Dysphagia in patients with moderate and severe obstructive sleep apnea

ConclusionsThe presence of dysphagia in patients with moderate to severe apnea is frequent and subclinical, reinforcing the need to investigate this symptom in this group of patients. However, the presence of dysphagia did not result in worsening in patients' quality of life, suggesting that, although frequent, its effect is mild. There was no relevance regarding the association of clinical and polysomnographic parameters with the presence of dysphagia.ResumoIntroduçãoExistem evidências de que o trauma ocasionado pelo ronco na faringe poderia ocasionar disfagia em pacientes com apneia obstrutiva do sono, mas a literatura ainda é escassa para definir quais seriam os fatores associados à presença da disfagia nesses pacientes.ObjetivoAvaliar a ocorrência de disfagia e seu perfil clínico e polissonográfico em pacientes com apneia obstrutiva do sono moderada e grave além de verificar o impacto da disfagia na qualidade de vida desses pacientes.MétodoForam selecionados 70 pacientes com apneia moderada ou grave (índice de apneia e hipopneia – IAH > 15 hora). Os pacientes foram submetidos a questionário de sono, qualidade de vida em disfagia e videoendoscopia da deglutição.Resultados70 pacientes foram incluídos no estudo, sendo 49 do sexo masculino (70 %), com idade média de 48,9 anos. A videoendoscopia da deglutição apresentou alteraç&...
Source: Brazilian Journal of Otorhinolaryngology - Category: ENT & OMF Source Type: research

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Obstructive sleep apnea (OSA) is very common but is frequently undiagnosed. Symptoms include loud snoring, nocturnal awakening, and daytime sleepiness. Motor vehicle accidents due to drowsy driving are a particular concern. Evaluation and treatment should ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Distraction, Fatigue, Chronobiology, Vigilance, Workload Source Type: news
Abstract Obstructive sleep apnea (OSA) is very common but is frequently undiagnosed. Symptoms include loud snoring, nocturnal awakening, and daytime sleepiness. Motor vehicle accidents due to drowsy driving are a particular concern. Evaluation and treatment should focus on symptomatic patients, both to alleviate symptoms and to potentially decrease cardiovascular risk. In recent years, a strategy of home sleep apnea testing followed by initiation of autotitrating continuous positive airway pressure therapy in the home has greatly reduced barriers to diagnosis and treatment and has also facilitated routine manageme...
Source: Annals of Internal Medicine - Category: Internal Medicine Authors: Tags: Ann Intern Med Source Type: research
Patients interested in testing themselves at home for sleep apnea now have a few more options. Earlier this year Itamar Medical Ltd. introduced its third-generation WatchPAT home sleep apnea test (HSAT), the WatchPAT 300, and in June 2019, it debuted WatchPAT ONE, which the company calls the first and only disposable HSAT in the market. This month Blue Shield of California (BSC) and the Blue Cross Blue Shield Federal Employee Plan (BCBS FEP) included WatchPAT as a covered HSAT, Itamar reported in a news release. It added that changes in the U.S. Centers for Medicare &Medicaid Services (CMS) 2020 Fee Schedule are expect...
Source: MDDI - Category: Medical Devices Authors: Tags: Digital Health Source Type: news
Introduction: In recent years, the prevalence of Obstructive Sleep Apnea (OSA) in the Indian population has increased. Despite this surge, the awareness of OSA in our population is low.Aims: To determine the predisposing risk factors and awareness of OSA in an unselected Indian population.Methods: An Internet-based questionnaire consisting of 14 questions pertaining to various facets of OSA was administered to 1006 subjects via several social media platforms. Given the difficulties in measuring neck circumference in an internet-based survey, a STOP-BAG score was calculated instead of a STOP-BANG score. Increased risk of OS...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Conclusions: Of two commonly used questionnaires to screen for SA, neither the SBQ nor the BQ questionnaire discriminated well between those with or without SA in patients with PAF. Until better screening tools are available PG or PSG needs to be used to detect SA in these patients.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Conclusions: Oropharyngeal exercises and Pranayama are effective in reducing snoring and daytime sleepiness .its also effective in improving in quality of sleep in patients suffering from OSAS.Keywords: obstructive sleep apnea syndrome, daytime sleepiness, oropharyngeal exercises, PSQI.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
This study was conducted among consecutive adults, who were admitted to the Department of Pulmonary Medicine, Marmara University, Istanbul between November 2015 and October 2018. Participants answered the questionnaires and underwent a sleep study with cardiorespiratory polygraphy. OSA was defined as an Apnoe-Hypopnoe-Index (AHI)≥15/h.In all, 1042 adults (334 women; 32.1%) were included. OSA was diagnosed in 589 (56.5%). In the OSA group, women were older (53.7±11.5 vs 47.8± 12.8 yrs; p
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Introduction: OSA has a polygraphic definition based on the HAI. It generates nocturnal desaturation responsible for cellular hypoxia with multi-visceral impact mainly cardiac such as arrhythmias.The purpose of our study was to investigate whether peripheral saturation can be a means of descrambling to diagnose OSAS in a population followed for AF.Methods: Analytical prospective study including 100 patients followed for AF. None of the recruited patients had been followed for OSA before. Each patient had a clinical examination and a polygraphy. Patients were divided into 2 groups: G1: with OSA and G2: without OSA.Results: ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Conclusions: In patients with OSA, sleep quality determines both the physical and the mental component of HRQL, while the physical component is additionally influenced by comorbidities.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Conclusions: OSA frequency is 62.8% in patients with bronchiectasis.50% of patients without main complaints have OSA. PSG should be performed in all patients with bronchiectasis, even if they do not have main complaints about OSA.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Clinical Problems Source Type: research
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