Latest & greatest articles for insomnia

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Top results for insomnia

221. An Official ATS Statement: Impact of Mild Obstructive Sleep Apnea in Adults

. There was no evidence from a single study that treatment of mild OSA reduces all-cause mortality. d The task force members identi?ed speci?c research gaps and made recommendations to address these gaps in knowledge. Introduction OSA is a major public health problem that is characterized by repetitive obstruction of the upper airway resulting in oxygen desaturation and/or arousals from sleep. The International Classi?cation of Sleep Disorders (1) de?nes OSA as the occurrence of predominantly obstructive apneas (...) (cessation of air?ow) and hypopneas (reduction in air?ow) denoted by either an apneahypopnea index (AHI; number of apneas and hypopneas per hour of sleep) of greater than or equal to 15/h or greater than or equal to 5/h accompanied by cardiovascular, neurocognitive, or metabolic consequences. General population-based studies indicate that the prevalence of OSA syndrome de?ned as AHI greater than or equal to 5/h with daytime sleepiness ranges from 3 to 7.5% in adult menandfrom2to3%inadultwomen (2–8

2016 American Thoracic Society

222. Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians

) Insomnia is a major health care problem in the United States. It is defined as dissatisfaction with sleep quantity or quality and is associated with difficulty initiating or maintaining sleep and early-morning waking with inability to return to sleep ( ). Approximately 6% to 10% of adults have insomnia that meets diagnostic criteria ( ). Insomnia is more common in women and older adults ( , ) and can occur independently or be caused by another disease. People with the disorder often experience fatigue (...) . Older adults are more likely to report problems with waking after sleep onset (difficulty maintaining sleep) than they are to report problems with sleep onset latency (time to fall asleep). The goal of treatment for insomnia is to improve sleep and alleviate distress or dysfunction caused by the disorder. Insomnia can be managed with psychological therapy, pharmacologic therapy, or a combination of both. Psychological therapy options include cognitive behavioral therapy for insomnia (CBT-I

2016 American College of Physicians

223. Management of insomnia disorder

, Khawaja IS, Ouellette J, Butler M, Kane RL, Wilt TJ. Management of insomnia disorder. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 159. 2015 Authors' objectives To assess the efficacy, comparative effectiveness, and harms of treatments for insomnia disorder in the general adult population and older adults. Authors' conclusions CBT-I or medical therapy with eszopiclone, zolpidem, and suvorexant improve global and sleep outcomes for insomnia disorder (...) Management of insomnia disorder Management of insomnia disorder Management of insomnia disorder Brasure M, MacDonald R, Fuchs E, Olson CM, Carlyle M, Diem S, Koffel E, Khawaja IS, Ouellette J, Butler M, Kane RL, Wilt TJ Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Brasure M, MacDonald R, Fuchs E, Olson CM, Carlyle M, Diem S, Koffel E

2016 Health Technology Assessment (HTA) Database.

224. Factors that affect simulated driving in patients with obstructive sleep apnoea Full Text available with Trip Pro

Factors that affect simulated driving in patients with obstructive sleep apnoea Objective data for advising sleep apnoea sufferers whether they are at increased risk of an accident when driving http://ow.ly/TWPgm.

2015 ERJ open research

225. CPAP vs Mandibular Advancement Devices and Blood Pressure in Patients With Obstructive Sleep Apnea: A Systematic Review and Meta-analysis. Full Text available with Trip Pro

CPAP vs Mandibular Advancement Devices and Blood Pressure in Patients With Obstructive Sleep Apnea: A Systematic Review and Meta-analysis. Obstructive sleep apnea is associated with higher levels of blood pressure (BP), which can lead to increased cardiovascular risk.To compare the association of continuous positive airway pressure (CPAP), mandibular advancement devices (MADs), and inactive control groups (placebo or no treatment) with changes in systolic BP (SBP) and diastolic BP (DBP (...) ) in patients with obstructive sleep apnea.The databases of MEDLINE, EMBASE, and the Cochrane Library were searched up to the end of August 2015 and study bibliographies were reviewed.Randomized clinical trials comparing the effect of CPAP or MADs (vs each other or an inactive control) on BP in patients with obstructive sleep apnea were selected by consensus. Of 872 studies initially identified, 51 were selected for analysis.Data were extracted by one reviewer and checked by another reviewer. A network meta

2015 JAMA

226. Maxillomandibular Advancement (MMA) Surgery Is An Effective Second or Third-Line Treatment Modality For Morbidly Obese Patients with Obstructive Sleep Apnea (OSA)

efficacious. Specialty/Discipline (General Dentistry) (Oral Surgery) (Orthodontics) (Basic Science) Keywords maxillomandibular advancement; morbid obesity; obstructive sleep apnea; sleep apnea syndromes ID# 2929 Date of submission: 11/03/2015 E-mail Russelldk@uthscsa.edu Author Deborah Russell, DDS Co-author(s) Co-author(s) e-mail Faculty mentor/Co-author Ravikumar Anthony, BDS, MDS, MS Faculty mentor/Co-author e-mail ANTHONYR@uthscsa.edu Basic Science Rationale (Mechanisms that may account (...) Maxillomandibular Advancement (MMA) Surgery Is An Effective Second or Third-Line Treatment Modality For Morbidly Obese Patients with Obstructive Sleep Apnea (OSA) UTCAT2929, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Maxillomandibular Advancement (MMA) Surgery Is An Effective Second or Third-Line Treatment Modality For Morbidly Obese Patients with Obstructive Sleep Apnea (OSA) Clinical Question For morbidly obese

2015 UTHSCSA Dental School CAT Library

227. [Ambulatory measuraments are better tolerated than in-hospital measuraments of sleep apnea.]. (Abstract)

[Ambulatory measuraments are better tolerated than in-hospital measuraments of sleep apnea.]. This study compares self reported measures of sleep quality between groups of patients undergoing ambulatory or in-hospital annual control of Continuous Positive Airway Pressure (CPAP) therapy.70 consecutive Obstructive Sleep Apnea Syndrome (OSAS) patients scheduled for an annual control of CPAP therapy were randomly assigned to either ambulatory or in the hospital conditions. The same recording

2015 Laeknabladid Controlled trial quality: uncertain

228. Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep-disordered breathing in children. Full Text available with Trip Pro

Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep-disordered breathing in children. Obstructive sleep-disordered breathing (oSDB) is a condition that encompasses breathing problems when asleep, due to an obstruction of the upper airways, ranging in severity from simple snoring to obstructive sleep apnoea syndrome (OSAS). It affects both children and adults. In children, hypertrophy of the tonsils and adenoid tissue is thought to be the commonest cause (...) and Goldstein.In the CHAT trial, at seven months, more children in the surgery group had normalisation of respiratory events during sleep as measured by PSG than those allocated to watchful waiting: 153/194 (79%) versus 93/203 (46%) (RD 33%, 95% CI 24% to 42%). In the Goldstein trial, at six months, PSG recordings were similar between groups and in the Sudarsan trial resolution of OSAS (Apnoea/Hypopnoea Index score below 1) did not significantly differ between the adenotonsillectomy and CPAP groups.In the CHAT

2015 Cochrane

229. Insomnia Disorder. (Abstract)

Insomnia Disorder. 26444730 2015 10 15 2018 12 02 1533-4406 373 15 2015 Oct 08 The New England journal of medicine N. Engl. J. Med. CLINICAL PRACTICE. Insomnia Disorder. 1437-44 10.1056/NEJMcp1412740 Winkelman John W JW eng Journal Article Review United States N Engl J Med 0255562 0028-4793 0 Antidepressive Agents 0 Hypnotics and Sedatives YBK48BXK30 Trazodone AIM IM Aged Antidepressive Agents therapeutic use Cognitive Behavioral Therapy Female Humans Hypnotics and Sedatives therapeutic use (...) Male Overweight complications Practice Guidelines as Topic Sleep Initiation and Maintenance Disorders diagnosis physiopathology therapy Trazodone therapeutic use 2015 10 8 6 0 2015 10 9 6 0 2015 10 16 6 0 ppublish 26444730 10.1056/NEJMcp1412740

2015 NEJM

230. No Relationship Between Obstructive Sleep Apnea and Premolar Extraction

No Relationship Between Obstructive Sleep Apnea and Premolar Extraction UTCAT2917, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title No Relationship Between Obstructive Sleep Apnea and Premolar Extraction Clinical Question In orthodontically treated patients, does extracting one premolar from each quadrant contribute to increased prevalence of obstructive sleep apnea as compared to patients with no extractions? Clinical (...) Bottom Line The evidence supports no relationship between premolar extractions and obstructive sleep apnea. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Larsen/2015 5,584 patients between 40 and 70 years old Retrospective medical records review Key results Key Results: 5,584 randomly selected subjects were divided into two equal groups of 2,792. One group had four missing premolars (one in each

2015 UTHSCSA Dental School CAT Library

231. Adaptive Servo-Ventilation for Central Sleep Apnea in Systolic Heart Failure. Full Text available with Trip Pro

fraction and predominantly central sleep apnea.We randomly assigned 1325 patients with a left ventricular ejection fraction of 45% or less, an apnea-hypopnea index (AHI) of 15 or more events (occurrences of apnea or hypopnea) per hour, and a predominance of central events to receive guideline-based medical treatment with adaptive servo-ventilation or guideline-based medical treatment alone (control). The primary end point in the time-to-event analysis was the first event of death from any cause (...) Adaptive Servo-Ventilation for Central Sleep Apnea in Systolic Heart Failure. Central sleep apnea is associated with poor prognosis and death in patients with heart failure. Adaptive servo-ventilation is a therapy that uses a noninvasive ventilator to treat central sleep apnea by delivering servo-controlled inspiratory pressure support on top of expiratory positive airway pressure. We investigated the effects of adaptive servo-ventilation in patients who had heart failure with reduced ejection

2015 NEJM Controlled trial quality: predicted high

232. Channels for the Diagnosis of Obstructive Sleep Apnea: Validity, Diagnostic Accuracy, and Guidelines

for the diagnosis of sleep apnea. Tags ambulatory monitoring, diagnostic tests, polysomnography, sleep disorders, point of care, respiratory, , Sleep apnea, Sleep apnoea, diagnostic test, point-of-care, sleep disordered breathing, sleep studies, sleep study Files Rapid Response Summary of Abstracts Published : September 1, 2015 Related Content Follow us: © 2019 Canadian Agency for Drugs and Technologies in Health Get our newsletter: (...) Channels for the Diagnosis of Obstructive Sleep Apnea: Validity, Diagnostic Accuracy, and Guidelines Channels for the Diagnosis of Obstructive Sleep Apnea: Validity, Diagnostic Accuracy, and Guidelines | CADTH.ca Find the information you need Channels for the Diagnosis of Obstructive Sleep Apnea: Validity, Diagnostic Accuracy, and Guidelines Channels for the Diagnosis of Obstructive Sleep Apnea: Validity, Diagnostic Accuracy, and Guidelines Published on: September 1, 2015 Project Number: RB0901

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

233. Heart Failure and Sleep-Disordered Breathing - The Plot Thickens. (Abstract)

Heart Failure and Sleep-Disordered Breathing - The Plot Thickens. 26323939 2015 09 30 2018 12 02 1533-4406 373 12 2015 Sep 17 The New England journal of medicine N. Engl. J. Med. Heart Failure and Sleep-Disordered Breathing--The Plot Thickens. 1166-7 10.1056/NEJMe1510397 Magalang Ulysses J UJ From the Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Ohio State University Wexner Medical Center, Columbus (U.J.M.); and the Center for Sleep and Circadian Neurobiology, Department (...) -Pressure Respiration methods Sleep Apnea, Central therapy 2015 9 2 6 0 2015 9 2 6 0 2015 10 1 6 0 ppublish 26323939 10.1056/NEJMe1510397

2015 NEJM

234. Effects of a Multi-Component Behavioral Intervention (MCI) for Insomnia on Depressive and Insomnia Symptoms in Individuals with High and Low Depression. Full Text available with Trip Pro

behavioral intervention (MCI) improved both insomnia and depressive symptoms in persons presenting with insomnia and high levels of depression. The sample consisted of 321 individuals with insomnia who participated in a trial of insomnia treatments; 106 participants had high levels of depression (score ≥ 16 on CES-D) at baseline. Participants either received the MCI or a control treatment (sleep education and hygiene booklet). At post-test, participants with high and low levels of depressive symptoms (...) Effects of a Multi-Component Behavioral Intervention (MCI) for Insomnia on Depressive and Insomnia Symptoms in Individuals with High and Low Depression. Insomnia and depression are prevalent and co-occurring conditions that are associated with significant impairment of life. Previous research indicates that cognitive-behavioral interventions for insomnia (CBT-I) can improve both insomnia and depressive symptoms. The aim of the authors in this study was to determine whether a multi-component

2015 Journal of evidence-informed social work

235. Association of incident obstructive sleep apnoea with outcomes in a large cohort of US veterans Full Text available with Trip Pro

Association of incident obstructive sleep apnoea with outcomes in a large cohort of US veterans There is a paucity of large cohort studies examining the association of obstructive sleep apnoea (OSA) with clinical outcomes including all-cause mortality, coronary heart disease (CHD), strokes and chronic kidney disease (CKD).We hypothesised that a diagnosis of incident OSA is associated with higher risks of these adverse clinical outcomes.In a nationally representative cohort of over 3 million (n

2015 EvidenceUpdates

236. Treatment of Older Adults with Insomnia, Agitation, or Delirium with Benzodiazepines

, Gehrman P, Gurubhagavatula I, Al-Shehabi E, Marie E, Schwab R. Effectiveness of ramelteon for insomnia symptoms in older adults with obstructive sleep apnea: a randomized placebo-controlled pilot study. J Clin Sleep Med [Internet]. 2010 Dec 15 [cited 2015 Apr 15];6(6):572-80. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3014244 PubMed: PM21206546 6. Walsh JK, Salkeld L, Knowles LJ, Tasker T, Hunneyball IM. Treatment of elderly primary insomnia patients with EVT 201 improves sleep (...) in the abstract. One RCT compared eszopiclone with placebo 4 and reported a significantly greater improvement in subjective sleep latency with eszopiclone as well as a significantly greater decrease in wake time after sleep onset. No rebound effect was noted and unpleasant taste was the only adverse event more frequently reported in the treatment group. 4 An RCT of ramelteon versus placebo 5 Treatment of Insomnia, Agitation or Delirium with Benzodiazepines 3 reported a statistically significant difference

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

237. In Patients with Obstructive Sleep Apnea (OSA), There is a Greater Prevalence of Sleep Bruxism When Compared to Those Without Obstructive Sleep Apnea

% exhibited obstructive sleep apnea. However, in the group of patients diagnosed with sleep bruxism, that number rose to 4.8%, producing a p value of 95% confidence in the presence of obstructive sleep apnea being a significant factor in producing higher prevalence of sleep bruxism. #2) Hosoya/2014 67 patients with obstructive sleep apnea syndrome in whom sleep apnea occurred 5 or more times per hour Case Control Study Key results The prevalence of sleep bruxism was higher in the patients with obstructive (...) sleep apnea syndrome than it was in the control group. 47.8% of the obstructive sleep apnea syndrome patients were diagnosed with sleep bruxism. The frequency of sleep bruxism was significantly higher with an occurrence of 7.02 events per hour with a standard deviation of 10.1 while the control group exhibits 2.88 event per hour with a 1.47 standard deviation (p Evidence Search ("Sleep Bruxism"[Mesh]) AND "Sleep Apnea, Obstructive"[Mesh] Comments on The Evidence Validity: Groups were randomly

2015 UTHSCSA Dental School CAT Library

238. Continuous Positive Airway Pressure (CPAP) May Immediately Decrease Persistent Hypertension in Patients with Obstructive Sleep Apnea (OSA)

Continuous Positive Airway Pressure (CPAP) May Immediately Decrease Persistent Hypertension in Patients with Obstructive Sleep Apnea (OSA) UTCAT2874, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Continuous Positive Airway Pressure (CPAP) May Immediately Decrease Persistent Hypertension in Patients with Obstructive Sleep Apnea (OSA) Clinical Question In patients with obstructive sleep apnea with uncontrolled (...) hypertension that is not alleviated by medication, can the use of continuous positive airway pressure (CPAP) lower both diastolic and systolic blood pressure? Clinical Bottom Line In patients with obstructive sleep apnea and systemic hypertension that is not controlled by medication, the use of CPAP device can aid in decreasing blood pressure if obstructive sleep apnea is controlled. This is supported by two meta-analyses and a randomized controlled trial that showed clinically a decrease in both systolic

2015 UTHSCSA Dental School CAT Library

239. Occlusal Changes from Obstructive Sleep Apnea Appliances Are Not Self-Limiting and Continue to Progress

Occlusal Changes from Obstructive Sleep Apnea Appliances Are Not Self-Limiting and Continue to Progress UTCAT2857, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Occlusal Changes from Obstructive Sleep Apnea Appliances Are Not Self-Limiting and Continue to Progress Clinical Question In patients who use an obstructive sleep apnea appliance, are the occlusal changes that occur progressive and/or self-limiting? Clinical (...) Bottom Line Occlusal changes due to long-term use of an oral appliance to treat obstructive sleep apnea are not self-limiting and continue to progress. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Pliska/2014 77 adult patients with obstructive sleep apnea (OSA) treated with mandibular advancement splints (MAS). Cohort Study Key results After the study time period of an average 11 years, the authors

2015 UTHSCSA Dental School CAT Library

240. The Cardiovascular Health Benefits of Using Oral Appliance Therapy for Obstructive Sleep Apnea Typically Outweigh the Risks of Tooth Movement and Malocclusion

The Cardiovascular Health Benefits of Using Oral Appliance Therapy for Obstructive Sleep Apnea Typically Outweigh the Risks of Tooth Movement and Malocclusion UTCAT2808, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title The Cardiovascular Health Benefits of Using Oral Appliance Therapy for Obstructive Sleep Apnea Typically Outweigh the Risks of Tooth Movement and Malocclusion Clinical Question Do the cardiovascular (...) health benefits of using oral appliance therapy typically outweigh the risk of tooth movement and malocclusion in an overweight, elderly male with moderate obstructive sleep apnea? Clinical Bottom Line The cardiovascular health benefits of using oral appliance therapy (OAT) typically outweigh the risk of tooth movement and malocclusion in an overweight, elderly male with moderate obstructive sleep apnea (OSA). This is supported by a systematic review and a medical records review. The systematic

2015 UTHSCSA Dental School CAT Library