Management of Paediatric Obstructive Sleep Apnoea: From a Multidisciplinary to an Interdisciplinary Care Model.

IF 2.4 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Maryam Arab, Yasmeen S El Ansari, Rafael Pelayo, Audrey Yoon
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引用次数: 0

Abstract

The objective of this study is to offer a comprehensive overview of paediatric obstructive sleep apnoea (OSA), a prevalent condition characterised by intermittent upper airway obstruction that impairs both ventilation and sleep. The design of the study was a literature review using an electronic search. The study extensively reviews the pathophysiology, epidemiology, sequelae and diagnostic approaches of paediatric OSA. It highlights the role of various healthcare professionals in the management of this disorder, with each specialist providing unique contributions to the diagnosis, treatment and ongoing management of OSA. The current state of sleep teams managing OSA is multidisciplinary, including sleep physicians, pulmonologists and otolaryngologists (ENT surgeons), each contributing distinct expertise. This review contrasts a multidisciplinary approach, which relies on separate expert contributions, with an interdisciplinary model that emphasises integrated, collaborative decision-making for comprehensive, patient-centred care. This review focuses on the interactions between dental and medical professionals, as other papers will provide more detailed insights into the roles of other specialists, such as myofunctional therapists, nutritionists and others. In conclusion, the evolution from a multidisciplinary to an interdisciplinary care model marks a significant development in clinical practice, enhancing cooperation and shared decision-making among healthcare professionals, thereby improving the quality of life for paediatric patients with OSA.

儿童阻塞性睡眠呼吸暂停的管理:从多学科到跨学科的护理模式。
本研究的目的是全面概述小儿阻塞性睡眠呼吸暂停(OSA),这是一种以间歇性上呼吸道阻塞为特征的常见疾病,损害了通气和睡眠。本研究的设计是使用电子检索进行文献综述。本文综述了小儿阻塞性睡眠呼吸暂停的病理生理学、流行病学、后遗症和诊断方法。它强调了各种医疗保健专业人员在这种疾病管理中的作用,每个专家对OSA的诊断、治疗和持续管理都有独特的贡献。目前管理睡眠呼吸暂停的睡眠团队是多学科的,包括睡眠医生、肺科医生和耳鼻喉科医生(耳鼻喉外科医生),每个人都有不同的专业知识。这篇综述对比了多学科方法,它依赖于单独的专家贡献,与跨学科模式,强调综合,协作决策的全面,以病人为中心的护理。这篇综述的重点是牙科和医学专业人员之间的相互作用,其他论文将提供更详细的见解,其他专家的角色,如肌功能治疗师,营养学家和其他人。总之,从多学科到跨学科的护理模式的演变标志着临床实践的重大发展,加强了医疗保健专业人员之间的合作和共同决策,从而改善了儿科OSA患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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