Table 2.

Criteria Used to Determine Whether a Chart Note Mentioned Issues Relevant to Sleep Symptom-Complex Identified by PSQ

Sleep-Related IssuesCriteria: Any Mention of …
Relevant symptomSDB: snoring, difficulty breathing during sleep, observed apneas
PLMS: kicking of legs during sleep, restless legs, nocturnal growing pains
INS: difficulty with sleep initiation, sleep maintenance, or frequent awakenings
EDS: daytime sleepiness, tiredness, or fatigue
Relevant diagnosisSDB: obstructive sleep apnea, obstructed breathing during sleep, adenotonsillar hypertrophy
PLMS: periodic leg movements during sleep, periodic limb movement disorder (also accepted restless legs syndrome)
INS: a diagnosis implied by pediatrician or known by investigators to be a likely cause of insomnia
EDS: a diagnosis implied by pediatrician or known by investigators to be a likely cause of sleepiness
Relevant treatmentSDB, PLMS, INS, and EDS: any referral or treatment designed to address symptoms
Treatment likely to be effectiveSDB: referral to sleep specialist or otolaryngologist; adentonsillectomy; or continuous positive airway pressure
PLMS: referral to sleep specialist or medication with L-dopa, dopamine agonist, benzodiazepine, or gabapentin
INS: referral to sleep specialist or a directed behavioral or pharmacological intervention
EDS: referral to sleep specialist or a directed behavioral intervention
Anything about sleepAny mention of sleep, sleepiness or other sleep-related problems