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The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on insomnia or other clinical topics then use Trip today.
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Impact of a behavioural sleep intervention on symptoms and sleep in children with attention deficit hyperactivity disorder, and parental mental health: randomised controlled trial. To examine whether behavioural strategies designed to improve children's sleep problems could also improve the symptoms, behaviour, daily functioning, and working memory of children with attention deficit hyperactivity disorder (ADHD) and the mental health of their parents.Randomised controlled trial.21 general (...) paediatric practices in Victoria, Australia.244 children aged 5-12 years with ADHD attending the practices between 2010 and 2012.Sleep hygiene practices and standardised behavioural strategies delivered by trained psychologists or trainee paediatricians during two fortnightly consultations and a follow-up telephone call. Children in the control group received usual clinical care.At three and six months after randomisation: severity of ADHD symptoms (parent and teacher ADHD rating scale IV-primary outcome
Association between asthma and risk of developing obstructivesleepapnea. Obstructivesleepapnea (OSA) is more common among patients with asthma; whether asthma is associated with the development of OSA is unknown.To examine the prospective relationship of asthma with incident OSA.Population-based prospective epidemiologic study (the Wisconsin Sleep Cohort Study) beginning in 1988. Adult participants were recruited from a random sample of Wisconsin state employees to attend overnight (...) polysomnography studies at 4-year intervals. Asthma and covariate information were assessed during polysomnography studies through March 2013. Eligible participants were identified as free of OSA (apnea-hypopnea index [AHI] of <5 events/h and not treated) by 2 baseline polysomnography studies. There were 1105 4-year follow-up intervals provided by 547 participants (52% women; mean [SD] baseline age, 50  years).Questionnaire-assessed presence and duration of self-reported physician-diagnosed asthma.The
Respiratory muscle training may improve respiratory function and obstructivesleepapnoea in people with cervical spinal cord injury. This is a double-blind crossover case study series.The objective of this study was to assess the feasibility of respiratory muscle training (RMT) as an effective intervention to improve lung function and obstructivesleepapnoea (OSA) in cervical spinal cord injury (SCI) patients.This study was conducted in Australia.Three adults (C5-6, AIS A-C) participated (...) (ESS) were measured before and after every 4 weeks of training.After active RMT, vital capacity and inspiratory capacity improved from baseline in all participants (by 44%, 60% and 18% and by 18%, 46% and 5%, respectively); MIP improved by 40 and 17% from baseline in two subjects; and MEP improved in all participants. Two participants had OSA, and after active training their obstructiveapnoea-hypopnoea index improved from 30 to 21events per hour and from 72 to 18 events per hour, and ESS
. Because of this interconnection, the term “secondary insomnia” that was formerly used to denote insomnia that occurred as a consequence of a medical or psychiatric condition, has been replaced by the term “comorbid insomnia.” 22 If the insomnia is associated with another sleepdisorder (e.g., obstructivesleepapnea), sleep physician assistance is required to address the other sleepdisorder as a priority. USEFUL CLINICAL TOOLS FOR PRACTICES Currently there is no validated sleepdisorders (...) is at the discretion of the primary care provider and should be based on the following criteria: ? Another primary sleepdisorder is suspected such as: obstructivesleepapnea, a movement disorder in sleep, a parasomnia or complex comorbid insomnia. ? The primary care provider has attempted a reasonable time frame, e.g., at least a six to twelve week trial of treatment with limited to no success. ? The primary care provider has specific concerns that require additional expertise to evaluate the patient’s problem
drug for sleep disturbance associated with jet lag is based on limited evidence of benefit and potential risks of treatment. The ASSM publication recommends the short-term use of a hypnotic drug for the treatment of jet lag-induced sleep disturbance and insomnia based on an evaluation of nine studies (including three high-quality RCTs), but highlights the risks of adverse effects such as global amnesia, and states that the effects on daytime symptoms of jet lag disorder are unproven and have (...) Sleepdisorders - shift work and jet lag: Scenario: Jet lag Scenario: Jet lag | Management | Sleepdisorders - shift work and jet lag | CKS | NICE Search CKS… Menu Scenario: Jet lag Sleepdisorders - shift work and jet lag: Scenario: Jet lag Last revised in November 2019 Scenario: Jet lag From age 16 years onwards. Jet lag If a person is experiencing troublesome sleep disturbance and other associated with jet lag: Advise on sources of information and support, such as: The NHS patient leaflet
in repeated, reversible blood oxygen desaturation and sleep fragmentation. 1 The prevalence of OSA, defined by an apnea-hypopnea index (AHI) = 5 events/hour, was 9% in women and 24% in men in a random sample of Wisconsin state employees ages 30 to 60 years, and is increased with male gender, obesity, and age. 2 When defined as a clinical syndrome (AHI = 5 events/hour combined with significant sleepiness), OSA has a prevalence of 2% in women and 4% in men. 2 A Canadian Community Health Survey in 2009 (...) with mild to moderate obstructivesleepapneasyndrome (OSAS). In patients with severe OSAP, CPAP remains the treatment of first choice.” (p 1289) Research question 2 (clinical effectiveness of CPAP compared with lifestyle changes for the treatment of sleepapnea) Thomasouli, 13 2013 Weight reduction CPAP + diet reduced weight by -2.64 kg (95% CI -3.98 to - 1.30) compared to diet alone. Test for heterogeneity showed no significant heterogeneity across trials (P > 0.10, I 2 50%) Neurobehavioral outcomes
. Citation Hedner J, Ejnell H, Grote L, Liljegren A, Sjögren P, Svedmyr S, Wikberg Adania U, Jivegård L . Hypoglossal nerve stimulation (HGNS) for treatment of obstructivesleepapnea. Gothenburg: The Regional Health Technology Assessment Centre (HTA-centrum). HTA-rapport 2015:78. 2015 Authors' conclusions This report assessing the evidence for hypoglossal nerve stimulation therapy in patients with obstructivesleepapnoea refractory to continuous positive airway pressure shows that the therapy may (...) Hypoglossal nerve stimulation (HGNS) for treatment of obstructivesleepapnea Hypoglossal nerve stimulation (HGNS) for treatment of obstructivesleepapnea Hypoglossal nerve stimulation (HGNS) for treatment of obstructivesleepapnea Hedner J, Ejnell H, Grote L, Liljegren A, Sjögren P, Svedmyr S, Wikberg Adania U, Jivegård L Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database
$1,200 higher per patient compared to those without insomnia. Likewise, obstructivesleepapnea (OSA) is associated with increased utilization of health care resources, and excess morbidity and mortality. Epidemiological studies estimate that the prevalence of OSA has increased, owing to increased prevalence of obesity. Shift worker disorder, restless legs syndrome (RLS), and excessive daytime sleepiness and fatigue also carry societal cost burden associated with lack of, or suboptimal, therapy (...) Young T, Peppard PE, Gottlieb DJ, authors. Epidemiology of obstructivesleepapnea. Am J Respir Crit Care Med. 2002;165:1217–39. [ ] 2 Gottlieb DJ, Yenokyan G, Newman AB, et al., authors. Prospective study of obstructivesleepapnea and incident coronary heart disease and heart failure: the Sleep Heart Health Study. Circulation. 2010;122:352–60. [ ][ ] 3 Hossain J, Shapiro C, authors. The prevalence, cost implications, and management of sleepdisorders: an overview. SleepBreath. 2002;6:85–102
since the last guideline. This search was updated again on February 28, 2013, to capture the latest literature. A total of 324 citations were identified in PubMed and supplemented by pearling (i.e., checking the reference sections of search results for articles otherwise missed). The literature search in Embase was performed using a combination of disorder and treatment terms. The disorder terms were: sleepapnea, sleepapnoea, sleepapneasyndrome, sleep-related breathingdisorders, or sleep (...) review paper and 2006 practice parameter paper were included for data analysis if they met the study inclusion criteria. For PICO questions 7 and 11, due to lack of RCTs, we relied on prospective observational studies. The literature search in PubMed was conducted using a combination of MeSH terms and keywords. The MeSH terms were: SleepApneaSyndromes, Snoring, Orthodontic Appliances, and Mandibular Advancement/Instrumentation. The keywords were: sleepapnea, sleepapnoea, sleep-related breathing
-hour light-dark cycle and clock times. Thus, patients exhibit sleep-wake patterns that show a progressive delay (usually) or advance, depending upon the period length (tau) of their endogenous circadian rhythms. During a symptomatic period, the time of high sleep propensity gradually shifts, such that patients experience daytime hypersomnolence and nighttime insomnia. Most patients with N24SWD are totally blind, but this disorder also occurs among sighted individuals. In contrast to the other (...) Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-WakeDisorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour SleepWake Rhythm Disorder (N24SWD), and Irregular Sleep-W JCSM - Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-WakeDisorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder (N24SWD
its coverage. The main guidelines on sleepdisorders do not include it. Final publication URL www.iecs.org.ar Indexing Status Subject indexing assigned by CRD MeSH Actigraphy; Humans; Polysomnography; Sleep; SleepWakeDisorders Language Published Spanish Country of organisation Argentina English summary An English language summary is available. Address for correspondence Institute for Clinical Effectiveness and Health Policy, Viamonte 2146 - 3 Piso, C1056ABH Ciudad de Buenos Aires, Argentina Tel (...) Actigraphy in sleepdisorder assessment Actigraphy in sleepdisorder assessment Actigraphy in sleepdisorder assessment Soto N, Ciapponi A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, López A, Rey-Ares L 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 Soto N, Ciapponi A, Pichon-Riviere A, Augustovski F, García
Obstructivesleepapnea. This issue provides a clinical overview of ObstructiveSleepApnea focusing on prevention, diagnosis, treatment, practice improvement, and patient information. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources
results Comparing the results among surgical techniques after adjusting for differences in baseline AHI, there was a significantly larger mean change in AHI for patients receiving the MMA (40.5) compared to the UPPP alone (19.4), p Evidence Search (maxillomandibular[All Fields] AND advancement[All Fields] AND ("obstructivesleepapnoea"[All Fields] OR "sleepapnea, obstructive"[MeSH Terms] OR ("sleep"[All Fields] AND "apnea"[All Fields] AND "obstructive"[All Fields]) OR "obstructivesleepapnea"[All (...) Maxillomandibular Advancement (MMA) Is The Best Primary Surgical Intervention For ObstructiveSleepApnea (OSA) Patients Who Do Not Comply With Or Tolerate CPAP UTCAT2770, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Maxillomandibular Advancement (MMA) Is The Best Primary Surgical Intervention For ObstructiveSleepApnea (OSA) Patients Who Do Not Comply With Or Tolerate CPAP Clinical Question In obstructivesleep
Insomnia. This issue provides a clinical overview of Insomnia focusing on prevention, diagnosis, treatment, practice improvement, and patient information. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources in collaboration with the ACP's
Oral Appliances for ObstructiveSleepApnea May Cause Transitory Symptoms of Temporomandibular disorder UTCAT2746, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Oral Appliances for ObstructiveSleepApnea May Cause Transitory Symptoms of Temporomandibular Disorder Clinical Question Can oral OSA appliances cause TMD symptoms? Clinical Bottom Line Oral OSA appliances may cause TMD symptoms. These symptoms generally (...) monitor their patients. Evidence shows that dentists generally do not need to intervene for TMD symptoms due to oral OSA appliances. Specialty/Discipline (Public Health) (General Dentistry) (Oral Surgery) (Dental Hygiene) Keywords TMD; Temporomandibular Disorder; ObstructiveSleepApnea; OSA; Sleepapnea; Oral OSA appliance; TMD pain ID# 2746 Date of submission: 09/08/2014 E-mail firstname.lastname@example.org Author Akshay Thusu Co-author(s) Co-author(s) e-mail Faculty mentor/Co-author Edward F. Wright
Diagnosis of obstructivesleepapnea in adults: a clinical practice guideline from theAmerican College of Physicians. The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the diagnosis of obstructivesleepapnea in adults.This guideline is based on published literature on this topic that was identified by using MEDLINE (1966 through May 2013), the Cochrane Central Register of Controlled Trials, and the Cochrane (...) guidelines grading system.ACP recommends a sleep study for patients with unexplained daytime sleepiness. (Grade: weak recommendation, low-quality evidence).ACP recommends polysomnography for diagnostic testing in patients suspected of obstructivesleepapnea. ACP recommends portable sleep monitors in patients without serious comorbidities as an alternative to polysomnography when polysomnography is not available for diagnostic testing. (Grade: weak recommendation, moderate-quality evidence).
for the HTA database. Citation CADTH. Montelukast for sleepapnea: a review of the clinical effectiveness, cost effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary with Critical Appraisal. 2014 Authors' conclusions One study found that montelukast improved respiratory disturbances in children with mild to moderate obstructivesleepapnea (OSA). No published trials regarding the use of montelukast in adults with OSA were identified (...) . No economic evaluations or evidence-based guidelines regarding the use of montelukast for the treatment of sleepapnea were identified. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Acetates; Humans; Leukotriene Antagonists; Quinolines; SleepApnea, Obstructive Language Published English Country of organisation Canada Province or state Ontario English summary An English language summary is available. Address for correspondence Canadian Agency for Drugs and Technologies
Oral appliance to treat obstructivesleepapnea has inconclusive effect on blood pressure Oral appliance to treat obstructivesleepapnea has inconclusive effect on blood pressure ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better oral health for all. Together. Take advantage of endorsed, discounted business (...) apnea has inconclusive effect on blood pressure Tofool Alghanem DDS, MS . Overview Systematic Review Conclusion Oral appliance (OA) treatment for mild to moderate obstructivesleepapnea (OSA) improves blood pressure (BP) with effects comparable to those reported using CPAP treatment. Critical Summary Assessment Limited (SR) suggests clinically insignificant decrease in BP with oral appliances treating OSA. Evidence Quality Rating Limited Evidence Structured Abstract Clinical Questions: In adult