0805 Targeting Sleep Disordered Breathing Screening During the SARS-CoV2 Pandemic: Parents or Providers?

Abstract

Abstract Introduction Sleep-disordered breathing (SDB) can significantly impact a child’s physical and psychological well-being. Primary care teams are strongly positioned to first note the signs of SBD and the American Academy of Pediatrics recommends routine screening for snoring at all well-child visits (WCV). However, the literature demonstrates low rates of application of this recommendation. This is likely multifactorial as noted by previous studies on the subject. This study aimed to assess if providing an electronic questionnaire to families ahead of the WCV would increase the snoring screening rate. Methods This quality improvement (QI) program consisted of a convenience sample (control n=504, program n=222) of 726 children, age 2-17 years presenting for their new or well-child-visit (WCV) over six weeks during the SARS-CoV2 pandemic. The Pediatric Sleep Questionnaire (PSQ) was delivered to parents via the electronic patient portal (EPP) 1-2 weeks before their child's appointment. The questionnaire was then auto imported into the physician's note at the time of the appointment. Results The QI program showed a lower overall SDB screening rate (16.7%) than the pre-program control (21%), however, 3 of 4 (75%) of the participating physicians saw an increase in SDB screening during the program. Statistical significance was seen in two physicians (X2 (1, N=262) = 27.150, p=.000, Phi = .332 and Fisher exact test p=.000, 2-tailed, Phi = .366. Conclusion The screening rate for snoring significantly increased among physicians when electronic questionnaires were provided to families prior to scheduled WCV. This is an early but promising pattern. The electronic patient portal can serve as an important asynchronous tool for providers to gather valuable information about the sleep quality of children in their practice, aligning with AAP goals and better supporting families. Support (if any) none