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Tytuł:
Hypoglossal nerve stimulation [HGNS] for Obstructive Sleep Apnea [OSA] treatment – a review
Autorzy:
Bilińska, Małgorzata
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1400406.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
upper airway stimulation
obstructive sleep apnea
neurostimulation
hypoglossal nerve
Opis:
Obstructive sleep apnea (OSA) is characterized by recurrent periods of upper airway obstruction (hypopneas and apneas) during sleep. It leads to repeated oxyhemoglobin desaturations, nocturnal hypercapnia, and arousals. Common symptoms include loud snoring with breathing interruptions. Excessive daytime sleepiness and cognitive impairment occur. Obstructive sleep apnea is a major cause of morbidity and mortality in Western society. Its association with an increased risk of development and progression of neurocognitive, metabolic, cardiovascular and oncologic diseases and complications is well described. The significant factor in OSA pathogenesis is reduced muscle tone in the tongue and upper airway. In the recent years, devices providing neurostimulation of the hypoglossal nerve (HGNS) were developed as an alternative for noncompliant CPAP (continuous positive airway pressure) patients. Clinical trials suggest that electrical stimulation of the hypoglossal nerve is effective. This is considered to be one of the targets of neurostimulation in the treatment of obstructive sleep apnea (OSA).
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 3; 67-72
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sleep apnea and dry eye: how sleep apnea affects the eye surface
Autorzy:
Bommert, Catherina M.
Grupcheva, Christina N.
Radeva, Mladena N.
Grupchev, Dimitar I.
Boyadzieva, Maria R.
Powiązania:
https://bibliotekanauki.pl/articles/1927968.pdf
Data publikacji:
2020-06-30
Wydawca:
Medical Education
Tematy:
continuous positive airway pressure
dry eye syndrome
obstructive sleep apnea
Opis:
Purpose: The purpose of this study was to determine the presence of dry eye disease and possible treatment options in patients with obstructive sleep apnea and continuous positive airway pressure. Materials and methods: A total of 72 patients (midlife age) with obstructive sleep apnea and continuous positive airway pressure therapy underwent a comprehensive eye examination. Fluorescein staining of the anterior ocular surface and tear break-up test were performed. All of the patients who were diagnosed with dry eye disease received personalized therapy. One month later, re-examination was performed using the same methodology and clinical settings. Results: On the first examination, 48 of 72 patients (66.67%) were diagnosed with dry eye disease. Floppy eyelid syndrome was reported in 26 patients (54.17%) with dry eye disease. The treatment of 40 patients included artificial tear supplements during the day in combination with high-viscosity topical gels before bedtime. In more severe cases (10.42% of all participants), the application of bandage contact lenses for 3 months was necessary. Because of excessive lid laxity, surgical reconstruction of the eyelids was performed in three patients (6.25%). Conclusions: A multidisciplinary approach is essential for obstructive sleep apnea. Practitioners from different specialties must be well acquainted with risk factors, signs, and symptoms. The early detection of dry eye disease in patients with obstructive sleep apnea and appropriate treatments are important for improving the quality of life in this patient group.
Źródło:
OphthaTherapy; 2020, 7, 2; 103-107
2353-7175
2543-9987
Pojawia się w:
OphthaTherapy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Wiedza żywieniowa oraz wybrane elementy stylu życia otyłych osób z rozpoznanym obturacyjnym bezdechem w czasie snu
Nutritional knowlegde and lifestyle of obese patients with diagnosed obturative sleep apnea
Autorzy:
Bronkowska, M.
Golecki, M.
Slomian, J.
Mikolajczak, J.
Kosacka, M.
Porebska, I.
Jankowska, R.
Biernat, J.
Piesiak, P.
Powiązania:
https://bibliotekanauki.pl/articles/877196.pdf
Data publikacji:
2010
Wydawca:
Narodowy Instytut Zdrowia Publicznego. Państwowy Zakład Higieny
Tematy:
choroby czlowieka
obturacyjny bezdech senny
otylosc
pacjenci
styl zycia
wiedza zywieniowa
zywienie czlowieka
human disease
obstructive sleep apnea
obesity
patient
life style
dietary knowledge
human nutrition
Opis:
Celem pracy była ocena wiedzy żywieniowej i i wybranych elementów stylu życia pacjentów otyłych z rozpoznanym OBS, leczonych w Dolnośląskim Centrum Chorób Płuc Akademii Medycznej we Wrocławiu. Ocenę stanu wiedzy żywieniowej przeprowadzono wśród 49 chorych, w tym 12 kobiet i 37 mężczyzn z rozpoznanym OBS, leczonych w Dolnośląskim Centrum Chorób Płuc we Wrocławiu. Do oceny wiedzy żywieniowej i wybranych elementów stylu życia wykorzystano autorski, standaryzowany kwestionariusz opracowany w Zakładzie Żywienia Człowieka Uniwersytetu Przyrodniczego we Wrocławiu. Zawierał on różne pytania, dotyczące m.in. rodzaju aktywności fizycznej, częstości palenia papierosów. Mimo wykazanej częściowo dobrej wiedzy żywieniowej, jej wykorzystanie przez chorych na OBS w życiu codziennym budzi wiele zastrzeżeń. Może to prawdopodobnie wynikać z nie wiązaniem wiadomości o prawidłowym żywieniu z własnym stanem zdrowia. Stwierdzona w badanej grupie chorych na OBS otyłość i niska aktywność fizyczna, świadczą o konieczności włączenia do procesu leczenia indywidualnego poradnictwa dietetycznego.
The study was aimed, therefore, at evaluating the nutritional knowledge and selected elements of lifestyle of obese patients with diagnosed obstructive sleep apnea (OSA), treated at the Lower Silesia Center of Pulmonary Diseases in Wroclaw. Assessment of nutritional knowledge was conducted among 49 patients including 12 women and 37 men with diagnosed obstructive sleep apnea (OSA), treated at the Lower Silesia Center of Pulmonary Diseases in Wroclaw. The nutritional knowledge and selected elements of lifestyle were evaluated by means of own-construct, standardized questionnaire elaborated at the Chair of Human Nutrition, Wroclaw University of Life and Environmental Sciences. It included questions from different fields referring to, among others: knowledge on rational nutrition, type of physical activity, frequency of cigarette smoking, etc. Despite the demonstrated some knowledge of good nutrition, its use by patients with OSA in everyday life raises many objections. This could possibly result from the message is not binding on the correct nutrition to their own health. Found in the studied group of patients with OSA obesity and low physical activity, evidence of the need to integrate into the process of treatment of individual dietary counseling.
Źródło:
Roczniki Państwowego Zakładu Higieny; 2010, 61, 3
0035-7715
Pojawia się w:
Roczniki Państwowego Zakładu Higieny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Agreement between Epworth Sleepiness Scale and objective sleep parameters in patients with excessive daytime sleepiness
Autorzy:
Daniłosio, Marek
Wysocki, Jarosław
Prus, Monika
Powiązania:
https://bibliotekanauki.pl/articles/1400398.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
obstructive sleep apnea
excessive daytime sleepiness
Epworth Sleepiness Scale
correlation with sleep parameters
Opis:
Obstructive sleep apnea (OSA) is a disease with a broad social impact. Excessive daytime sleepiness raises suspicion of OSA and together with polysomnography (PSG) is the basis for diagnosis. The Epworth Sleepiness Scale (ESS) is used for objective assessment of daytime sleepiness. Many authors underline a high predictive value of this scale in selecting patients at risk of OSA. Moreover, there is a high agreement between the ESS and PSG. However, some authors oppose the use of this scale. We wanted to verify this issue based on our own data. We enrolled 120 patients who were referred to the Polysomnographic Laboratory, Department of Otolaryngology, Medical University of Warsaw with a suspicion of obstructive sleep apnea. All patients filled out the Epworth Sleepiness Scale. Overnight PSG was performed with 14-channel recordings (Grassm USA), including EEG, EMG, and recordings of the movements of the chest and abdomen. Airflow through the airways was recorded with a nasal-oral temperature probe. PSG was assessed automatically and manually; sleep stages were coded manually for each 30-second interval by a technician. Severity of OSA was assessed based on AHI. There were 96 patients with confirmed OSA and a control group of 24 patients with exclusion of OSA but with different disorders causing excessive daytime sleepiness. The average ESS scores were not significantly different between the subgroups, between genders, and in patients with different severity of OSA. ESS scores did not correlate significantly with any of the tested PSG parameters. In conclusion, the ESS should be used as an additional and only ancillary tool in assessing patients with suspected OSA.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 3; 10-18
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Occurrence of insomnia among patients with diagnosed obstructive sleep apnea
Autorzy:
Daniłosio, Marek
Wysocki, Jarosław
Prus, Monika
Powiązania:
https://bibliotekanauki.pl/articles/1399733.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
obstructive sleep apnea
insomnia
Athens insomnia scale
correlation with sleep variables
Opis:
Obstructive sleep apnea (OSA) is a common problem. Excessive daytime sleepiness raises a suspicion of OSA, which can be confirmed by polysomnography (PSG). Insomnia, in patients with OSA, often manifests itself as excessive daytime drowsiness. The incidence of insomnia among patients with OSA differs in different studies. Thus, we investigated the incidence of insomnia among our patients. We included 120 patients who underwent a workup due to a suspicion of OSA in the Polysomnography Laboratory, Department of Otolaryngology, Medical University of Warsaw, Poland. Patients completed the Athens Insomnia Scale (AIS). All-night PSG was done with 14-channel recordings (Grass®, USA). The severity of OSA was classified according to the apnea-hypopnea index (AHI) values. There were 96 patients with OSA and 24 patients without OSA who served as controls (their sleep disorders and daytime drowsiness were not caused by OSA). The total AIS scores tended to indicate insomnia in the entire sample and in all different subgroups. The mean AIS score was significantly different between the subgroups differing in the severity of apnea. The mean AIS score correlated significantly with sleep latency, latent sleep, and N2 latency. The mean AIS score did not correlate significantly with the AHI. In conclusion, in patients with OSA, insomnia, measured with the AIS, was associated with the severity of apnea, although this relationship was weak.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2018, 7, 1; 16-23
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effects of propofol and dexmedetomidine in sleep videoendoscopy: a comparative study in Ukraine
Autorzy:
Denysenko, Roman
Dichtiaruk, Oleksandr
Naumenko, Oleksandr
Powiązania:
https://bibliotekanauki.pl/articles/1399239.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
dexmedetomidine
obstructive sleep apnea syndrome
propofol
sleep videoendoscopy
Opis:
Introduction: Snoring and obstructive sleep apnea (OSA) are associate with a high socio-economic burden. According to statistics snoring is found in 44% of men and 28% of women aged 30 to 60 years. Treatment involves several main approaches including uvulopalatopharyngoplasty with or without tonsillectomy. Preparation for this procedure includes sleep videoendoscopy. Currently, we mainly use two effective agents, propofol and dexmedetomidine. That said, there is still no consensus on which one is safer and better. Material and methods: The study involved 50 people aged 18 to 62 with a history of snoring and OSA, previously ineligible or insensitive to CPAP therapy, thus preparing for surgical treatment of these disorders. All patients were randomized to two study groups: group 1 with propofol as a sedative and group 2 with dexmedetomidine. Each treatment was divided into three periods: (1) initial testing before the use of intravenous hypnotic agents, (2) sedation, and (3) regaining consciousness. In each period, we measured the following parameters: minute ventilation, respiratory rate, oxygen saturation, blood concentration of hypnotic agent, BIS index. Statistical analysis was performed on IBM SPSS Statistics v. 22. Results: The OAA/S scale showed that the recovery time after sedation was longer for dexmedetomidine than for propofol: 38 ± 10 min and 27 ± 3 min, respectively (p value = 0.305, which means no statistically significant difference between the groups). Based on monitoring of circulation and respiratory rate, heart rate tended to decrease with dexmedetomidine seda tion and increase with propofol infusion. Blood pressure tended to drop in both groups, more so with dexmedetomidine. In the post-sedation period, blood pressure stabilized faster in the propofol group than in the dexmedetomidine group, but it was not statistically significant. Conclusion: According to the study results, there was no statistically significant difference between the propofol or dexmedetomidine groups. However, the paper presents a small series of cases, therefore extensive clinical research is needed to clarify the problem further.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2020, 9, 3; 12-16
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Obstructive sleep apnea risk for driving license applicants in India – A community based study
Autorzy:
Dubey, Abhishek
Bajaj, Darshan K.
Mishra, Apurva
Singh, Balendra P.
Gupta, Vinay
Kant, Surya
Dixit, Swati
Powiązania:
https://bibliotekanauki.pl/articles/2161795.pdf
Data publikacji:
2017-10-18
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
obstructive sleep apnea
drivers
sleepiness
road traffic accidents
STOP-Bang
high blood pressure
Opis:
Objectives: To determine the risk of obstructive sleep apnea (OSA) for male permanent driving license (DL) applicants of Lucknow, India. Material and Methods: In this cross-sectional community based, study body mass index, waist–hip ratio, blood pressure of each subject were determined as an anthropometric parameter along with the history of habit of smoking, tobacco chewing, alcohol consumption. STOP-Bang (Snoring, Tired or sleepy, Observed apnea, high blood Pressure, Body mass index, Age, Neck, Gender) Questionnaire – a scoring risk assessment tool – was applied for assessment of OSA risk (high OSA risk defined by score ≥ 3) for 542 male DL recipients at 2 Regional Transport Office (RTO) centers in Lucknow, India. The statistical software SPSS 17.0 was applied to the testing. Results: In total 23% (N = 125) of participants were found with the risk of OSA. High blood pressure (≥ 140/90 mm Hg) was found for the maximum number of participants (40.5%) followed by neck circumference > 40 cm (17.1%), age (> 50 years old) (15.3%), snoring (12.3%) and tired/sleepy (10.5%). Mean values of age, anthropometric measurements and blood pressure were observed significantly higher (p < 0.001) for participants with the OSA risk. In this population the risk of OSA risk (STOP-Bang score ≥ 3) was observed for 6.7% of young (< 35 years old), 34% of middle (35–45 years old) and 73% of elder age adults (> 45 years old). Conclusions: In view of findings of this study a high number of male driving license applicants were observed with the risk of OSA. Therefore efforts should be made to develop a national screening guideline/protocol for the OSA risk assessment for driving license applicants in India. This may reduce the possibility of road traffic accidents due to the OSA-associated fatigue and drowsiness behind the wheels. Int J Occup Med Environ Health 2018;31(1):25–36
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 1; 25-36
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sleep habits and road traffic accident risk for Iranian occupational drivers
Autorzy:
Ebrahimi, Mohammad Hossein
Sadeghi, Masoumeh
Dehghani, Mohsen
Niiat, Khosro Sadegh
Powiązania:
https://bibliotekanauki.pl/articles/2177390.pdf
Data publikacji:
2015-03-12
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
sleep habits
obstructive sleep apnea
Pittsburgh Sleep Quality Index
PSQI
road accidents
Iran
Opis:
Objectives The aim of this study is to assess the sleep quality and sleep disorders (prevalence of obstructive sleep apnea and sleepiness) among occupational drivers in Iran and to determine which demographic factors and occupational habits are linked to road traffic accidents. Material and Methods In this analytic cross-sectional study 556 occupational road drivers from Shahroud city (in the northeast of Iran) participated, upon a prior verbal informed consent, during 2013–2014. The Pittsburgh Sleep Quality Index (PSQI) standard questionnaire that scored on 7 point scale, the 8-item Epworth Sleepiness Scale (ESS) questionnaire and the 8-question STOP-Bang questionnaire along with demographic information and occupational data were used. To explore the independent factors associated with odds of poor sleep quality and road accident, multiple logistic regression models were used. Results Prevalence of previous road accidents, sleepiness while driving, and obstructive sleep apnea scored ≥ 3 in the study, and drivers accounted for 23.8%, 29%, and 24.8%, respectively. The global mean score of sleep quality and excessive sleepiness score were 5.2 and 4.8, respectively. The main factors related to the odds of poor sleep quality were snoring (odds ratio (OR) = 2.34; 95% confidence interval (CI): 1.15–4.77), smoking (OR = 2.12; 95% CI: 1.15–3.97), and driving times in a day (OR = 1.12; 95% CI: 1.03–1.21). The Epworth Sleepiness Scale (OR = 1.13; 95% CI: 1.07–1.23) and suffering from apnea (OR = 4.89; 95% CI: 1.07–23.83) were the best predictors for odds (increased risk) of road accidents. Conclusions A considerable proportion of Iranian drivers had records of road accidents; poor sleep quality, sleepiness while driving, and sleep disorder breathing (obstructive sleep apnea – OSA). Snoring, smoking, driving time in a day, excessive sleepiness, and presumably apnea increase the odds of poor sleep quality and road traffic accident for Iranian occupational drivers.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2015, 28, 2; 305-312
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Constant Q-transform-based deep learning architecture for detection of obstructive sleep apnea
Autorzy:
Kandukuri, Usha Rani
Prakash, Allam Jaya
Patro, Kiran Kumar
Neelapu, Bala Chakravarthy
Tadeusiewicz, Ryszard
Pławiak, Paweł
Powiązania:
https://bibliotekanauki.pl/articles/24200694.pdf
Data publikacji:
2023
Wydawca:
Uniwersytet Zielonogórski. Oficyna Wydawnicza
Tematy:
sleep apnea
convolutional neural network
constant Q-transform
deep learning
single lead ECG signal
non apnea
obstructive sleep apnea
bezdech senny
sieć neuronowa konwolucyjna
uczenie głębokie
sygnał EKG
obturacyjny bezdech senny
Opis:
Obstructive sleep apnea (OSA) is a long-term sleep disorder that causes temporary disruption in breathing while sleeping. Polysomnography (PSG) is the technique for monitoring different signals during the patient’s sleep cycle, including electroencephalogram (EEG), electromyography (EMG), electrocardiogram (ECG), and oxygen saturation (SpO2). Due to the high cost and inconvenience of polysomnography, the usefulness of ECG signals in detecting OSA is explored in this work, which proposes a two-dimensional convolutional neural network (2D-CNN) model for detecting OSA using ECG signals. A publicly available apnea ECG database from PhysioNet is used for experimentation. Further, a constant Q-transform (CQT) is applied for segmentation, filtering, and conversion of ECG beats into images. The proposed CNN model demonstrates an average accuracy, sensitivity and specificity of 91.34%, 90.68% and 90.70%, respectively. The findings obtained using the proposed approach are comparable to those of many other existing methods for automatic detection of OSA.
Źródło:
International Journal of Applied Mathematics and Computer Science; 2023, 33, 3; 493--506
1641-876X
2083-8492
Pojawia się w:
International Journal of Applied Mathematics and Computer Science
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Letter to the Editor (November 15, 2017) concerning the paper “Screening commercial drivers for obstructive sleep apnea: Validation of STOP-Bang questionnaire”
Autorzy:
Kawada, Tomoyuki
Powiązania:
https://bibliotekanauki.pl/articles/2162020.pdf
Data publikacji:
2018-10-24
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
obstructive sleep apnea
questionnaire
validity
STOP-Bang
commercial drivers
screening
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 5; 697-698
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Reliability of the Epworth Sleepiness Scale and the Berlin Questionnaire for screening obstructive sleep apnea syndrome in the context of the examination of candidates for drivers
Wiarygodność Skali Senności Epworth i Kwestionariusza Berlińskiego w diagnostyce przesiewowej zespołu obturacyjnego bezdechu sennego w kontekście badań kandydatów na kierowców
Autorzy:
Kiciński, Paweł
Przybylska-Kuć, Sylwia M.
Tatara, Kalina
Dybała, Andrzej
Zakrzewski, Maciej
Myśliński, Wojciech
Mosiewicz, Jerzy
Jaroszyński, Andrzej J.
Powiązania:
https://bibliotekanauki.pl/articles/2164235.pdf
Data publikacji:
2016-12-22
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
medycyna pracy
wiarygodność
badania kierowców
zespół obturacyjnego bezdechu sennego
badania ankietowe
polisomnografia
occupational medicine
reliability
drivers’ examinations
obstructive sleep apnea syndrome
questionnaires
polysomnography
Opis:
Background The aim of the study has been to assess the usefulness of the Epworth Sleepiness Scale (ESS) and the Berlin Questionnaire (BQ) for obstructive sleep apnea syndrome (OSAS) screening. The capacity of both tests to discriminate between healthy individuals or with mild OSAS (apnea-hypopnea index (AHI) < 15/h) vs. patients with moderate or severe OSAS (AHI ≥ 15/h) was evaluated. Material and Methods The study encompassed 223 patients with a suspicion of the OSAS. The ESS and BQ were completed by patients unassisted. Screening polysomnography was performed using the Porti SleepDoc. The OSAS was diagnosed when AHI ≥ 15/h or AHI ≥ 5/h with simultaneous occurrence of clinical symptoms. Results The ESS score was found to be significantly higher in the study group compared to the control group (8.9±5.9 vs. 11.6±5.2 pt, p < 0.0001). Otherwise, there were no significant inter-group differences in the percentage of high-risk individuals according to the BQ (83.7% vs. 92.3%, p > 0.05). Sensitivity of the ESS and BQ was 53.2% and 93.1%, respectively while specificity was 58.8% and 16.2%, respectively. Poor correlation between the ESS score and AHI and apnea index were noticed (r = 0.22, p = 0.001 and r = 0.24, p < 0.001, respectively). Conclusions Considering its low sensitivity, the ESS should not be used as a screening test for the OSAS diagnosis amongst candidates for drivers. The BQ is characterised by high sensitivity for the OSAS diagnosis with AHI ≥ 15/h, however, due to low specificity, the questionnaire may increase the number of healthy individuals referred for needless diagnostic procedures. Med Pr 2016;67(6):721–728
Wstęp Celem pracy była ocena przydatności Skali Senności Epworth (SSE) i Kwestionariusza Berlińskiego (KB) w diagnostyce przesiewowej zespołu obturacyjnego bezdechu sennego (obstructive sleep apnea syndrome – OSAS). Oceniono przydatność obu testów do rozróżniania osób zdrowych od osób z łagodnym OSAS (wskaźnik bezdechu i spłyceń oddechu (apnea-hypopnea index – AHI) < 15/godz.) i pacjentów z umiarkowanym lub ciężkim OSAS (AHI ≥ 15/godz.). Materiał i metody Do badania włączono 223 pacjentów z podejrzeniem zaburzeń oddychania w czasie snu, którzy wypełnili SSE i KB. Uproszczoną polisomnografię wykonano z wykorzystaniem urządzeń Porti SleepDoc. W przypadku stwierdzenia AHI ≥ 15/godz. lub AHI ≥ 5/godz. i jednoczesnego występowania objawów klinicznych rozpoznawano OSAS. Wyniki Wynik SSE był istotnie wyższy w grupie badanej niż w grupie porównawczej (8,9±5,9 vs 11,6±5,2 pkt, p < 0,0001), natomiast odsetek osób z wysokim ryzykiem OSAS według KB nie różnił się istotnie w obu grupach (83,7% vs 92,3%, p > 0,05). Czułość SSE wyniosła 53,2%, a KB – 93,1%, natomiast swoistość SSE – 8,8%, a KB – 16,2%. Odnotowano słabą korelację między wynikiem SSE a AHI i wskaźnikiem bezdechów (odpowiednio: r = 0,22, p = 0,001 vs r = 0,24, p < 0,001). Wnioski Ze względu na niską czułość SSE nie powinna być stosowana jako samodzielny test przesiewowy w diagnostyce OSAS u kandydatów na kierowców. Natomiast KB, mimo że cechuje się dużą czułością w rozpoznawaniu umiarkowanego lub ciężkiego OSAS (AHI ≥ 15/godz.), z powodu bardzo niskiej swoistości może przyczyniać się do kierowania osób zdrowych na zbędną diagnostykę. Med. Pr. 2016;67(6):721–728
Źródło:
Medycyna Pracy; 2016, 67, 6; 721-728
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Obstructive sleep disordered breathing in children – an important problem in the light of current European guidelines
Autorzy:
Krzeski, Antoni
Burghard, Marcin
Powiązania:
https://bibliotekanauki.pl/articles/1398219.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
snore
obstructive sleep disordered breathing
polysomnography
obstructive sleep apnea syndrome
Opis:
Obstructive sleep disordered breathing (SDB) is a common clinical problem. An unrecognized and untreated SDB is a serious threat for an intensively developing organism of a child. The consequences of SDB include cardiovascular and neurological complications, growth disorders and enuresis. Therefore, SDB in children becomes an important subject of many scientific investigations, publications and congresses. In 2015 the European Respiratory Society Task Force published a document concerning the conclusions about the diagnostics and treatment of SDB in children and youth from 2 to 18 years of age (Fig. 1). The scientific data from 362 publications were presented in a condensed form of “seven steps”, very useful in diagnosing and treatment planning (1). The authors underline the limited number of the reliable evidence about SDB: prospective studies, randomized double-blinded studies with placebo. The presented evidence was categorized depending on their quality according to the classification of the American Academy of Neurology (ANN) into classes I – IV. Previously, in 2012, the guidelines of the American Academy of Pediatrics on obstructive sleep apnea syndrome (OSAS) in children with tonsillar hypertrophy and/or obesity were published (2, 3) and they were a valuable diagnostic and therapeutic compendium. The European guidelines discussed in this article result from the progress of knowledge in the recent years, they cover the subject broadly, consider rare and difficult cases and present the spectrum of potential therapeutic actions. The aim of the guidelines is a better recognition of SDB, a systematization of diagnosis and treatment at every stage of medical care, including the causes of this disorder and its complications.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 5; 9-16
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Obturacyjny bezdech podczas snu u pacjentów zakwalifikowanych do endarterektomii tętnic szyjnych – badanie wstępne
Autorzy:
Migacz, Ewa
Proczka, Robert
Krzeski, Antoni
Kukwa, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1398301.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
obstructive sleep apnea
snoring
atherosclerosis
atherosclerotic plaque
endarterectomy
Opis:
Wstęp: Związek między obturacyjnym bezdechem podczas snu (OBPS) a miażdżycą jest potwierdzony od wielu lat, choć patomechanizm tego zjawiska nadal nie jest poznany. Celem badania było określenie częstości OBPS u pacjentów zakwalifikowanych do endarterektomii oraz określenie wpływu tej procedury na parametry badania snu i występowanie senności dziennej. Materiał i metody: Do badania włączono 46 pacjentów zakwalifikowanych do endarterektomii otwartej. Przed zabiegiem wykonano badanie snu i zastosowano skalę senności Epworth. U 11 z 46 osób przeprowadzono badania snu także po operacji. Wyniki: Średnia wieku w grupie badanej wyniosła 69,9 lat (± SD = 8,6), 21 pacjentów (45,7%) stanowiły kobiety. Średnia wartość pAHI, ODI, pRDI i procent czasu chrapania wyniosły odpowiednio 16.2 (± SD=15.2), 10.4 (± SD=12.2), 18.9 (± SD=14.9) oraz 9,9 (± SD=17). Prawidłowe wartości pAHI uzyskało 14 pacjentów (30%), podczas gdy łagodny OBPS (pAHI 5–15) zaobserwowano u 13 pacjentów (38%), umiarkowany OBPS (pAHI 15–30) u 11 pacjentów (24%), a ciężki OBPS (pAHI >30) u pacjentów 8 (18%). Średnia wartość skali senności Epworth u 27 z 46 pacjentów wyniosła 6,3 (± SD = 5,6). Pooperacyjne wartości parametrów badania snu u 11 pacjentów nie zmieniły się statystycznie znamiennie. Wnioski: Badanie wykazało występowanie OBPS w stopniu umiarkowanym i ciężkim u 42% pacjentów zakwalifikowanych do endarterektomii, natomiast nie stwierdzono nadmiernej senności w tej grupie. Pokazuje to, że u pacjentów kwalifikowanych do endarterektomii tętnic szyjnych należy wykonać diagnostykę snu w celu wykluczenia OBPS.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 4; 17-20
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ocena występowania wzmożonej senności w ciągu dnia oraz ryzyka obturacyjnego bezdechu podczas snu u kierowców zawodowych komunikacji miejskiej
Excessive daytime sleepiness and risk for obstructive sleep apnea in the public transport drivers
Autorzy:
Minarowski, Łukasz
Chwieśko-Minarowska, Sylwia
Czaban, Marcin
Mickiewicz, Magdalena
Kozakiewicz, Natalia
Kuryliszyn-Moskal, Anna
Chyczewska, Elżbieta
Powiązania:
https://bibliotekanauki.pl/articles/2164386.pdf
Data publikacji:
2015-11-16
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
obturacyjny bezdech senny
ocena ryzyka
kierowcy autobusów miejskich
kwestionariusz STOP-Bang
Skala senności Epworth
polisomnografia
obstructive sleep apnea
risk assessment
public transport drivers
STOP-Bang Questionnaire
Epworth Sleepiness Scale
polysomnography
Opis:
Wstęp Obturacyjny bezdech senny (OBS) to zaburzenie polegające na zwiększonym oporze górnych dróg oddechowych, które wynika m.in. z zapadania się ścian gardła w czasie snu, przerywającego przepływ powietrza do i z płuc. Jednym z poważnych objawów dziennych u chorych z OBS jest występowanie nadmiernej senności. Utrzymująca się wzmożona senność dzienna może prowadzić do zaburzeń kognitywnych, które wpływają na codzienne funkcjonowanie. Materiał i metody Celem pracy była prospektywna ocena występowania wzmożonej senności w ciągu dnia oraz ryzyka wystąpienia obturacyjnego bezdechu podczas snu u zawodowych kierowców autobusów komunikacji miejskiej. Badaniem objęto 103 mężczyzn, u których przeprowadzono anonimowe badanie ankietowe w celu określenia stopnia senności dziennej w skali senności Epworth (Epworth Sleepiness Scale – ESS) oraz ryzyka wystąpienia OBS za pomocą kwestionariusza STOP-Bang (SBQ). Wyniki U 43 respondentów (42%) stwierdzono niskie ryzyko wystąpienia OBS według SBQ, średnie odnotowano u 55 kierowców (53%), a wysokie u 5 kierowców (5%). Znaczna senność prowadząca do zatrzymania pojazdu w trakcie pracy korelowała dodatnio z wyższymi średnimi wartościami ESS (r = 0,32; p < 0,05). U kierowców z wysokim ryzykiem OBS w SBQ nie obserwowano związku ze zwiększoną sennością w ciągu dnia. Wnioski Osoby ze średnim i wysokim ryzykiem OBS według kwestionariusza STOP-Bang powinny być niezwłocznie skierowane do dalszej diagnostyki snu w celu ustalenia dokładnej przyczyny nasilonej senności. Badanie z użyciem kwestionariusza STOP-Bang jest metodą pozwalającą na wyłonienie grupy osób, u których należy wykonać badanie polisomnograficzne. Med. Pr. 2015;66(5):679–685
Background Obstructive sleep apnea (OSA) is a set of symptoms related to the increased upper airways resistance during sleep (due to pharyngeal walls collapse) leading to intermittent airflow obstruction in the lungs. One of the most severe OSA symptoms is excessive daytime sleepiness. Sustained daytime sleepiness may impair cognitive functions and thus influence the everyday functioning of affected person. Material and Methods The aim of the study was to prospectively assess excessive daytime sleepiness and the risk for OSA in municipal bus drivers. The study was performed in a group of 103 men. The anonymous survey comprised Epworth Sleepiness Scale (ESS) for daytime sleepiness assessment and STOP-Bang Questionnaire (SBQ) for OSA risk assessment. Results In 43 (42%) respondents OSA risk was assessed as low, while moderate and high risk was observed in 55 (53%) and 5 (5%) drivers, respectively. Severe daytime sleepiness correlated positively with ESS results (r = 0.32; p < 0.05). In drivers with high OSA risk revealed in SBQ no correlation with high ESS was observed. Conclusions In drivers with moderate and high OSA risk a sleep medicine specialist consultation with a consecutive diagnostic procedures is necessary. STOP-Bang Questionnaire and ESS are the fast tools to identify patients at increased risk for OSA. Med Pr 2015;66(5):679–685
Źródło:
Medycyna Pracy; 2015, 66, 5; 679-685
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Histological evaluation of soft palate tissues in patients with sleep-disordered breathing
Autorzy:
Panek, Justyna
Reszeć, Joanna
Rogowski, Marek
Olszewska, Ewa
Powiązania:
https://bibliotekanauki.pl/articles/1397297.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
CD20
CD3
CD34
S-100 protein
snoring
soft palate
obstructive sleep apnea syndrome
Opis:
Introduction: Sleep is a physiological state essential for the proper functioning of the body. One of the reasons for its disturbance is obstructive sleep apnea syndrome (OSAS). Aim: The aim of this research is the histological evaluation of the soft palate in patients who suffered from various types of OSAS. Material and method: The study group consisted of patients with sleep-disordered breathing (SDB) in the form of primary snoring or OSAS. Patients with chronic tonsillitis, without a history of SDB, were included in the comparative group. Fragments of the mucous of the uvula (study group) and the palatoglossal pillar (comparative group) were obtained during surgery for histological evaluation. Using histological, histochemical and immunohistochemical methods, we assessed the inflammation and its severity (CD3, CD20, CD68), the structure of nerve fibers (S-100) and the size of blood vessels (CD34) in the examined tissue. Results: Patients with OSAS developed a local inflammatory process in the palatal tissues (stronger expression of CD3, CD20, CD68 in patients with OSAS). The severity of the immunohistochemical reaction with CD3 correlated with the stage of OSAS. A higher degree of fibrosis and a higher expression of CD34 and S-100 receptors were observed in patients with OSAS compared to snoring patients and patients from the comparative group. Conclusion: Most likely, snoring due to chronic tissue vibration leads to damage to the nerve fibers in the soft palate, which can intensify episodes of hypopneas during and increase the chance for sleep apneas.
Źródło:
Polish Journal of Otolaryngology; 2020, 74, 1; 6-12
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
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