This study aimed to create a Czech questionnaire for pediatric obstructive sleep apnea (POSA) risk screening, a first of its kind in the Czech Republic, where options for child polysomnography are limited. Compiling items from established English questionnaires and supplementing them with additional items, we designed the first version of the Czech questionnaire and tested it in a pilot study with parents of 30 children. After pilot feedback, a revised version with dichotomous and 5-item Likert scale questions was tested on 71 children's parents. All children (7-12 years old) underwent a home sleep apnea test to record their apnea-hypopnea index (AHI). The second (40-item) version showed high reliability (93%), with 17 items identified as the most significant. Findings from the final 17-item SEN CZ questionnaire correlated positively with AHI (p < 0.001), demonstrating 84% sensitivity, 86% specificity, and 93% reliability. Three factors, namely breathing problems, inattention, and hyperactivity (characterized by multiple items), were identified to form a higher-order factor of POSA risk, which was further supported by the correlations of their total scores with AHI (p < 0.001). The resulting SEN CZ questionnaire can serve as a tool for POSA risk screening in the Czech Republic without the need to involve medical professionals.

• MeSH
• Child MeSH
• Humans MeSH
• Sleep Apnea, Obstructive * diagnosis   epidemiology   MeSH
• Pilot Projects MeSH
• Mass Screening methods   MeSH
• Polysomnography methods   MeSH
• Surveys and Questionnaires MeSH
• Reproducibility of Results MeSH
• Risk Factors MeSH
• Check Tag
• Child MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Czech Republic MeSH

Monitorace kvality spánku a deliria jsou naprosto zásadní pro poskytování moderní intenzivní péče. Představují však přístrojovou a personální výzvu. Nejen proto, že určité metody monitorace, např. polysomnografie, monitorovaný spánek samy ovlivňují. Ačkoliv existují nové alternativy, polysomnografie zůstává zlatým standardem v diagnostice a výzkumu poruch spánku pro nejlepší validitu získaných dat. Bez monitorace a screeningových metod nelze spolehlivě diagnostikovat delirium a poruchy spánku v intenzivní péči a bez jasně stanovené diagnózy nelze zkoumat dopady deliria a snížené kvality spánku. Tento článek shrnuje jednotlivé možnosti monitorace spánku i deliria, jejich výhody a limitace v prostředí intenzivní péče.

Monitoring sleep quality and delirium are essential in providing modern intensive care. They present both equipment and personnel challenges. Not only because certain monitoring methods, such as polysomnography, affect monitored sleep themselves. Although new alternatives exist, polysomnography remains the gold standard in diagnosing and researching sleep disorders for the validity of the data obtained. Without monitoring and screening methods, delirium and sleep disorders cannot be reliably diagnosed in intensive care. Without a clearly established diagnosis, the outcomes of delirium and reduced sleep quality cannot be investigated. This article summarizes various options for monitoring both sleep and delirium, their advantages and limitations in the critical care setting.

• MeSH
• Delirium * diagnosis   prevention & control   MeSH
• Sleep Quality MeSH
• Humans MeSH
• Monitoring, Physiologic classification   methods   MeSH
• Consciousness Monitors MeSH
• Critical Care MeSH
• Polysomnography methods   MeSH
• Data Collection methods   MeSH
• Sleep * MeSH
• Check Tag
• Humans MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH
• Review MeSH

• MeSH
• Humans MeSH
• Neuromuscular Diseases * complications   therapy   MeSH
• Palliative Care methods   MeSH
• Polysomnography methods   MeSH
• Respiratory Function Tests methods   MeSH
• Respiratory Insufficiency * etiology   MeSH
• Sleep Apnea Syndromes diagnosis   therapy   MeSH
• Continuous Positive Airway Pressure methods   MeSH
• Respiration, Artificial methods   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

V této práci popisujeme případ pacienta se syndromem spánkové apnoe při srdečním selhání a následně po ortotopické transplantaci srdce (OTS) a její ovlivnění přetlakovou ventilací. Spánková apnoe (SA) je ovlivnitelným nezávislým rizikovým faktorem kardiovaskulárních onemocnění. Jejími klinickými příznaky mohou být dlouhotrvající únava a nadměrná denní spavost, poruchy kognitivních funkcí zahrnující zhoršenou krátkodobou paměť a poruchy soustředění, behaviorální poruchy, jako je náladovost, agresivita, ztráta motivace a tzv. noční symptomy: ronchopatie (chrápání), častá probuzení lapavými dechy - pavor nocturnus, nykturie, fragmentace spánku a po probuzení typické sucho v ústech nebo ranní cefalea. Diagnostika SA je založena na výsledcích polysomnografického či polygrafického vyšetření, její léčba pak spočívá v tzv. neinvazivní přetlakové ventilaci. SA může vést k rozvoji nových či zhoršení stávajících kardiovaskulárních onemocnění, a tedy v konečném důsledku k rozvoji srdečního selhání (HF), klinickému syndromu zapříčiněnému funkčními či strukturálními abnormalitami vedoucími k poruše srdeční funkce. Výskyt srdečního selhání se u nás i celosvětově neustále zvyšuje, a to i přes rozvoj nových účinných léků a nefarmakologických postupů, k nimž patří i ortotopická transplantace srdce.

This article shows different types of sleep apnea syndrome (SA) in a patient with severe heart failure before and after orthotopic heart transplant and the treatment of SA. Sleep apnea is an influenceable independent risk factor of cardiovascular diseases. Its main symptoms may be long-term fatigue and excessive daytime sleepiness, cognitive deficit including impaired short-term memory and concentration disorder, behavioral disorders such as moodiness, aggressivity, the lack of motivation and so-called nocturnal symptoms: ronchopathy (snoring), frequent sleep arousals accompanied by gasping, nycturia, fragmentation of sleep, mouth dryness after awakening or morning headache. The diagnosis of SA is based on respiratory polygraphy or videopolysomnography. The treatment of SA consists in positive airway pressure ventilation therapy. SA may lead to the new development or progression of current cardiovascular diseases, and eventually, to the development of heart failure (HF) - clinical syndrome caused by functional or structural abnormalities leading to the failure of heart function. The prevalence of HF is on the rise in the Czech Republic and worldwide as well, despite the new development of efficient pharmacological therapies and non-pharmacological methods including the orthotopic heart transplant.

• MeSH
• Endocarditis, Bacterial etiology   drug therapy   MeSH
• Defibrillators, Implantable MeSH
• Diagnostic Techniques, Cardiovascular MeSH
• Middle Aged MeSH
• Humans MeSH
• Polysomnography methods   MeSH
• Heart Failure * diagnosis   drug therapy   therapy   MeSH
• Staphylococcal Infections etiology   drug therapy   MeSH
• Sleep Apnea Syndromes * diagnosis   therapy   MeSH
• Heart Transplantation MeSH
• Positive-Pressure Respiration methods   MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Humans MeSH
• Methylphenidate pharmacology   adverse effects   therapeutic use   MeSH
• Adolescent MeSH
• Narcolepsy * diagnosis   drug therapy   MeSH
• Polysomnography methods   MeSH
• Treatment Outcome MeSH
• Check Tag
• Humans MeSH
• Adolescent MeSH
• Male MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Child MeSH
• Adult MeSH
• Humans MeSH
• Parasomnias diagnosis   classification   physiopathology   therapy   MeSH
• Polysomnography methods   MeSH
• Sleep Arousal Disorders * diagnosis   classification   physiopathology   therapy   MeSH
• Sleep Wake Disorders classification   MeSH
• Aged MeSH
• Somnambulism diagnosis   MeSH
• Check Tag
• Child MeSH
• Adult MeSH
• Humans MeSH
• Male MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Iron Deficiencies etiology   complications   MeSH
• Child MeSH
• Adult MeSH
• Humans MeSH
• Parasomnias diagnosis   etiology   classification   physiopathology   therapy   MeSH
• Nocturnal Myoclonus Syndrome * diagnosis   etiology   classification   MeSH
• Polysomnography methods   MeSH
• Sleep Initiation and Maintenance Disorders diagnosis   etiology   classification   therapy   MeSH
• Sleep-Wake Transition Disorders etiology   classification   MeSH
• Aged MeSH
• Restless Legs Syndrome diagnosis   etiology   physiopathology   MeSH
• Check Tag
• Child MeSH
• Adult MeSH
• Humans MeSH
• Male MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Child MeSH
• Sleep Quality MeSH
• Humans MeSH
• Pediatric Obesity complications   MeSH
• Polysomnography methods   MeSH
• Respiration Disorders diagnosis   complications   MeSH
• Sleep Wake Disorders etiology   classification   MeSH
• Sleep Apnea Syndromes * diagnosis   etiology   physiopathology   therapy   MeSH
• Check Tag
• Child MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Child MeSH
• Adult MeSH
• Idiopathic Hypersomnia diagnosis   drug therapy   MeSH
• Cataplexy diagnosis   drug therapy   MeSH
• Humans MeSH
• Narcolepsy diagnosis   drug therapy   MeSH
• Polysomnography methods   MeSH
• Disorders of Excessive Somnolence * diagnosis   etiology   classification   MeSH
• Sleep Latency physiology   MeSH
• Check Tag
• Child MeSH
• Adult MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Chronobiology Disorders diagnosis   classification   physiopathology   MeSH
• Child MeSH
• Adult MeSH
• Humans MeSH
• Polysomnography methods   MeSH
• Sleep Disorders, Circadian Rhythm * diagnosis   drug therapy   classification   MeSH
• Sleep Initiation and Maintenance Disorders diagnosis   classification   MeSH
• Aged MeSH
• Smith-Magenis Syndrome diagnosis   physiopathology   MeSH
• Check Tag
• Child MeSH
• Adult MeSH
• Humans MeSH
• Male MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Case Reports MeSH