Sleep Disorders

Mar 1, 2014 Issue
Common Sleep Disorders in Children [Article]

Up to 50% of children will experience a sleep problem. Early identification of sleep problems may prevent negative consequences, such as daytime sleepiness, irritability, behavioral problems, learning difficulties, motor vehicle crashes in teenagers, and poor academic performance. Obstructive sleep ...

Oct 1, 2013 Issue
Early Adenotonsillectomy and Watchful Waiting Are Both Options for Children with Sleep Apnea [POEMs]

Early surgery provides some symptomatic benefit and greater normalization of polysomnographic findings (a disease-oriented outcome) than watchful waiting for children with obstructive sleep apnea. However, many of the children in the watchful waiting group improved during the study period, and there...

Aug 15, 2013 Issue
Management of Common Sleep Disorders [Article]

Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during sleep. Insomnia, ...

Jun 15, 2013 Issue
AAP Releases Guideline on Diagnosis and Management of Obstructive Sleep Apnea Syndrome in Children [Practice Guidelines]

Obstructive sleep apnea syndrome (OSAS) commonly occurs in children, and if not treated, can cause complications. The American Academy of Pediatrics (AAP) originally released a guideline on the diagnosis and management of OSAS in children in 2002, but because of the significant increase in research on OSAS, the guideline was updated in 2012.

Feb 15, 2013 Issue
AASM Updates Treatment Guidelines for Restless Legs Syndrome and Periodic Limb Movement Disorder [Practice Guidelines]

The American Academy of Sleep Medicine (AASM) last published recommendations on the treatment of restless legs syndrome (RLS) and periodic limb movement disorder in 2004. It recently updated these recommendations based on a literature review and meta-analysis.

Feb 15, 2013 Issue
Primary Insomnia in Older Persons [Clinical Evidence Handbook]

What are the effects of nondrug and drug treatments for primary insomnia in older persons (those 60 years and older)?

Nov 15, 2012 Issue
Updated Guidelines from AASM for the Treatment of Central Sleep Apnea Syndromes [Practice Guidelines]

The updated guidelines on central sleep apnea from the American Academy of Sleep Medicine (AASM) includes levels of recommendations (standard or option) based on the overall quality of evidence (high, moderate, low, or very low). Central sleep apnea syndromes are characterized by sleep-disordered br...

Feb 1, 2012 Issue
Respiratory Indications for Polysomnography in Children [Practice Guidelines]

Although assessment of sleep disorders in children relies on the history and physical examination, polysomnography (PSG) is sometimes used to aid in the diagnosis. The American Academy of Sleep Medicine has provided recommendations regarding the use of the test in children. This guideline focuses on...

Nov 1, 2011 Issue
Antidepressants for the Treatment of Insomnia in Patients with Depression [FPIN's Clinical Inquiries]

There is no single antidepressant or class of antidepressants that is most effective for the treatment of insomnia in patients with depression. The use of antidepressant medications can have a positive impact on sleep physiology, but does not seem to improve subjective ratings of sleep quality.

Aug 15, 2011 Issue
Doxepin (Silenor) for Insomnia [STEPS]

In older patients with primary insomnia, Silenor can increase duration of sleep without next-day effects. However, it does not significantly decrease the time to sleep onset, and it is less effective in younger adults.

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