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2256 pages added, reviewed or updated during the last month (last updated: 20/4/2021)


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referral criteria from primary care - childhood sleep problem

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It is appropriate to consider a referral to a sleep specialist

  • if a sleep problem persists despite institution of practical sleep hygiene measures, or,
  • if the sleep problem begins to impact the child's mood, behaviour, and learning

Suggested persistent features (despite sleep hygiene measures) that should warrant a referral:

  • if a school age child chronically feels unrefreshed on waking up in the morning
  • if a school age child finds it difficult to stay awake in the classroom
  • if a school age child habitually falls asleep in the classroom or while riding in a car or train for less than half an hour, or naps on returning home from school
  • a child who habitually snores
  • if a child has difficulty falling asleep or staying asleep through the night that lasts over a month
  • if a child has unexplained night time behaviours that keep family members awake

Reference:

  1. Kotagal S, Pianosi P. Sleep disorders in children and adolescents. BMJ 2006;332:828-32.

Last reviewed 01/2018

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