scholarly journals Wake‐up strokes are linked to obstructive sleep apnea and worse early functional outcome

2021 ◽  
Author(s):  
Tuuli‐Maria Haula ◽  
Juha Puustinen ◽  
Mari Takala ◽  
Anu Holm
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Functional Outcome ◽  
Early Functional Outcome ◽  
Obstructive Sleep

scholarly journals Effect of Obstructive Sleep Apnea on the Functional Outcome of Acute Ischemic Stroke

2019 ◽  
Vol 16 (2) ◽  
pp. 88-94
Author(s):  
Su-Hyun Han ◽  
Kwang-Yeol Park ◽  
Yong Sung Kim ◽  
Jeong-Min Kim ◽  
Seo-Young Lee
Keyword(s):  
Obstructive Sleep Apnea ◽  
Ischemic Stroke ◽  
Sleep Apnea ◽  
Acute Ischemic Stroke ◽  
Functional Outcome ◽  
Obstructive Sleep

scholarly journals Assessing quality of sleep, its functional outcome and excessive day time sleepiness in shift workers and non-shift workers

2019 ◽  
Vol 8 (1) ◽  
pp. 9-14
Author(s):  
Sanjeet Krishna Shresth ◽  
Sanjeev Shrestha ◽  
Lucky Sharma ◽  
Trilok Shrivastava ◽  
Rinki Mahaseth ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Quality ◽  
Functional Outcome ◽  
Shift Work ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Epworth Sleepiness Scale ◽  
Shift Workers ◽  
Obstructive Sleep

Background and Aims: Shift work has been growing more prevalence and involves irregular working hours when compared to daytime work schedule. This study aims to assess sleep quality, its functional outcome, excessive daytime sleepiness and incidence of obstructive sleep apnea between shift and non-shift workers. Methods: The study candidates were randomly drawn Nepalese, from age 18 years and older, and were enrolled between January 2018 to January 2019. The subjects were divided into either: Shift work or Non-Shift work. The assessment measures were done with Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), STOP-BANG and FOSQ-10 (Functional Outcome of Sleep Quality – 10), using a standard form. Results: A total of 358 participants were included in the main study (176 Non-shift workers, and 182 Shift-workers). The mean BMI among the two group were not significantly different (p =0.43). There was significant difference with 25% Non-Shift workers and 41.21% of Shift workers were found to have Abnormal Sleepiness in the Epworth Sleepiness Scale score (p=0.004). Shift workers showed comparatively higher values for Epworth Sleepiness scale compared to Non-Shift workers in Mann-Whitney analysis, with mean rank 194.11 versus 164.39, respectively, p=0.006. Similarly, 26.29% Non-Shift workers and 36.72% Shift workers were found to have abnormal FOSQ-10 scores, χ2 (1) =4.44, p=0.035. 7.95% of Non-Shift workers and 6.59% of Shift-workers were found to have high risk of OSA in STOP BANG questionnaire, with no significant association, p=0.725. Conclusions: Shift work caused excessive daytime sleepiness and had worse functional outcome but did not increase probability of obstructive sleep apnea.

Non-inferiority Of Functional Outcome In Ambulatory Management Of Obstructive Sleep Apnea

2010 ◽  
Author(s):  
Samuel T. Kuna ◽  
Greg Maislin ◽  
Sakhena Hin ◽  
Kathryn Hartwig ◽  
Robert Hachadoorian ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Functional Outcome ◽  
Obstructive Sleep

Noninferiority of Functional Outcome in Ambulatory Management of Obstructive Sleep Apnea

2011 ◽  
Vol 183 (9) ◽  
pp. 1238-1244 ◽  
Author(s):  
Samuel T. Kuna ◽  
Indira Gurubhagavatula ◽  
Greg Maislin ◽  
Sakhena Hin ◽  
Kathryn C. Hartwig ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Functional Outcome ◽  
Obstructive Sleep

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

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