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

肺科医生 多学科方法 医学 卫生专业人员 医疗保健 重症监护医学 梅德林 护理部 社会科学 社会学 政治学 法学 经济 经济增长
作者
M Arab,Yasmeen S. El Ansari,Rafael Pelayo,Audrey Yoon
出处
期刊:Orthodontics & Craniofacial Research [Wiley]
标识
DOI:10.1111/ocr.12930
摘要

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.

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