International consensus document on obstructive sleep apnea

Mediano, Olga; Mangado, Nicolás González; Montserrat, Josep M.; Alonso-Álvarez, M. Luz; Almendros, Isaac; Alonso-Fernández, Alberto; Barbé, Ferrán; Borsini, Eduardo; Caballero‐Eraso, Candelaria; Cano‐Pumarega, Irene; Villafranca, Félix de Carlos; Carmona-Bernal, Carmen; Alduenda, José Luis Carrillo; Chiner, Eusebi; Guevara, José Aurelio Cordero; Manuel, Luis de; Durán-Cantolla, Joaquín; Farré, Ramón; Franceschini, Carlos; Gaig, Carles; Ramos, Pedro Garcia; García‐Río, Francisco; Garmendia, Onintza; García, Teresa Gómez; Pondal, Silvia González; Lecube, Albert; Madrid, Juan Antonio; Carrasco, José Luis Martínez; Masa, Juan F.; Margalef, María José Masdeu; Pérez, Miguel Ángel Muñoz; Lis, Enrique Mirabet; Monasterio, Carmen; Soriano, Nieves Navarro; Fuente, Erika Olea de la; Plaza, Guillermo; Cuesta, Francisco Javier Puertas; Rabec, Claudio; Resano, Pilar; Rigau, David; Roncero, Alejandra; Ruı́z, Concepción; Salord, Neus; Saltijeral, Adriana; Rubio, Gabriel Sampol; Quiroga, Macarena Ángel; Capdevila, Óscar Sans; Teixeira, Carlos; Madueño, Francisco; Togeiro, Sônia Maria; Acevedo, María Fernanda Troncoso; Ramírez, Leslie Katherine Vargas; Urionaguena, Nerea Zabala; Egea, Carlos

doi:10.1016/j.arbr.2021.03.018

Cited by 11 publications

(27 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with difficulties in tongue movements (Figure 5) may have poorer adherence to myofunctional therapy; however, this has not been reported. We note that examination of tongue-tie is not included in any otolaryngological clinical guidelines for evaluating the upper airway in the assessment of SDB [1,38]. However, we firmly believe it should be included.…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing

O’Connor-Reina

García

Alcalá

et al. 2021

JCM

Self Cite

View full text Add to dashboard Cite

Myofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence—only ~10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym®, which is used by patients who have rejected continuous positive airway pressure and other therapies. We compared ear, nose, and throat examination findings, Friedman stage, tongue-tie presence, tongue strength measured using the Iowa oral performance instrument (IOPI), and full polysomnography before and after the 3 months of therapy. Participants were taught how to perform the exercises using the app at the start. Telemedicine allowed physicians to record adherence to and accuracy of the exercise performance. Fifty-four patients were enrolled; 35 (64.8%) were adherent and performed exercises for 15 min/day on five days/week. We found significant changes (p < 0.05) in the apnoea–hypopnoea index (AHI; 32.97 ± 1.8 to 21.9 ± 14.5 events/h); IOPI score (44.4 ± 11.08 to 49.66 ± 10.2); and minimum O2 saturation (80.91% ± 6.1% to 85.09% ± 5.3%). IOPI scores correlated significantly with AHI after the therapy (Pearson r = 0.4; p = 0.01). The 19 patients who did not adhere to the protocol showed no changes. MT based on telemedicine had good adherence, and its effect on AHI correlated with IOPI and improvement in tongue-tie.

show abstract

Section: Discussionmentioning

confidence: 96%

“…Obstructive sleep apnoea-hypopnoea syndrome (OSAHS) is a chronic sleep-related condition, or sleep-disordered breathing (SDB), that is becoming increasingly widespread; it represents a significant health cost [1,2]. According to Eckert [3], the physiopathology of SDB involves a weak muscular response in many patients.…”

Section: Introductionmentioning

confidence: 99%

Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing

O’Connor-Reina

García

Alcalá

et al. 2021

JCM

Self Cite

View full text Add to dashboard Cite

show abstract

“…Since the patients in our study were given a principal diagnosis of SA by a healthcare professional, they should have undergone diagnostic testing confirming SA. Multiple strategies exist for pediatric SA diagnosis and validation and standardization is further required for both children and adult studies [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of sleep apnea in children and adolescents in Colombia according to the national health registry 2017–2021

et al. 2022

View full text Add to dashboard Cite

Objective To describe the sociodemographic and epidemiological characteristics of diagnosis and treatment of pediatric patients with sleep apnea, both central and obstructive, in Colombia between 2017 and 2021. Methods Observational, descriptive, cross-sectional, epidemiological study using the International Classification of Diseases and Related Health Problems as search terms for sleep apnea, based on SISPRO, the Colombian national health registry. Stratification by gender and age groups was performed. We also generated data of the amount of diagnostic and therapeutic procedures performed. A map of prevalence by place of residency was performed. Results National records report 15200 cases of SA between 2017 and 2021, for an estimated prevalence of 21.1 cases by 100000 inhabitants in 2019 the year with the most cases (4769), being more frequent and in the 6 to 11 age group and in males, with a male to female ratio of 1.54:1. The number of cases declined in 2020 and 2021. The map showed a concentration of cases in the more developed departments of the country. Discussion This is the first approximation to a nation-wide prevalence of sleep apnea in Colombia which is lower to what is found in the literature worldwide, including studies performed in Latin America and in Colombia, this could reflect sub diagnosis and sub report. The fact that the highest prevalence was found in males and in the 6–11 age group is consistent with reports in literature. The decrease in cases in 2020 and 2021 could be related to the COVID-19 pandemic impact in sleep medicine services.

show abstract

“…Obstructive sleep apnea (OSA) is a highly prevalent condition, affecting about 27% of the general population (ranging from 9% to 38%) [ 1 , 2 ], and it is associated with outcomes having a great impact on the morbimortality of the general population, such as high blood pressure [ 3 ], coronary artery disease [ 4 , 5 ], stroke [ 6 , 7 ], and sudden death [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Simple and Autonomous Sleep Signal Processing System for the Detection of Obstructive Sleep Apneas

Moscoso-Barrera

Urrestarazu

Alegre

et al. 2022

IJERPH

View full text Add to dashboard Cite

Obstructive sleep apnea (OSA) is a common sleep disorder characterized by repetitive upper airway obstruction, intermittent hypoxemia, and recurrent awakenings during sleep. The most used treatment for this syndrome is a device that generates a positive airway pressure—Continuous Positive Airway Pressure (CPAP), but it works continuously, whether or not there is apnea. An alternative consists on systems that detect apnea episodes and produce a stimulus that eliminates them. Article focuses on the development of a simple and autonomous processing system for the detection of obstructive sleep apneas, using polysomnography (PSG) signals: electroencephalography (EEG), electromyography (EMG), respiratory effort (RE), respiratory flow (RF), and oxygen saturation (SO2). The system is evaluated using, as a gold standard, 20 PSG tests labeled by sleep experts and it performs two analyses. A first analysis detects awake/sleep stages and is based on the accumulated amplitude in a channel-dependent frequency range, according to the criteria of the American Academy of Sleep Medicine (AASM). The second analysis detects hypopneas and apneas, based on analysis of the breathing cycle and oxygen saturation. The results show a good estimation of sleep events, where for 75% of the cases of patients analyzed it is possible to determine the awake/asleep states with an effectiveness of >92% and apneas and hypopneas with an effectiveness of >55%, through a simple processing system that could be implemented in an electronic device to be used in possible OSA treatments.

show abstract

International consensus document on obstructive sleep apnea

Cited by 11 publications

References 51 publications

Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing

Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing

Prevalence of sleep apnea in children and adolescents in Colombia according to the national health registry 2017–2021

Simple and Autonomous Sleep Signal Processing System for the Detection of Obstructive Sleep Apneas

Contact Info

Product

Resources

About