), snoring in 81 (26.4%), limb movement sleep disorder in 25 (8.1%), hypersomnias in 12 (3.9%), central apnea in 8 (2.9%), enuresis in 7 (2.3%), bruxism in 5 (1.6%), sleep terrors in 5 (1.6%), narcolepsy in 3 (1.0%), sleep seizures in 3 (1.0%), sleep walking in 1 (0.3%), and insomnia in 1 (0.3%). PSG may help detect significant sleep-related problems in children and is useful for making therapeutic decisions regarding children. Obstructive sleep apnea syndrome (OSAS) was the primarily sleep problem for most of the children (51.3%); however, only 7.4% of them underwent surgery for OSAS, even though those with OSAS underwent surgery without undergoing PSG. We therefore suggest that children with sleep problems should undergo PSG.