Impact of sleep apnea on economics

Léger, Damien; Bayon, Virginie; Laaban, J. P.; Philip, Pierre

doi:10.1016/j.smrv.2011.10.001

Cited by 166 publications

(112 citation statements)

References 62 publications

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“…Adult motor vehicle accidents related to obstructive sleep apnea are estimated to cost 15.9 billion US dollars annually. 7,8 In the setting of pediatric sleep apnea, health care use increases by more than 215%-236% compared with the baseline population, owing to hospitalizations, multiple clinic visits, and treatment for upper respiratory infections. 9,10 As with other pediatric illnesses, this leads to associated costs when a child must be absent from daycare or school, causing her primary caregiver to miss work or provide childcare.…”

Section: Introductionmentioning

confidence: 99%

Surgical management of sleep-disordered breathing in children

Qualls

Rimell

2015

Operative Techniques in Otolaryngology-Head and Neck Surgery

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Section: Introductionmentioning

confidence: 99%

Surgical management of sleep-disordered breathing in children

Qualls

Rimell

2015

Operative Techniques in Otolaryngology-Head and Neck Surgery

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“…Thus effective screening strategies are required [14]. Untreated OSA has been shown to increase health-care utilization; treatment with CPAP reduces this and its associated costs [15].…”

Section: Discussionmentioning

confidence: 99%

The utility of the elbow sign in the diagnosis of OSA

Diab

2015

Egyptian Journal of Chest Diseases and Tuberculosis

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Background: Obstructive sleep apnea (OSA) is a common condition in which there are intermittent partial and complete limitations in airflow, with associated hypoxia and sympathetic arousals, during sleep. Many patients presenting to our sleep disorders clinic reported being elbowed or poked by their bed partner because of snoring or witnessed apneic spells. The aim of this work is to explore if a screening questionnaire can be used for detection of OSA patients.Methods: A prospective study conducted on patients referred for polysomnography in the form of questionnaire consisting of two questions: (1) Does your bed partner ever poke or elbow you because you are snoring? If yes how many times per night? (2) Does your bed partner ever poke or elbow you because you have stopped breathing? If yes how many times per night? Age, sex, weight and height were collected.Results: Snoring event(s) and apneic event(s) were present in 47 patients, of them 40 patients had OSA (AHI P5) with sensitivity: 82%, specificity: 76%, PPV: 85%, NPV: 71%. There was an increase in the patients being awakened by snoring event(s) and apneic event(s) as the disease severity increased. Age group definition (<50 years) and BMI definition (P35 kg/m 2 ) in patients reporting snoring event(s) add a benefit as a good pretest predictor of OSA.Conclusion: The elbow sign questionnaire is a simple and quick screening tool for OSA with good sensitivity and specificity in comparison to other questionnaires, further studies are needed in other populations to determine its reliability and predictive utility.

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“…34 A literatura apresenta que, indivíduos portadores de AS não tratados, apresentam maior taxa de desemprego, procuram mais os serviços de saúde e tomam mais medicamentos. 35,36 Da amostra estudada, 25% destes relataram tomar medicamentos para hipertensão entre eles betabloqueadores e antagonistas dos receptores de angiotensia, assim como 12,5% relatarão tomar medicamentos pra dislipidemia. Podemos observar que, destes avaliados, relatavam tomar medicamentos, todos apresentavam histórico familiar de primeiro grau pelas mesmas patologias.…”

Section: Pas Pressão Arterial Sistólica; Pad Pressãounclassified