The economic burden of (obstructive) sleep apnea. Costs and implications for Germany based on the results of an international systematic review
DiscussionResearch indicates that (O)SA primarily incurs direct healthcare costs. If left untreated, these costs can increase even before diagnosis. Additionally, indirect costs are linked to absenteeism and presenteeism, particularly in cases where comorbidities such as depression are present. The literature suggests that inadequate diagnosis of OSA can result in significant clinical and financial costs due to limitations in screening procedures. In the USA, Denmark and Germany, inpatient costs are typically higher than outpatient costs. However, it is important to note that the high costs in Germany are primarily due to ...
Source: Journal of Public Health - May 17, 2024 Category: Health Management Source Type: research
The Risk of Obstructive Sleep Apnea in Patients with Primary Muscle Tension Dysphonia
AbstractTo explore the risk of obstructive sleep apnea (OSA) in patients with primary muscle tension dysphonia (MTD). The medical records of patients diagnosed with primary MTD between November 2021 and March 2023, were reviewed. The risk of having OSA was assessed by looking at the scores of two validated questionnaires, namely the STOP-BANG questionnaire and the Berlin questionnaire. A total of 40 patients with primary MTD were enrolled in this study, including 16 females (40%) and 24 males (60%). The mean total STOP-BANG score was 3.57 ± 1.67. Seventeen of the study group had intermediate risk of OSA, and 14 had h...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 17, 2024 Category: ENT & OMF Source Type: research
Effectiveness of remote monitoring in improving CPAP compliance and the impact of preexisting organisation of standard care: a randomised controlled trial
CONCLUSIONS: In patients with severe OSA with standard intensive follow-up during the initial weeks of CPAP therapy and good compliance, telemonitoring did not improve CPAP compliance nor the clinical outcome in the short or long term. The practical consequences can be highly relevant for patients and healthcare professionals.PMID:38755506 | DOI:10.1007/s11325-024-03042-z (Source: Sleep and Breathing)
Source: Sleep and Breathing - May 16, 2024 Category: Sleep Medicine Authors: Stephan van der Kleij Ingrid de Backer Barbara Hanraets Johan Verbraecken Jerryll Asin Source Type: research
Effectiveness of remote monitoring in improving CPAP compliance and the impact of preexisting organisation of standard care: a randomised controlled trial
CONCLUSIONS: In patients with severe OSA with standard intensive follow-up during the initial weeks of CPAP therapy and good compliance, telemonitoring did not improve CPAP compliance nor the clinical outcome in the short or long term. The practical consequences can be highly relevant for patients and healthcare professionals.PMID:38755506 | DOI:10.1007/s11325-024-03042-z (Source: Sleep and Breathing)
Source: Sleep and Breathing - May 16, 2024 Category: Sleep Medicine Authors: Stephan van der Kleij Ingrid de Backer Barbara Hanraets Johan Verbraecken Jerryll Asin Source Type: research
Obstructive Sleep Apnea and Oxygenation in Very Old Adults: A Propensity-Score Match Study
This study aimed to evaluate disparities in respiratory polygraphy/polysomnography parameters among patients with OSA, stratified by age and sex. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 16, 2024 Category: Health Management Authors: Ana Isabel Soria Robles, Cristina Aguado Blanco, Mar ía Juárez España, Fernando Andrés Pretel, María Llanos Massó Núñez, María Sol Vizcaíno García, Pedro Abizanda, Ramón Coloma Navarro Tags: Original Study Source Type: research
Artificial Intelligence Interpretation of the Electrocardiogram: A State-of-the-Art Review
AbstractPurpose of ReviewArtificial intelligence (AI) is transforming electrocardiography (ECG) interpretation. AI diagnostics can reach beyond human capabilities, facilitate automated access to nuanced ECG interpretation, and expand the scope of cardiovascular screening in the population. AI can be applied to the standard 12-lead resting ECG and single-lead ECGs in external monitors, implantable devices, and direct-to-consumer smart devices. We summarize the current state of the literature on AI-ECG.Recent FindingsRhythm classification was the first application of AI-ECG. Subsequently, AI-ECG models have been developed fo...
Source: Current Cardiology Reports - May 16, 2024 Category: Cardiology Source Type: research
Time delays between physiological signals in interpreting the body ’s responses to intermittent hypoxia in obstructive sleep apnea
Objective. Intermittent hypoxia, the primary pathology of obstructive sleep apnea (OSA), causes cardiovascular responses resulting in changes in hemodynamic parameters such as stroke volume (SV), blood pressure (BP), and heart rate (HR). However, previous studies have produced very different conclusions, such as suggesting that SV increases or decreases during apnea. A key reason for drawing contrary conclusions from similar measurements may be due to ignoring the time delay in acquiring response signals. By analyzing the signals collected during hypoxia, we aim to establish criteria for determining the delay time between ...
Source: Physiological Measurement - May 16, 2024 Category: Physiology Authors: Geng Li, Mengwei Zhou, Xiaoqing Huang, Changjin Ji, Tingting Fan, Jinkun Xu, Huahui Xiong and Yaqi Huang Source Type: research
A case of accidental self-enucleation caused by obstructive sleep apnea
Journal of Clinical Sleep Medicine, Ahead of Print. (Source: Journal of Clinical Sleep Medicine : JCSM)
Source: Journal of Clinical Sleep Medicine : JCSM - May 16, 2024 Category: Sleep Medicine Authors: Nataliia BakerCarlos H. SchenckErin GoldenRanji Varghese1St. Cloud Sleep Medicine Center, St. Cloud, Minnesota2Minnesota Regional Sleep Disorders Center, and Departments of Psychiatry, Hennepin County Medical Center and University of Minnesota Medical Sch Source Type: research
Effectiveness of remote monitoring in improving CPAP compliance and the impact of preexisting organisation of standard care: a randomised controlled trial
ConclusionsIn patients with severe OSA with standard intensive follow-up during the initial weeks of CPAP therapy and good compliance, telemonitoring did not improve CPAP compliance nor the clinical outcome in the short or long term. The practical consequences can be highly relevant for patients and healthcare professionals. (Source: Sleep and Breathing)
Source: Sleep and Breathing - May 16, 2024 Category: Respiratory Medicine Source Type: research
Time delays between physiological signals in interpreting the body's responses to intermittent hypoxia in obstructive sleep apnea
Objective. Intermittent hypoxia, the primary pathology of obstructive sleep apnea (OSA), causes cardiovascular responses resulting in changes in hemodynamic parameters such as stroke volume (SV), blood pressure (BP), and heart rate (HR). However, previous studies have produced very different conclusions, such as suggesting that SV increases or decreases during apnea. A key reason for drawing contrary conclusions from similar measurements may be due to ignoring the time delay in acquiring response signals. By analyzing the signals collected during hypoxia, we aim to establish criteria for determining the delay time between ...
Source: Physiological Measurement - May 16, 2024 Category: Physiology Authors: Geng Li, Mengwei Zhou, Xiaoqing Huang, Changjin Ji, Tingting Fan, Jinkun Xu, Huahui Xiong and Yaqi Huang Source Type: research
Metabolic surgery results in greater metabolic benefits in patients who achieve healthy weight
CONCLUSIONS: Healthy weight was a more stringent target for patients who underwent metabolic surgery than the %TWL. Populations with a preoperative BMI of <34.9 kg/m2 were prone to realize the goal. Additional weight loss interventions could be considered for those with higher preoperative BMIs and enforced within 1 year postoperatively.PMID:38749782 | DOI:10.1016/j.soard.2024.04.013 (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - May 15, 2024 Category: Surgery Authors: Yuanyuan Shen Bingqing Zhang Xinyun Hu Ningjing Zhang Yuanhao Huang Tao Han Xitai Sun Xinyue Xiang Yan Bi Wenjuan Tang Wenhuan Feng Source Type: research
Validation of the Sleepiz One + as a radar-based sensor for contactless diagnosis of sleep apnea
CONCLUSION: The Sleepiz One + device is a valid diagnostic tool for patients with moderate to severe OSA. It can also be easily used in the home environment and is therefore beneficial for e.g. immobile and infectious patients. TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION FOR PROSPECTIVELY REGISTERED TRIALS: This study was registered on clinicaltrials.gov (NCT04670848) on 2020-12-09.PMID:38744804 | DOI:10.1007/s11325-024-03057-6 (Source: Sleep and Breathing)
Source: Sleep and Breathing - May 14, 2024 Category: Sleep Medicine Authors: Jonas Alexander Gross-Isselmann Torsten Eggert Alina Wildenauer Sarah Dietz-Terjung Martina Grosse Sundrup Christoph Schoebel Source Type: research
Obstructive sleep apnea and mortality: a risk assessment
Sleep Breath. 2024 May 14. doi: 10.1007/s11325-024-03060-x. Online ahead of print.NO ABSTRACTPMID:38743324 | DOI:10.1007/s11325-024-03060-x (Source: Sleep and Breathing)
Source: Sleep and Breathing - May 14, 2024 Category: Sleep Medicine Authors: Tomoyuki Kawada Source Type: research
Obstructive sleep apnea and mortality: a risk assessment
(Source: Sleep and Breathing)
Source: Sleep and Breathing - May 14, 2024 Category: Respiratory Medicine Source Type: research
Validation of the Sleepiz One + as a radar-based sensor for contactless diagnosis of sleep apnea
ConclusionThe Sleepiz One + device is a valid diagnostic tool for patients with moderate to severe OSA. It can also be easily used in the home environment and is therefore beneficial for e.g. immobile and infectious patients.Trial registration number and date of registration for prospectively registered trialsThis study was registered on clinicaltrials.gov (NCT04670848) on 2020 –12-09. (Source: Sleep and Breathing)
Source: Sleep and Breathing - May 14, 2024 Category: Respiratory Medicine Source Type: research
