{"id":8066,"date":"2026-06-13T09:03:32","date_gmt":"2026-06-13T09:03:32","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=8066"},"modified":"2026-09-06T05:53:18","modified_gmt":"2026-09-06T05:53:18","slug":"criterios-de-remision-en-problemas-de-sueno","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/criterios-de-remision-en-problemas-de-sueno\/","title":{"rendered":"Referral criteria for sleep problems."},"content":{"rendered":"<h2>1. Referral criteria<\/h2><p>This concept includes all those children who have problems having a normal dream, but the identification of what is a normal dream and a pathological dream can be a problem, since it varies depending on age. There are <a href=\"https:\/\/neuropediatoolkit.org\/en\/desarrollo-del-sueno\/\">normograms<\/a> in order to know the normal development of sleep in childhood and adequate remission.<\/p><ul><li><strong>Urgent Referral:<\/strong> Not indicated. Immediate attention is required due to serious problems that may affect the child's physical or mental health.<\/li><li><strong>\u201cHigh resolution\u201d referral:<\/strong> Sleep disorder in the context of epileptic encephalopathy. It requires intensive and specialized care to evaluate and treat associated complications.<\/li><!-- \/wpANEWP:list-item --><li><strong>Preferred referral:<\/strong> Sleep disorder in the context of severe neurodevelopmental disorder. It requires more detailed follow-up and neurological evaluation to determine the best intervention.<\/li><li><strong>Ordinary referral:<\/strong> Daytime hypersomnia not due to sleep deprivation. Sleep disorder in children with mild neurological comorbidity. Parasomnias. It requires regular follow-up and additional evaluations to determine the source and treat symptoms.<\/li><li><strong>Not indicated:<\/strong> Sleep disorder due to incorrect associations\/behavioral insomnia of childhood (children without neurological pathology). Sleep disorder due to phase delay (adolescents without neurological pathology). Sleep disorder associated with abuse of new technologies. Sleep disorder secondary to obstructive sleep apnea syndrome. Daytime hypersomnia due to sleep deprivation. It does not require immediate medical attention, but it is important to monitor and treat the factors causing insomnia.<\/li><\/ul><h2>2. Minimum data of the interconsultation<\/h2><p>For a complete and accurate assessment of sleep in children, it is necessary to collect various relevant data:<\/p><ul><li>Sleep diary or agenda: Helps identify sleep patterns and disorders.<\/li><!--\u4f46\u662f\u4ed6\u3002<li>Video recording of events that occur during sleep: Allows direct observation of nocturnal behaviors and detects anomalies.<\/li><li>Family history of neurodevelopmental disorders, consanguinity: Helps determine genetic factors that could affect sleep.<\/li><li>Family structure, socioeconomic situation and coexistence dynamics: Evaluate the environmental impact on the child's sleep.<\/li><li>Perinatal history: Allows you to identify factors that could affect sleep development from childhood.<\/li><li>Development history. It should include a Haizea-Llevant screening if there is suspicion of developmental delay, and an M-CHAT if there is suspicion of autism spectrum disorder: Helps identify neurological problems oDemocrats.<\/li><li>Neurological examination: Evaluates brain structure and detects abnormalities that could affect sleep.<\/li><li>Analysis including iron metabolism: Allows you to evaluate the health of the nervous system and detect problems such as chronic anemia, which can affect sleep.<\/li><\/ul>","protected":false},"excerpt":{"rendered":"<p>1. Remission criteria This concept includes all those children who have problems having normal sleep, but the identification of what is a normal dream and a pathological dream can become a problem, since it varies according to age. There are normograms to know the normal development of the... <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/neuropediatoolkit.org\/en\/criterios-de-remision-en-problemas-de-sueno\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> \u201cReferral criteria for sleep problems.\u201d<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":8089,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8066","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/8066","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=8066"}],"version-history":[{"count":2,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/8066\/revisions"}],"predecessor-version":[{"id":8659,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/8066\/revisions\/8659"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/8089"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=8066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=8066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=8066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}