Browsing by Author "Santelices, Pilar"

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    Interacción de Tratamiento Ortodóncico, Fonoaudiológico y Kinesiológico. Reporte de caso
    (2024) Quiroz, Francisca; Argandoña, Romina; Briones, Vivian; Santelices, Pilar
    Se describe el caso clínico de una paciente de 8 años de edad, sexo femenino que presenta respiración oral, anomalía dentomaxilar, interposición lingual en deglución, fonación, lengua descendida en reposo y adaptaciones musculoesqueléticas por lo que requiere tratamiento de Ortodoncia, Fonoaudiología y Kinesiología. El presente reporte de caso describe la interacción de las especialidades requeridas para el manejo adecuado de la paciente y expone un flujograma sugerido para abordar casos similares. The following is a clinical case of an eight-year-old female patient who presents oral respiration, dentomaxilar anomaly, tongue interposition during swallowing and phonation, lowered tongue at rest and musculoskeletal adaptations, hence requires orthodontics, speech and physical therapy. This case report describes the interaction of the specialties necessary for the proper management of the patient and presents a suggested flow chart to address similar cases.
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    Prevalencia de trastornos respiratorios del sueño en una muestra de niños y adolescentes de la Región Metropolitana de Santiago de Chile
    (2025) San Juan, María; Banderas, Alejandra; Vargas, María; Fuentealba, Catalina; Buono, Lucía; Rodas, Julian; La Barba, Lavinia; Graziani, Claudia; Santelices, Pilar
    Introducción: Los trastornos respiratorios del sueño son alteraciones de la ventilación durante el sueño, frecuentemente subdiagnosticados en niños. Objetivo: Determinar la prevalencia de trastornos respiratorios del sueño en pacientes de 4 a 18 años que asistieron a la Clínica Universidad del Desarrollo en Santiago, utilizando el cuestionario PSQ-CL validado en Chile. Metodología: Se aplicó la encuesta PSQ-CL a apoderados de 189 pacientes entre 4 y 18 años, en salas de espera de la Clínica entre mayo y agosto 2023, previa firma de consentimiento informado. Se realizó análisis descriptivo y estadístico de variables. Resultado: El 56,08% de los participantes presentó un puntaje positivo para trastornos respiratorios del sueño. Se encontró una asociación significativa entre trastornos respiratorios del sueño y un rendimiento escolar regular, aunque no se hallaron diferencias significativas en otras variables. Discusión: La prevalencia de trastornos respiratorios del sueño en este estudio fue más alta que la reportada en investigaciones previas en población infantil chilena (17,7%-25,3%), lo que podría explicarse por el uso de una versión validada del instrumento en Chile. Se corroboró que los niños con puntajes positivos en el PSQ-CL tienen más probabilidades de presentar un rendimiento escolar regular, como se ha reportado en la literatura. Conclusión: La prevalencia de trastornos respiratorios del sueño en niños puede variar según diversos factores como edad, nivel socioeconómico, etnia y enfermedades respiratorias crónicas, por lo que es necesario realizar estudios multicéntricos con herramientas validadas, como el PSQ-CL, para evaluar mejor la prevalencia de estos trastornos en la población pediátrica. Introduction: Sleep-disordered breathing are alterations in ventilation during sleep, frequently underdiagnosed in children. Objective: Determine the prevalence of sleep-disordered breathing in patients aged 4 to 18 years who attended the Clínica Universidad del Desarrollo in Santiago, using the PSQ-CL questionnaire validated in Chile. Methodology: The PSQ-CL survey was administered to guardians of 189 patients between the ages of 4 and 18 in the waiting rooms of the Clinic between May and August 2023, after they signed informed consent. A descriptive and statistical analysis of the variables was performed. Result: 56,08% of the participants had a positive score for sleepdisordered breathing. A significant association was found between sleep-disordered breathing and regular school performance, although no significant differences were found in other variables. Discussion: The prevalence of sleepdisordered breathing in this study was higher than that reported in previous research in the Chilean child population (17,7%-25,3%), which could be explained by the use of a validated version of the PSQ-CL for Chile. The study also corroborated that children with positive scores on the PSQ-CL are more likely to have average school performance, as has been reported in the literature. Conclusion: The prevalence of sleep-disordered breathing in children can vary according to various factors such as age, socioeconomic level, ethnicity and chronic respiratory diseases, so it is necessary to carry out multicenter studies with validated tools, such as the PSQ-CL, to better evaluate the prevalence of these disorders in children.
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    Validation and cross-cultural adaptation of the Pediatric Sleep Questionnaire Sleep-Related Breathing Disorder Scale (PSQ-SRBD) to spanish language
    (2024) Bertrán S., Katalina; Deck, Barbara; Vargas, Maria; Cavada Ch., Gabriel; Corrales V., Raúl; Iranzo, Alex; Cox M., Nicolás; Ovalle D., Bárbara; Santelices, Pilar
    In the Chilean pediatric population, to date, there is no validated screening instrument for sleep-related breathing disorders (SRBD). Objective: to develop and validate a cross-cultural adaptation of the Pediatric Sleep Questionnaire - sleep-related breathing disorder scale (PSQ-SRBD), by creating the Chilean Spanish version (PSQ-CL). Patients and Method: The PSQ-SRBD was translated from English into Chilean Spanish, obtaining the PSQ-CL, which was subsequently validated. Internal consistency was determined through Cronbach’s alpha coefficient in 26 children with obstructive sleep apnea confirmed by polysomnography and in 112 controls. Reliability was obtained through the test-retest method. Results: In the pilot group, the overall internal consistency of the PSQ CL through Cronbach’s alpha was 0.71 and the internal consistency was 0.653, 0.566, and 0.808 in subscales A, B, and C, respectively. The discrimination capacity of the PSQ-CL questionnaire established through ROC analysis was 81%, determining a cut-off score of 0.227 with a sensitivity of 73.08% and a specificity of 77.68%. Conclusions: The PSQ-CL is a suitable instrument for screening sleep-disordered breathing in Chilean children. This instrument may be useful in clinical practice and epidemiological research in the Chilean pediatric population and could be used for multicenter studies.

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