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1. 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
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5. Increased parental perception of sleep disordered breathing in a cohort of infants with ALTE/BRUE events.

Author

Nosetti L, Angriman M, Zaffanello M, Salvatore S, Riggi L, Niespolo AC, Salvatoni A, and Agosti M

Subjects
Infant, Newborn, Child, Humans, Infant, Perception, Brief, Resolved, Unexplained Event, Sleep Apnea Syndromes diagnosis, Respiration Disorders, Infant, Newborn, Diseases
Abstract

Background: An apparent life-threatening event (ALTE) describes an acute, unexpected change in an infant's breathing, aspect, or behavior frightening to the parent or caretaker. According to the new recent terminology, clinicians should use the term brief resolved unexplained event (BRUE) to describe an event occurring in an infant <1 year of age when the observer reports a sudden, brief, and now resolved episode. The aims of the present study in infants were to investigate sleep disturbances in both ALTE event and after their classification according the new BRUE criteria., Methods: We enrolled (from April to May 2016) 32 consecutive infants referred to our ambulatory for sleep disorders for follow-up after an ALTE episode and 32 pair healthy controls. We administered to parents the adapted questionnaire "Sleep Disturbance Scale for Children - SDSC.", Results: Among enrolled infants with ALTE, there were 26 infants in line with the new BRUE definition, of which 10 at low risk and 16 at the high-risk event., Conclusions: Infants with ALTE and BRUE had more referred-by-parents' sleep symptoms than controls. In particular, sleep disordered breathing wa prevalent in both, requiring a longer follow-up for this disturbance.

Published
2023
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6. A survey around the Italian pediatric units on current clinical practice for Sleep Disordered Breathing (SDB).

Author

Nosetti L, Paglietti MG, Brunetti L, Masini L, La Grutta S, Cilluffo G, Zaffanello M, Verrillo E, Pavone M, Niespolo AC, Broggi G, and Cutrera R

Subjects
Child, Female, Humans, Italy, Male, Surveys and Questionnaires, Practice Patterns, Physicians' statistics & numerical data, Sleep Apnea Syndromes therapy
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.

Published
2019
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7. ["A minute for life": resuscitation techniques in infants with risk for sudden infant death syndrome. Development of an instructional video for parents].

Author

Cremante A, Nosetti L, Tovaglieri N, Niespolo AC, Spica Russotto V, Mongiardi V, and Nespoli L

Subjects
Adult, Female, Humans, Infant, Infant, Newborn, Male, Prospective Studies, Risk Factors, Time Factors, Parents education, Resuscitation methods, Sudden Infant Death prevention & control, Video Recording
Abstract

Aim: The present study describes a project carried out in the Center for SIDS/ALTE of the Pediatric Clinic of Varese, targeted to deliver and provide parents with a movies on PBLS titled "A Minute for Life". The impact on the parent was evaluated by applying a questionnaire., Methods: The movie "A Minute for Life" was given to 308 parents (122 fathers, mean age 35.2 and 186 mothers, mean age 28.4). All parents completed a questionnaire based on 4 parameters: 1. clarity of the content presented; 2. anxiety felt while watching the movie clip 3. reassurance related to their ability to review other times the movie; 4. the perception of its usefulness., Results: Regarding the clarity of content, the results provide evidence that 231 parents (75% of the sample) rated him "very clear", while 77 subjects (25%) considered it "quite clear". On the possibility of being able to have at home, 277 parents (90% of subjects) believed it would be very reassuring to see it back Home. According to 231 parents (75% of the sample) the vision of the movie does not convey anxiety, while 77 of them (25% of subjects) felt slightly concerned in relation to vision. With regard to the overall assessment of the movie, all parents (308, 100% of the sample) agreed about its extreme usefulness., Conclusion: Our study opens the way for further prospective studies regarding the appropriateness and usefulness of the movie. It's also important to consider the release of the movie to all new parents and the possibility of giving first aid courses open to all those who want to be able to act with promptness and expertise if and when necessary.

Published
2013

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