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% exhibited obstructivesleepapnea. 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 obstructivesleepapnea being a significant factor in producing higher prevalence of sleep bruxism. #2) Hosoya/2014 67 patients with obstructivesleepapneasyndrome in whom sleepapnea occurred 5 or more times per hour Case Control Study Key results The prevalence of sleep bruxism was higher in the patients with obstructive (...) sleepapneasyndrome than it was in the control group. 47.8% of the obstructivesleepapneasyndrome 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 "SleepApnea, Obstructive"[Mesh] Comments on The Evidence Validity: Groups were randomly
The Cardiovascular Health Benefits of Using Oral Appliance Therapy for ObstructiveSleepApnea 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 ObstructiveSleepApnea 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 obstructivesleepapnea? 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 obstructivesleepapnea (OSA). This is supported by a systematic review and a medical records review. The systematic
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
prevalence of sleep-disorderedbreathing in adults. Am J Epidemiol 2013;177:1006–14. 2. Malhotra A, White DP. Obstructivesleepapnoea. Lancet 2002;360:237– 45. http://dx.doi.org/10.15331/jdsm.4428Journal of Dental Sleep Medicine Vol. 2, No. 1, 2015 8 Editorial—Vanderveken 3. Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in men with obstructivesleepapnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 2005;365 (...) . Lancet 2009;373:82–93. 7. Randerath WJ, Heise M, Hinz R, Ruehle KH. An individually adjustable oral appliance vs continuous positive airway pressure in mild-to- moderate obstructivesleepapneasyndrome. Chest 2002;122:569–75. 8. Grote L, Hedner J, Grunstein R, Kraiczi H. Therapy with nCPAP: incomplete elimination of Sleep Related BreathingDisorder. Eur Respir J 2000;16:921–7. 9. Vanderveken OM, Dieltjens M, Wouters K, De Backer WA, Van de Heyning PH, Braem MJ. Objective measurement of compliance
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
$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
. 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
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
(1), 79-89. National Institutes of Health (2005). National Institutes of Health State of the Science Conference statement on Manifestations and Management of Chronic Insomnia in Adults, June 13-15, 2005. Sleep, 28, 1049-1057. Ram, S., Seirawan, H., Kumar, S. K., and Clark, G. T. (2010). Prevalence and impact of sleepdisorders and sleep habits in the United States. SleepBreath, 14, 63-70. Rosekind, M. R. and Gregory, K. B. (2010). Insomnia risks and costs: health, safety, and quality of life (...) and statistical manual of mental disorders. Washington, DC: American Psychiatric Publishing. Benca, R. M. (2005). Diagnosis and treatment of chronic insomnia: a review. Psy-chiatric Services, 56, 332-343. Bloom, H. G., Ahmed, I., Alessi, C. A., Ancoli-Israel, S., Buysse, D. J., Kryger, M. H. et al. (2009). Evidence-based recommendations for the assessment and management of sleepdisorders in older persons. Journal of the American Geriatrics Society, 57, 761-789. Bootzin, R. R. and Epstein, D. R. (2011
the relationship of sleep-associated movement disorders such as restless legs syndrome (RLS) and periodic limb movements during sleep with CVD, but the results were still contradictory. We performed an extensive literature search on PubMed, Medline and Web of Science published from inception to December 2014. Additional studies were manually searched from bibliographies of retrieved studies. Meta-analyses were conducted with Stata version 12.0 (Stata Corp, College Station, Texas). Pooled odds ratios (ORs (...) -187 URL: DOI: INTRODUCTION Sleep-associated movement disorders are a group of movement disorders which occur during sleep in relation to episodes of arousal and sleepdisorder. They are characterized by the persistence of muscle tone or the emergence of motor activity. Among of them, restless legs syndrome (RLS) and periodic limb movements during sleep (PLMS) are the two most common disorders encountered in adult. RLS affects approximately 5%-10% of the general population and up to 80% of RLS
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
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