Sleep and Breathing最新文献_第5页

Screening moderate to severe obstructive sleep apnea with wearable device. 利用可穿戴设备筛查中度至重度阻塞性睡眠呼吸暂停。

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-17 DOI: 10.1007/s11325-024-03232-9

James Tisyakorn, Narongkorn Saiphoklang, Tunlanut Sapankaew, Kristina Thapa, Chutiporn Anutariya, Aekavute Sujarae, Chatkarin Tepwimonpetkun

{"title":"Screening moderate to severe obstructive sleep apnea with wearable device.","authors":"James Tisyakorn, Narongkorn Saiphoklang, Tunlanut Sapankaew, Kristina Thapa, Chutiporn Anutariya, Aekavute Sujarae, Chatkarin Tepwimonpetkun","doi":"10.1007/s11325-024-03232-9","DOIUrl":"https://doi.org/10.1007/s11325-024-03232-9","url":null,"abstract":"Background: Obstructive sleep apnea (OSA) is a highly prevalent sleep-related breathing disorder usually diagnosed through polysomnography (PSG). Moderate to severe OSA can significantly increase morbidity and mortality. Existing screening tools have limited accuracy. This study aimed to evaluate the Wellue O2 ring, a commercial pulse oximeter ring, for screening moderate to severe OSA.Methods: A cross-sectional study included adults aged 18 and older suspected of having OSA who underwent PSG while wearing the Wellue O2 ring on their thumb. The oxygen desaturation index (ODI) from both the O2 ring and PSG was recorded. Sensitivity, specificity, and receiver operating characteristic (ROC) curves were calculated to determine the optimal ODI cutoff value for predicting moderate to severe OSA.Results: The study included 190 participants (53.2% male) with an average age of 43 years and an average apnea-hypopnea index (AHI) of 50.4 events per hour. Among the participants, 84.7% had moderate to severe OSA. The optimal cutoff value for 11% ODI was 1.25 events per hour lasting 20 s, with a sensitivity of 87.30% and a specificity of 78.70%. The area under the ROC curve for identifying moderate to severe OSA was 0.91.Conclusions: The Wellue O2 ring demonstrated high accuracy in detecting moderate to severe OSA and could be a viable alternative for screening in clinical settings due to its accessibility and ease of use. However, larger studies are required to validate its clinical utility for diagnosing and managing moderate to severe OSA.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"61"},"PeriodicalIF":2.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Demographic profile of surgical approaches to obstructive sleep apnea in the United States from 2004 to 2020: a descriptive study. 2004 年至 2020 年美国阻塞性睡眠呼吸暂停手术方法的人口统计学概况：一项描述性研究。

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-15 DOI: 10.1007/s11325-024-03197-9

Thomaz A Fleury Curado, Mohamed Abdelwahab, Allen Huang, Flavio T P Oliveira, Ahmed El Abany, Lucas Diniz, Patrícia Dos Santos Cé, N Scott Howard, Sandro Marques, Robson Capasso

{"title":"Demographic profile of surgical approaches to obstructive sleep apnea in the United States from 2004 to 2020: a descriptive study.","authors":"Thomaz A Fleury Curado, Mohamed Abdelwahab, Allen Huang, Flavio T P Oliveira, Ahmed El Abany, Lucas Diniz, Patrícia Dos Santos Cé, N Scott Howard, Sandro Marques, Robson Capasso","doi":"10.1007/s11325-024-03197-9","DOIUrl":"10.1007/s11325-024-03197-9","url":null,"abstract":"Objectives: This study aims to evaluate the quantity, types, and trends of surgical procedures used to treat obstructive sleep apnea (OSA) within a diverse national population, utilizing a comprehensive proprietary healthcare database.Methods: This descriptive observational study analyzed longitudinal data from the Optum Clinformatics® Data Mart databases, covering the period from January 2004 to December 2020. The study included patients aged 18 to 89 years, both male and female, with a confirmed diagnosis of OSA. These patients were either treated with continuous positive airway pressure (CPAP) or underwent surgical interventions.Results: Throughout the study period, 1,250,273 individuals were diagnosed with OSA. The average age at diagnosis was 62 years (SD = 16), with a male predominance of 62.3%, and 75% of the patients were identified as Caucasian. The most frequently performed surgical procedure for OSA was Uvulopalatopharyngoplasty (UPPP). However, the implantable hypoglossal nerve stimulator was more commonly utilized among older patients.Conclusions: This study provides essential insights into the prevalence and characteristics of surgical procedures used in OSA treatment across a diverse national population. The findings underscore the significance of understanding surgical intervention patterns and trends to enhance patient care and outcomes.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"60"},"PeriodicalIF":2.1,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the impact of obstructive sleep apnea on cognitive function in severe COPD. 研究阻塞性睡眠呼吸暂停对重度COPD患者认知功能的影响。

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-14 DOI: 10.1007/s11325-024-03228-5

Kristina Kock Hansen, Anders Løkke, Hanne Irene Jensen, Eline Kirstine Gantzhorn, Ingeborg Farver-Vestergaard, Ole Hilberg

{"title":"Examining the impact of obstructive sleep apnea on cognitive function in severe COPD.","authors":"Kristina Kock Hansen, Anders Løkke, Hanne Irene Jensen, Eline Kirstine Gantzhorn, Ingeborg Farver-Vestergaard, Ole Hilberg","doi":"10.1007/s11325-024-03228-5","DOIUrl":"10.1007/s11325-024-03228-5","url":null,"abstract":"Purpose: This study aimed to examine the association between obstructive sleep apnea (OSA) and cognitive function in patients with severe chronic obstructive pulmonary disease (COPD).Methods: Patients with severe COPD, who had not previously been diagnosed with OSA, were recruited between January 2021 and January 2023. To evaluate cognitive function, the Montreal Cognitive Assessment (MoCA), a continuous reaction time test (CRT) and a driving simulator were used. OSA was identified using a CardioRespiratory Monitor (CRM). Cognitive tests were repeated for patients who were identified with and received treatment for OSA, to determine whether treatment improved cognitive function.Results: In total, 80 patients participated in the study and 50 patients (63%) were diagnosed with OSA, with or without nocturnal desaturation (ND), and six patients (8%) with ND only. Thirty-two patients (40%) had mild OSA and 18 (23%) had moderate/severe OSA. We found no statistically significant difference in the prevalence of cognitive impairment (CI) between patients with and without OSA and/or ND. However, a multiple regression analysis showed that patients with moderate/severe OSA had a significant lower CRT-index, indicating a decrease in attention and reaction time, compared to patients with mild OSA.Conclusion: In patients with COPD and OSA, the degree of CI may depend on the severity of OSA. The 23% prevalence of moderate/severe OSA emphasizes the importance of OSA screening in severe COPD. The study was registered at www.Clinicaltrials: gov in March 2020, with the identification number NCT04458038.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"59"},"PeriodicalIF":2.1,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chinese herbal medicine for obstructive sleep apnoea: a systematic review with meta-analysis. 中药治疗阻塞性睡眠呼吸暂停：荟萃分析的系统综述。

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-12 DOI: 10.1007/s11325-024-03194-y

Yoann Birling, Yu Wu, Matthew Rahimi

{"title":"Chinese herbal medicine for obstructive sleep apnoea: a systematic review with meta-analysis.","authors":"Yoann Birling, Yu Wu, Matthew Rahimi","doi":"10.1007/s11325-024-03194-y","DOIUrl":"10.1007/s11325-024-03194-y","url":null,"abstract":"Purpose: Chinese Herbal Medicine (CHM) may have a place in the treatment of obstructive sleep apnoea (OSA), but the evidence has not been systematically assessed. The objective of this study is to evaluate the evidence for the effectiveness of CHM for OSA.Methods: CENTRAL, EMBase, PubMed, CINAHL, CNKI, Wanfang and Chongqing VIP were searched from database inception to the 13th of August 2023. Randomised-controlled trials in which the effect of CHM on sleep variables was tested in the treatment of OSA were selected. The primary outcomes of this review and meta-analysis were the apnoea hypopnoea index (AHI) measured with polysomnography.Results: A total of 58 studies, involving 4,590 participants, were included. The meta-analysis showed that CHM reduced AHI more significantly than placebo (mean difference = -7.10 events/hour, 95% CI = -11.95, -2.25, P < 0.01, 7 studies, 583 participants) and the combination of CHM and Continuous Positive Airway Pressure (CPAP) more effective than CPAP alone (mean difference = -4.71 events/hour, 95% CI = -5.62, -3.80, P < 0.001, 28 studies, 2,267 participants). CHM improved sleepiness, quality of life, body weight, oxidative biomarkers, inflammatory biomarkers, cognitive function, blood pressure and respiratory function.Conclusion: Our results suggest that CHM, alone and as an adjunct treatment, can improve various aspects of OSA and its comorbidities and is therefore a viable therapeutic option for OSA.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"56"},"PeriodicalIF":2.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In memoriam Professor Karl Heinz Rühle MD-An early pulmonary sleep medicine pioneer: an obituary and short historical review. 在纪念卡尔·海因茨教授<s:1>赫勒医学博士-早期肺睡眠医学先驱：讣告和简短的历史回顾。

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-12 DOI: 10.1007/s11325-024-03224-9

Nikolaus C Netzer, Georg Nilius

引用次数: 0

Correlation between obstructive sleep apnea and serum markers HIF-1, IL-6 and iNOS after lung transplantation. 肺移植术后阻塞性睡眠呼吸暂停与血清标志物HIF-1、IL-6、iNOS的相关性

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-12 DOI: 10.1007/s11325-024-03229-4

Qi Li, Huaqing Yu, Chao Wang, Jingxiao Gu, Hang Yang, Rongrong Wan, Yunyun Zhang, Chunxiao Hu, Xiaochuan Cui

{"title":"Correlation between obstructive sleep apnea and serum markers HIF-1, IL-6 and iNOS after lung transplantation.","authors":"Qi Li, Huaqing Yu, Chao Wang, Jingxiao Gu, Hang Yang, Rongrong Wan, Yunyun Zhang, Chunxiao Hu, Xiaochuan Cui","doi":"10.1007/s11325-024-03229-4","DOIUrl":"https://doi.org/10.1007/s11325-024-03229-4","url":null,"abstract":"Purpose: To analyze the correlation between obstructive sleep apnea (OSA) and hypoxia-inducible factor (HIF)-1, interleukin (IL)-6 and inducible nitric oxide synthase (iNOS) in patients complicated with OSA after lung transplantation. To identify serum markers of OSA after lung transplantation.Methods: We retrospectively selected patients who planned to undergo lung transplantation between 2018 and 2020, including 25 without OSA before lung transplantation (group A), 20 with OSA after lung transplantation (group B), and 15 patients without OSA after lung transplantation (group C). Sleep monitoring was performed, general information collection and hematological samples were collected. HIF-1, IL-6 and iNOS were detected by ELISA.Results: Group B were older [59.2 ± 10.1 (B) vs. 49.8 ± 15.1 (A), 58.2 ± 3.3 (C), yrs.], had a bigger neck circumference [38.1 ± 4.7 (B) vs. 34.6 ± 4.2 (A),35.7 ± 4.2 (C), cm], and a greater abdominal circumference [88.2 ± 12.5 (B) vs. 76.2 ± 7.9 (A), 82.5 ± 6.5 (C), cm] compared with Groups A and C (P < 0.05). iNOS in group B (4784.8 ± 1365.2 (B) vs. 1925.2 ± 1868.5 (A), 2838.7 ± 3015.5 (C), pg/mL) was significantly increased compared to groups A and C (P < 0.05). iNOS was positively correlated with AHI.Conclusions: iNOS is significantly increased in OSA after lung transplantation, and maybe an important indicator of OSA.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"58"},"PeriodicalIF":2.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urges to move and struggles to breathe: restless legs syndrome/WillisEkbom disease in adult patients with obstructive sleep apnea. 催促移动和挣扎呼吸：不宁腿综合征/WillisEkbom病的成人患者阻塞性睡眠呼吸暂停。

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-09 DOI: 10.1007/s11325-024-03230-x

Fernando Gustavo Stelzer, Ygor Arzeno Ferrão, Debora Palma Maia, Liselotte Menke Barea, Helena Maria Tahnnauser Barros, Álan Luiz Éckeli

{"title":"Urges to move and struggles to breathe: restless legs syndrome/WillisEkbom disease in adult patients with obstructive sleep apnea.","authors":"Fernando Gustavo Stelzer, Ygor Arzeno Ferrão, Debora Palma Maia, Liselotte Menke Barea, Helena Maria Tahnnauser Barros, Álan Luiz Éckeli","doi":"10.1007/s11325-024-03230-x","DOIUrl":"https://doi.org/10.1007/s11325-024-03230-x","url":null,"abstract":"Purpose: Recent evidences pointed out that the prevalence of comorbidity of restless legs syndrome/Willis-Ekbom disease (RLS/WED) and obstructive sleep apnea (OSA) is around 20%. Nonetheless its association factors have not been extensively evaluated after the recent modification in diagnostic criteria. We aimed to estimate the prevalence of RLS/WED and its association factors with OSA in an adult sample.Methods: This was a prospective, cross-sectional study including 490 adult patients with OSA diagnosis (apnea-hypopnea index ≥ 5 obstructive events/hour associated to clinical picture). RLS/WED diagnosis was established by the 2014 International Restless Legs Syndrome Study Group (IRLSSG) criteria established by face-to-face interview with a neurologist.Results: The prevalence of RLS/WED was 18.6% (n = 91) and its diagnosis was previously established in 13.2% (n = 12/91). The mean IRLSSG severity score was 17.0 (standard deviation 6.8). RLS/WED was associated with female sex, chronic insomnia symptoms, greater anxiety, and depression severity scores, and with mild obstructive sleep apnea severity. On the other hand, severe obstructive sleep apnea was negatively associated to RLS/WED.Conclusions: Despite being relatively prevalent among patients with OSA, RLS/WED is previously underrecognized in our sample. RLS/WED severity correlated with higher scores on anxiety and depression scales. Chronic insomnia symptoms were the main RLS/WED association factor.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"52"},"PeriodicalIF":2.1,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serum 25(OH)D levels and obstructive sleep apnea syndrome severity in patients without comorbidities: a systematic review and meta-analysis. 无合并症患者血清25(OH)D水平与阻塞性睡眠呼吸暂停综合征严重程度：一项系统回顾和荟萃分析

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-09 DOI: 10.1007/s11325-024-03167-1

Marco Serafin, Martina Vaninetti, Ismahan Mohamed, Luigi Ferini Strambi, Alberto Caprioglio

{"title":"Serum 25(OH)D levels and obstructive sleep apnea syndrome severity in patients without comorbidities: a systematic review and meta-analysis.","authors":"Marco Serafin, Martina Vaninetti, Ismahan Mohamed, Luigi Ferini Strambi, Alberto Caprioglio","doi":"10.1007/s11325-024-03167-1","DOIUrl":"10.1007/s11325-024-03167-1","url":null,"abstract":"Purpose: The aim of the present systematic review was to corroborate existing evidence on how serum25(OH)D levels affect obstructive sleep apnea syndrome (OSAS) severity in the absence of comorbidities.Methods: From inception to May 2024, PubMed, Scopus, and Embase electronic databases were systematically screened to identify randomized controlled trials (RCTs), quasi-RCTs, prospective, and retrospective studies. A strict search protocol was applied following the application of PROSPERO, under the registration number CRD42023468744. The formulated question based on PICO process was: \"how do serum25(OH)D levels affect the severity of OSAS or result in enhanced sleep function?\". Collected results were finally reviewed for meta-analysis and quality assessment according to the ROBINS-I tool.Results: Data from 24 studies were pooled and divided into 15 case-control studies and 9 cross-sectional studies. All studies involved a total of 2640 OSAS subjects and 933 healthy subjects. All studies underwent qualitative analysis whereas only 20 were collected for meta-analysis. Mild OSAS showed 25(OH)D levels non-statistically significant (P = 0.12) than the healthy patients whereas moderate OSAS (P = 0.004) and severe OSAS (P < 0.001) differed significantly from control groups. Meta-regression suggested that OSAS severity correlated inversely to the deficiency of 25(OH)D serum levels. Qualitative assessment and Egger's test revealed an elevated risk of bias but low presence of publication bias, respectively.Conclusion: Serum levels of 25(OH)D were observed to be inversely proportional to OSAS severity in patients without coexisting morbidities. 25(OH)D levels in mild OSAS patients were not significantly different from non-OSAS patients, suggesting vitamin supplementation to improve potential sleep disorders.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"53"},"PeriodicalIF":2.1,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with sleep quality in adolescent pregnant women. 青少年孕妇睡眠质量的相关因素。

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-09 DOI: 10.1007/s11325-024-03205-y

Mayra Ruana de Alencar Gomes, Jordânia Castro Martins Rodrigues, Leila Maria Alvares Barbosa, Anna Myrna Jaguaribe de Lima, Andrea Lemos

{"title":"Factors associated with sleep quality in adolescent pregnant women.","authors":"Mayra Ruana de Alencar Gomes, Jordânia Castro Martins Rodrigues, Leila Maria Alvares Barbosa, Anna Myrna Jaguaribe de Lima, Andrea Lemos","doi":"10.1007/s11325-024-03205-y","DOIUrl":"https://doi.org/10.1007/s11325-024-03205-y","url":null,"abstract":"Objective: To verify the association of sociodemographic, anthropometric, obstetric, lifestyle factors, and depressive symptoms with sleep quality in pregnant adolescents.Method: This cross-sectional study involved pregnant adolescents aged 10 to 19 who received prenatal care in Recife, Pernambuco, Brazil. Data collection included an individual evaluation form and the administration of the Pregnancy Physical Activity Questionnaire (PPAQ), the Pittsburgh Sleep Quality Index (PSQI), and the Beck Depression Inventory (BDI). Prevalence and associations were calculated using Pearson's chi-square test or Fisher's exact test, followed by logistic regression analysis.Results: The study included 386 pregnant adolescents with a mean age of 17 ± 2 years. The prevalence of poor sleep quality was 67.5%. Poor sleep quality was associated with moderate to severe depressive symptoms (OR = 2.21; 95%CI 1.27-3.85), higher education levels (OR = 2.26; 95%CI 1.43-3.57), and the presence of gestational physical symptoms (OR = 1.18; 95%CI 1.10-1.27).Conclusion: Pregnant adolescents exhibit a high prevalence of poor sleep quality, which is linked to depressive symptoms, higher education levels, and gestational physical symptoms. These findings highlight the importance of screening for sleep disorders in this population and emphasize the need for guidelines addressing physical symptoms and their impact on sleep, as well as the presence of depression.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"54"},"PeriodicalIF":2.1,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial variations in maxillomandibular advancement for obstructive sleep apnea: a systematic review and meta-analysis. 阻塞性睡眠呼吸暂停患者上颌下颌前移的种族差异：系统回顾和荟萃分析。

IF 2.1 4区医学

Sleep and Breathing Pub Date : 2024-12-09 DOI: 10.1007/s11325-024-03211-0

Douglas P Nanu, Tanner J Diemer, Shaun A Nguyen, Timothy Tremont, Ted A Meyer, Mohamed Abdelwahab

{"title":"Racial variations in maxillomandibular advancement for obstructive sleep apnea: a systematic review and meta-analysis.","authors":"Douglas P Nanu, Tanner J Diemer, Shaun A Nguyen, Timothy Tremont, Ted A Meyer, Mohamed Abdelwahab","doi":"10.1007/s11325-024-03211-0","DOIUrl":"10.1007/s11325-024-03211-0","url":null,"abstract":"Purpose: We aimed to explore alterations in polysomnographic, cephalometric, and subjective outcomes amongst different ethnic/racial groups after MMA for OSA.Methods: A meta-analysis was performed according to PRISMA reporting guidelines. The COCHRANE Library, CINAHL, PubMed, and Scopus were searched from inception to August 8, 2023. Each measure was weighted according to the number of patients affected. Heterogeneity among studies was assessed using χ2 and I2 statistics with fixed effects (I2 < 50%) and random effects (I2 ≥ 50%).Results: Twenty studies with a total of 469 patients (n = 257 Caucasians, n = 204 Asians, n = 8 Latinos) with a mean patient age of 40.0 years (range: 18-67; 95% CI: 38.0, 42.1). The mean difference for Caucasians were AHI: -39.6 (95% CI: -55.0, -24.1; p <.001), LSAT: 7.5 (95% CI: 5.7, 9.3; p <.0001), and ESS: -4.5 (95% CI: -5.6, -3.4; p <.0001). The mean difference for Asians were AHI: -42.7 (95% CI -49.3, -36.0; p <.0001), LSAT: 13.8 (95% CI: 10.0, 17.4; p <.0001), and ESS: -6.7 (95% CI: -9.9, -3.5; p <.0001). The mean difference for Latinos were AHI: -21.2 (95 CI%: -37.7, -4.6; p =.01), and ESS: -2.0 (-7.9, 3.9; p =.50). Greater reduction of AHI was seen in Asians vs. Caucasians and Asians vs. Latinos. Lastly, the reduction of ESS was significantly better for Asians vs. Caucasians.Conclusion: The study highlights significant variations in MMA outcomes among different ethnic/racial groups. Asians tend to have more severe OSA preoperatively and experience greater postoperative improvements in AHI, LSAT, and ESS compared to Caucasians.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 1","pages":"55"},"PeriodicalIF":2.1,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0