Telemonitoring and automated messages improve CPAP adherence

(American Thoracic Society) Patients with obstructive sleep apnea (OSA) are more likely to use CPAP, or continuous positive airway pressure, when their use is telemonitored and they receive individualized, automated messages that reinforce therapy adherence, according to a randomized, controlled trial published in the American Journal of Respiratory and Critical Care Medicine.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

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Authors: Valladares EM, Hammond TC Abstract Positive airway pressure (PAP) therapy has been the standard treatment of choice for sleep disordered breathing, with 29-83% of patients being noncompliant. With the advent of newly Food and Drug Adminisatration (FDA)-approved implantable stimulators for treating sleep disordered breathing in a fraction of noncompliant PAP therapy patients, the landscape of sleep medicine and sleep technology is changing to narrow the gap between compliant and non-compliant patients. The remedÄ“® System for treating central sleep apnea and the Inspire® upper airway stimulation (UA...
Source: The Neurodiagnostic Journal - Category: Neurology Tags: Neurodiagn J Source Type: research
ConclusionInitiation of PAP therapy in elderly patients with overlap syndrome is associated with a reduction in hospitalization for COPD-related conditions, but not for all-cause hospitalizations and ER visits.
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
Maxillomandibular advancement (MMA) has been shown to effectively improve respiratory parameters for patients with obstructive sleep apnea (OSA). It offers high rates of success as measured by the apnea-hypopnea index (AHI), subjective symptoms, and health-related quality of life measures. However, few reports address the changes in sleep quality and architecture that occur after MMA or compare post-MMA patients with normal control groups. MMA shows the ability to improve AHI, oxygen saturation index (ODI), and lowest oxygen saturation, which should translate to better sleep quantity and quality.
Source: Dental Abstracts - Category: Dentistry Tags: Inquiry Source Type: research
Obstructive sleep apnea (OSA) is characterized by repetitive pharyngeal collapse during sleep. The result is fragmented sleep, excessive daytime sleepiness; hypoxia and hypercarbia; decreased vigilance, motor coordination, and executive function; depression; and decreased quality of life. If untreated, the patient can develop hypertension, arrhythmias, congestive heart failure, a higher risk for cardiovascular events, and type 2 diabetes mellitus. Both stroke and all-cause mortality are both increased as OSA increases in severity.
Source: Dental Abstracts - Category: Dentistry Tags: Inquiry Source Type: research
This study evaluates the effect of HGNS therapy on autonomic output, using PAT-integrated polysomnography.MethodsSubjects included adult patients undergoing 2-month post-operative HGNS titration studies with PAT-integrated polysomnography. Apneic and hypopneic events with arousal during stage 2 sleep were identified at increasing levels of stimulation. With each event, PAT signal attenuations were recorded, processed, and analyzed.ResultsNine subjects were enrolled, and eight met inclusion criteria (mean age 67.8  ± 12.4 years; 50% female). The PAT signal did not significantly change before and du...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
AbstractPurpose of ReviewComorbidity of posttraumatic stress disorder (PTSD) and insomnia, nightmares, and obstructive sleep apnea (OSA) is high. We review recent research on psychotherapeutic and pharmacological interventions for sleep disorders in PTSD.Recent FindingsPTSD treatments decrease PTSD severity and nightmare frequency, but do not resolve OSA or insomnia. Research on whether insomnia hinders PTSD treatment shows mixed results; untreated OSA does interfere with PTSD treatment. Cognitive behavioral therapy for insomnia is the recommended treatment for insomnia; however, optimal ordering with PTSD treatment is unc...
Source: Current Psychiatry Reports - Category: Psychiatry Source Type: research
This study clearly demonstrated that obesity can lead to higher cognitive impairments. Since childhood IQ and obesity are linked, others investigated whether maternal pre-pregnancy obesity can impact the child’s neurological development. More than 30 thousand women were included; their pre-pregnancy BMI was calculated and the children’s IQ scores were assessed at 7 years of age. The results indicated that women with a BMI of around 20 kg/m2 had children with the highest IQ scores. In contrast, maternal obesity (BMI 30 kg/m2) was associated with lower total and verbal IQ scores. More importantly, excessive weigh...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior Brain Blogger Children and Teens Health-related Publishers Research adult obesity Childhood Obesity childhood obesity and intelligence Iq pre-pregnancy obesity Source Type: blogs
Condition:   Obstructive Sleep-Apnea Syndrome Intervention:   Sponsor:   Sakarya University Recruiting
Source: - Category: Research Source Type: clinical trials
Are cardiac surgical patients who are at high risk for obstructive sleep apnea at increased risk for postoperative atrial fibrillation?Anesthesia &Analgesia
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news
Obstructive sleep apnea (OSA) is a highly prevalent condition in the context of the global obesity epidemic with significant medical comorbidities and psychosocial implications. The first-line treatment of OSA is continuous positive airway pressure (CPAP). There is evidence to demonstrate an association between nasal obstruction and OSA. Therefore, medications and surgical interventions to address nasal obstruction may play a role in the treatment of OSA. In addition, surgical correction of nasal obstruction has been shown to improve CPAP tolerance and compliance.
Source: Otolaryngologic clinics of North America - Category: ENT & OMF Authors: Source Type: research
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