Trends in Inpatient Pediatric Polysomnography for @entity12203 and XXXX .

@entity2122 @entity1 @entity12203 @entity27
OBJECTIVE: Increasingly, @entity12203 and @entity2122 are recognized as risk factors for @entity27 . We sought to determine whether @entity1 with these diagnoses have become more likely to undergo inpatient polysomnogram (PSG) over time and to identify evolving trends in PSG utilization. METHODS: Retrospective analysis of the Kids' Inpatient Database from 2003 to 2012. @entity1 <21 years who underwent PSG were included. Weighted comparisons of clinical/demographic characteristics of @entity1 undergoing PSG were performed, as were associations between clinical and demographic @entity1 characteristics and performance of inpatient PSG. RESULTS: Between 2003 and 2012, PSG procedures decreased from 1266 to 829 (P < .001). Among @entity1 who underwent PSG, mean age decreased from 3.9    5.1 to 3.1    5.2 years (P = .001), and the frequency of age <1 year increased from 47.8% to 59.5% (P < .001). The frequency of @entity12203 increased from 2.5% to 14.3% (P < .001), while the frequency of @entity2122 increased from 6.2% to 19.4% (P < .001). @entity12203 and @entity2122 were predictive of undergoing inpatient PSG in both timeframes. CONCLUSION: Despite decreasing PSG volumes, diagnoses of @entity12203 and @entity2122 comprised increasing fractions of @entity1 undergoing inpatient PSG between 2003 and 2012. @entity12203 and @entity2122 were also predictive of inpatient PSG use in both timeframes.
