scholarly journals Overnight pulse oximetry for screening of obstructive sleep apnea in at-risk adult patients in the primary care setting: prospective case series

2017 ◽  
Vol 5 (3) ◽  
pp. 215-222 ◽  
Author(s):  
Lap-Kin Chiang ◽  
Cheuk-Wai Kam ◽  
Lorna V. Ng
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Pulse Oximetry ◽  
Care Setting ◽  
Primary Care Setting ◽  
Case Series ◽  
Obstructive Sleep ◽  
Prospective Case Series

scholarly journals Resistant Hypertension and Obstructive Sleep Apnea in the Primary-Care Setting

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
M. Demede ◽  
A. Pandey ◽  
F. Zizi ◽  
R. Bachmann ◽  
M. Donat ◽  
...  
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Resistant Hypertension ◽  
Evaluation System ◽  
Care Setting ◽  
Primary Care Setting ◽  
Obstructive Sleep ◽  
Risk Evaluation System

We ascertained the prevalence of resistant hypertension (RH) among blacks and determined whether RH patients are at greater risk for obstructive sleep apnea (OSA) than hypertensives.Method. Data emanated from Metabolic Syndrome Outcome Study (MetSO), a study investigating metabolic syndrome among blacks in the primary-care setting. Sample of 200 patients (mean age = 63 ± 13 years; female = 61%) with a diagnosis of hypertension provided subjective and clinical data. RH was defined using the JNC 7and European Society guidelines. We assessed OSA risk using the Apnea Risk Evaluation System ARES), defining high risk as a total ARES score ≥6.Results. Overall, 26% met criteria for RH and 40% were at high OSA risk. Logistic regression analysis, adjusting for effects of age, gender, and medical co morbidities, showed that patients with RH were nearly 2.5 times more likely to be at high OSA risk, relative to those with hypertension (OR = 2.46, 95% CI: 1.03–5.88,P<.05).Conclusion. Our findings show that the prevalence of RH among blacks fell within the range of RH for the general hypertensive population (3–29%). However, patients with RH were at significantly greater risk of OSA compared to patients with hypertension.

scholarly journals A new tool to screen patients with severe obstructive sleep apnea in the primary care setting: a prospective multicenter study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Patricia Peñacoba ◽  
Maria Antònia Llauger ◽  
Ana María Fortuna ◽  
Xavier Flor ◽  
Gabriel Sampol ◽  
...  
Keyword(s):  
Primary Care ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Care Setting ◽  
Primary Care Setting ◽  
The Body ◽  
Clinical Test ◽  
Apnea Test ◽  
Second Stage ◽  
Obstructive Sleep

Abstract Background The coordination between different levels of care is essential for the management of obstructive sleep apnea (OSA). The objective of this multicenter project was to develop a screening model for OSA in the primary care setting. Methods Anthropometric data, clinical history, and symptoms of OSA were recorded in randomly selected primary care patients, who also underwent a home sleep apnea test (HSAT). Respiratory polygraphy or polysomnography were performed at the sleep unit to establish definite indication for continuous positive airway pressure (CPAP). By means of cross-validation, a logistic regression model (CPAP yes/no) was designed, and with the clinical variables included in the model, a scoring system was established using the β coefficients (PASHOS Test). In a second stage, results of HSAT were added, and the final accuracy of the model was assessed. Results 194 patients completed the study. The clinical test included the body mass index, neck circumference and observed apneas during sleep (AUC 0.824, 95% CI 0.763–0.886, P < 0.001). In a second stage, the oxygen desaturation index (ODI) of 3% (ODI3% ≥ 15%) from the HSAT was added (AUC 0.911, 95% CI 0.863–0.960, P < 0.001), with a sensitivity of 85.5% (95% CI 74.7–92.1) and specificity of 67.8% (95% CI 55.1–78.3). Conclusions The use of this model would prevent referral to the sleep unit for 55.1% of the patients. The two-stage PASHOS model is a useful and practical screening tool for OSA in primary care for detecting candidates for CPAP treatment. Clinical Trial Registration Registry: ClinicalTrials.gov; Name: PASHOS Project: Advanced Platform for Sleep Apnea Syndrome Assessment; URL: https://clinicaltrials.gov/ct2/show/NCT02591979; Identifier: NCT02591979. Date of registration: October 30, 2015.

scholarly journals 0486 PROCESS IMPROVEMENT INITIATIVE TO INCREASE RECOGNITION OF OBSTRUCTIVE SLEEP APNEA (OSA) IN THE PRIMARY CARE SETTING

SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A181-A181
Author(s):  
S Alagheband ◽  
P Valestra ◽  
L Quintos ◽  
A Tse ◽  
M Weinstein
Keyword(s):  
Primary Care ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Process Improvement ◽  
Care Setting ◽  
Primary Care Setting ◽  
Obstructive Sleep

scholarly journals Endoscopic Harmonic Midline Partial Glossectomy in Obstructive Sleep Apnea

2021 ◽  
pp. 98-104
Author(s):  
A. I. Elkawa ◽  
Y. I. Aglan ◽  
M. A. Hagras
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Case Series ◽  
University Hospital ◽  
Obstructive Sleep ◽  
Case Series Study ◽  
Prospective Case Series ◽  
Series Study ◽  
Partial Glossectomy ◽  
Posterior Midline

Aim: Our study was done to evaluate the role of Endoscopic posterior midline partial glossectomy as a surgical modality for the hypopharyngeal collapse in obstructive sleep apnea patients. Study design: Prospective case series study. Place and Duration of Study: Tanta university hospital, otolaryngology department, from October 2017 till March 2019. Methodology: This was a prospective case series study, conducted on 10 patients from 2017 -2019 with tongue base collapse and normal craniofacial angles, the patients were evaluated preoperative and 6 months postoperative subjectively by Epworth sleepiness scale (ESS) and objectively by polysomnography and lateral cephalometry. Results: Our study included 10 patients with age (mean ± SD48.70±4.08), BMI( mean ±SD24.45±1.56), 5 patients showed a significant reduction in AHI with a success rate of 50% with a significant change in ESS and the non-significant changes in cephalometric parameters. Conclusion: Transoral endoscopic posterior midline partial glossectomy can improve the surgical outcomes of obstructive sleep apnea patients.

scholarly journals Identifying Patients at Risk for Obstructive Sleep Apnea in a Primary Care Practice

2011 ◽  
Vol 24 (2) ◽  
pp. 152-160 ◽  
Author(s):  
M. Grover ◽  
M. Mookadam ◽  
D. Armas ◽  
C. Bozarth ◽  
T. Castleberry ◽  
...  
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Primary Care Practice ◽  
Care Practice ◽  
Obstructive Sleep ◽  
Patients At Risk
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