Screening for Obstructive Sleep Apnea in Adults

Jonas, Daniel E; Amick, Halle R; Feltner, Cynthia; Weber, Rachel Palmieri; Arvanitis, Marina; Stine, Alexander; Lux, Linda J; Harris, Russell

doi:10.1001/jama.2016.19635

Cited by 239 publications

(168 citation statements)

References 163 publications

(502 reference statements)

Supporting

Mentioning

161

Contrasting

Unclassified

Order By: Relevance

“…The major risk factors for OSA are obesity, older age and male gender. Individuals suffering from OSA have increased risk of several adverse health outcomes, including all-cause mortality, traffic accidents, hypertension, type 2 diabetes, coronary heart disease, arrhythmia, heart failure and stroke [50,51,52,53]. The apnoea-hypopnea index (AHI) is the number of complete cessations (apnoea ≥ 10 s) and partial obstructions (hypopneas) of breathing occurring per hour of sleep.…”

Section: Management Of Co-morbiditiesmentioning

confidence: 99%

“…OSA is defined as an AHI of at least 5 events/h. An AHI of ≥5 to <15 events/h is defined as mild OSA, of ≥15 to <30 events/h as moderate OSA and of ≥30 events/h as severe OSA [50]. Polysomnography, the gold standard method to diagnose OSA, provides detailed information on sleep and respiratory and gas exchange abnormalities [50].…”

Section: Management Of Co-morbiditiesmentioning

confidence: 99%

“…An AHI of ≥5 to <15 events/h is defined as mild OSA, of ≥15 to <30 events/h as moderate OSA and of ≥30 events/h as severe OSA [50]. Polysomnography, the gold standard method to diagnose OSA, provides detailed information on sleep and respiratory and gas exchange abnormalities [50]. However, less resource-intensive and validated methods such as home-based sleep monitors may be suitable for clinical practice [54].…”

Section: Management Of Co-morbiditiesmentioning

confidence: 99%

“…Snoring is the most frequent night time symptom of OSA, but it has poor predictive value because snoring without OSA is common in the general population. Other nocturnal symptoms are choking or gasping, frequent arousals, nocturia and excessive sweating [50]. Excessive daytime sleepiness is a commonly reported symptom, which can lead to accidents and poor quality of life.…”

Section: Management Of Co-morbiditiesmentioning

confidence: 99%

See 3 more Smart Citations

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

et al. 2017

View full text Add to dashboard Cite

Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present recommendations, the basic notions needed to provide first-level adequate medical care to post-bariatric patients are summarised. Basic information about nutrition, management of co-morbidities, pregnancy, psychological issues as well as weight regain prevention and management is derived from current evidences and existing guidelines. A short list of clinical practical recommendations is included for each item. It remains clear that referral to a bariatric multidisciplinary centre, preferably the one performing the original procedure, should be considered in case of more complex clinical situations.

show abstract

Section: Management Of Co-morbiditiesmentioning

confidence: 99%

Section: Management Of Co-morbiditiesmentioning

confidence: 99%

Section: Management Of Co-morbiditiesmentioning

confidence: 99%

Section: Management Of Co-morbiditiesmentioning

confidence: 99%

See 2 more Smart Citations

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Obstructive sleep apnea syndrome (OSAS) is considered a more severe form of SDB and can have profound systemic effects that can affect orthopedic outcomes such as neck and shoulder instability and pain. Since the OSAS has been recognized as a major public health problem, many efforts have been made to define and understand this syndrome [13].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Chronic Temporomandibular Joint Pain and Sleep Disordered Breathing by Teledontic and Telegnathic Protocol Utilizing Total Joint Replacement

Yousefian¹,

Brown²,

Bobek³

et al. 2017

OJO

View full text Add to dashboard Cite

Orthopedic clinicians frequently encounter patients with temporomandibular joint (TMJ) pain and associated sleep disordered breathing (SDB) that coexists with the patient's orthopedic conditions. The systemic effects and associated comorbidities caused by TMJ and associated SDB are commonly not recognized as potential contributors to the patient's long-term orthopedic outcome. This article describes a comprehensive and interdisciplinary medical dental treatment, which was able to successfully address patient's severe chronic TMJ, head, neck and shoulder pain as well as other health concerns including SDB. Moreover, a new teledontic and telegnathic treatment protocol and principles utilizing total joint replacement for care of patients with chronic TMJ pain and SDB will be introduced describing a completed case.

show abstract

Screening for Obstructive Sleep Apnea

Redline

2017

JAMA

View full text Add to dashboard Cite

Obstructive sleep apnea (OSA) is highly prevalent, affecting 34% of men and 17% of women. 1 Individuals with OSA experience recurrent cardiometabolic stress when repetitively attempting to breathe against an occluded airway during sleep, leading to nightly episodes of hypoxia, sleep disruption, and surges of the sympathetic nervous system. These physiological perturbations often cause blood pressure and heart rate elevations, endothelial dysfunction, and insulin resistancemechanisms implicated in the pathogenesis of cardiovascular disease (CVD), diabetes, and neurologic disease. 2 When untreated, OSA is associated with an increased risk for incident hypertension, CVD, stroke, and mortality, 3 as well as increased sleepiness, motor vehicle crashes, and mood disorders and reduced quality of life. 4,5 Given its association with CVD, OSA has been proposed as a novel intervention target for reducing morbidity and mortality rates. The quest, however, to improve health by treating OSA requires rigorous research that evaluates the role of OSA interventions in large groups of patients followed up for long periods. Advancing this research agenda requires validated tools for screening appropriate populations and the availability of interventions that effectively treat OSA.In this issue of JAMA, the US Preventive Services Task Force (USPSTF) presents recommendations for screening asymptomatic primary care patients for OSA. 6 Based on a commissioned systematic review, 7 the USPSTF concluded that "the current evidence is insufficient to assess the balance of benefits and harms of screening for OSA in asymptomatic adults. (I statement)" 6 The determination of insufficient evidence was due to the absence of randomized trials assessing the effect of screening and of treatment on clinical outcomes; suboptimal performance characteristics of existing screening instruments; and concern over residual confounding in observational studies. 6,7 The high prevalence of undiagnosed OSA and its attendant morbidity and mortality provide a strong impetus to improve recognition of this disorder. Community-based studies demonstrate that OSA is highly prevalent and underdiagnosed across population groups, especially minorities. Among 14 440 participants in the Hispanic Community Health Study, prevalence of OSA was found to be 25.8% when participants underwent sleep testing. 8 In contrast, only 1.3% of cohort members reported an OSA diagnosis. Similarly, in a community sample of more than 2200

show abstract

Screening for Obstructive Sleep Apnea in Adults

Abstract: IMPORTANCE Many adverse health outcomes are associated with obstructive sleep apnea (OSA).OBJECTIVE To review primary care-relevant evidence on screening adults for OSA, test accuracy, and treatment of OSA, to inform the US Preventive Services Task Force.

Cited by 239 publications

References 163 publications

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

Treatment of Chronic Temporomandibular Joint Pain and Sleep Disordered Breathing by Teledontic and Telegnathic Protocol Utilizing Total Joint Replacement

Screening for Obstructive Sleep Apnea

Contact Info

Product

Resources

About