scholarly journals Clinical Symptoms Associated With Brief Obstructive Sleep Apnea in Normal Infants

SLEEP ◽  
1993 ◽  
Vol 16 (5) ◽  
pp. 409-413 ◽  
Author(s):  
A. Kahn ◽  
J. Groswasser ◽  
M. Sottiaux ◽  
E. Rebuffat ◽  
M. Sunseri ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Symptoms ◽  
Obstructive Sleep

scholarly journals 0439 Nonlinear Dynamics Forecasting for Personalize Prognosis of Obstructive Sleep Apnea Onsets

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A168-A169
Author(s):  
T Le
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Real Time ◽  
Dirichlet Process ◽  
Clinical Symptoms ◽  
Risk Indicators ◽  
Dirichlet Process Mixture ◽  
Obstructive Sleep ◽  
Estimated Risk ◽  
Normal States

Abstract Introduction The emphasis on disease prevention, early detection, and preventive treatments will revolutionize the way sleep clinicians evaluate their patients. Obstructive Sleep Apnea (OSA) is one of the most prevalent sleep disorders with approximately 100 millions patients been diagnosed worldwide. The effectiveness of sleep disorder therapies can be enhanced by providing personalized and real-time prediction of OSA episode onsets. Previous attempts at OSA prediction are limited to capturing the nonlinear, nonstationary dynamics of the underlying physiological processes. Methods This paper reports an investigation into heart rate dynamics aiming to predict in real time the onsets of OSA episode before the clinical symptoms appear. The method includes (a) a representation of a transition state space network to characterize dynamic transition of apneic states (b) a Dirichlet-Process Mixture-Gaussian-Process prognostic method for estimating the distribution of the time estimate the remaining time until the onset of an impending OSA episode by considering the stochastic evolution of the normal states to an anomalous (apnea) Results The approach was tested using three datasets including (1) 20 records from 14 OSA subjects in benchmark ECG apnea databases (Physionet.org), (2) records of eight subjects from previous work. The average prediction accuracy (R2) is reported as 0.75%, with 87% of observations within the 95% confidence interval. Estimated risk indicators at 1 to 3 min till apnea onset are reported as 85.8 %, 80.2 %, and 75.5 %, respectively. Conclusion The present prognosis approach can be integrated with wearable devices to facilitate individualized treatments and timely prevention therapies. Support N/A

scholarly journals PREVALENCE OF OBSTRUCTIVE SLEEP APNEA IN AN INDIAN POPULATION: USING STOPBANG QUESTIONNAIRE

2018 ◽  
Vol 11 (11) ◽  
pp. 100 ◽  
Author(s):  
Snigdha Pattanaik ◽  
Rajagopal R ◽  
Neeta Mohanty ◽  
Swati Pattanaik
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Symptoms ◽  
Age Groups ◽  
Age Group ◽  
Prime Concern ◽  
Obstructive Sleep ◽  
Significant Difference

Objective: Obstructive sleep apnea (OSA) is a condition characterized by complete/partial obstruction of the upper airway that disrupts normal sleep pattern. It has become highly prevalent and negatively affects the quality of life. Reports show ≥4% of men and ≥2% of women, and mostly, the obese individuals are affected by OSA. OSA is independently associated with an increased likelihood of hypertension, cardiovascular disease, and diminished quality of life. Hence, it becomes a prime concern for health-care personnel to diagnose it at earliest. A screening tool is necessary to stratify patients based on their clinical symptoms, their physical examinations, and their risk factors. Thus, this study was taken up to assess the prevalence of OSA using the STOP-Bang questionnaire.Methods: A total number of 1012 participants were selected using random sampling technique from various community health camps for the study. The participants were asked to fill in the STOP-Bang questionnaire. All questionnaire respondents were precisely briefed about this study in a face-to-face interview. Data obtained from the survey were subjected to statistics, and descriptive analysis was done.Results: The prevalence of OSA was found to be 13.7% by using the Stop Bang questionnaire. It was found that the prevalence of OSA was highest in the age group of 50–59 (21.7%) and least in the age group of 18–29 (12.0%). Gender-wise distribution of OSA based on the scoring was seen to be more, among males (14.8%) and females showed a prevalence of 12.9%.Conclusion: This study concludes that the STOP-Bang method of screening showed a prevalence of 13.7%. However, the prevalence of OSA did not show any significant difference in various age groups; it was found that males had a higher prevalence of OSA compared to females.

scholarly journals Clinical symptoms and related factors of obstructive sleep apnea among overweight and obese taxi drivers

2015 ◽  
Vol 24 (4) ◽  
pp. 206-14 ◽  
Author(s):  
Agus D. Susanto ◽  
Barmawi Hisyam ◽  
Lientje S. Maurits ◽  
Faisal Yunus
Keyword(s):  
Risk Factors ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Duration ◽  
Clinical Symptoms ◽  
Taxi Drivers ◽  
Unrefreshing Sleep ◽  
Obstructive Sleep ◽  
The Family ◽  
Waking Up

Background: Obstructive sleep apnea (OSA) is common condition in commercial drivers while overweight and obesity as the most important risk factors. This study aimed to know the clinical symptoms and risk factors of OSA in overweight and obese taxi drivers in Jakarta, Indonesia. Methods: A cross-sectional study was done in 103 taxi drivers in Jakarta from November 2011–September 2013, by systematic random sampling from 10 taxi stations. Inclusion criteria were taxi drivers with body mass index (BMI) which 23–29.9 and mild or moderate OSA. Portable polysomnography (PSG) test was used to diagnose OSA. Parametric and nonparametric test were used in bivariate analysis. Logistic regression multivariable was used to final evaluate risk factors of OSA.Results: There were 54 (52.4%) of 103 drivers with OSA and 49 (47.6%) without OSA. Clinical symptoms found significantly (p<0.05) were snoring, unrefreshing sleep, occasional sleep while driving, and headache or nausea on waking up in the morning. Risk factors for OSA were increased BMI (OR=0.60, 95% CI=0.45–0.79, p=0.001), snoring history in the family (OR=4.92, 95% CI=1.82–13.31, p=0.002) and sleep duration <7 hours within 24 hours (OR=5.14, 95% CI=1.37–19.23, p=0.015).Conclusion: Clinical symptoms of OSA were snoring, unrefreshing sleep, occasional sleep while driving and headache or nausea on waking up in the morning. Risk factors of OSA were increased BMI, snoring history in the family and sleep duration <7 hours within 24 hours.

scholarly journals Analysis of the Correlation between Sleep Hygiene and Clinical Symptoms in Obstructive Sleep Apnea Patients

2011 ◽  
Vol 145 (2_suppl) ◽  
pp. P130-P130
Author(s):  
Joonseok Lee ◽  
Kunhee Lee ◽  
Seungyoup Shin ◽  
Sungwan Kim ◽  
Su Young Jung
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Symptoms ◽  
Sleep Hygiene ◽  
Obstructive Sleep

scholarly journals The Association between Sleep-Disordered Breathing and Magnetic Resonance Imaging Findings in a Pediatric Cohort with Chiari 1 Malformation

2015 ◽  
Vol 22 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Reshma Amin ◽  
Priya Sayal ◽  
Aarti Sayal ◽  
Colin Massicote ◽  
Robin Pham ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disordered Breathing ◽  
Clinical Symptoms ◽  
Apnea Hypopnea Index ◽  
Imaging Findings ◽  
Tonsillar Herniation ◽  
Predominant Type ◽  
Obstructive Sleep ◽  
Disordered Breathing

BACKGROUND: The prevalence of sleep-disordered breathing (SDB) reported in the literature for Chiari malformation type 1 (CM1) is uniformly high (24% to 70%). In Canada, there is limited access to pediatric polysomnography (PSG). Therefore, the identification of clinical features would be invaluable for triaging these children.OBJECTIVE: To identify demographic features, clinical symptoms/signs and radiological findings associated with SDB in a large pediatric cohort with CM1.METHODS: A retrospective review was conducted on children with CM1 who underwent baseline PSG. Data were collected on patient demographics (age, sex, weight, height, body mass index), clinical symptoms (chart review and clinical questionnaires), diagnostic imaging of the brain and cervicothoracic spine, and medical history at the time of referral.RESULTS: A total of 68 children were included in the review. The mean (± SD) age of the children at the time of PSG was 7.33±4.01 years; 56% (n=38) were male. There was a 49% prevalence of SDB in this cohort based on the overall apnea-hypopnea index. Obstructive sleep apnea was the predominant type of SDB. Tonsillar herniation was significantly correlated with obstructive apnea-hypopnea index (r=0.24; P=0.036).CONCLUSIONS: A direct relationship between the degree of cerebellar tonsillar herniation and obstructive sleep apnea was demonstrated. However, further prospective studies that include neurophysiological assessment are needed to further translate the central nervous system imaging findings to predict the presence of SDB.

Clinical symptoms that predict the presence of Obstructive Sleep Apnea

2017 ◽  
Vol 95 ◽  
pp. 139-144
Author(s):  
Kevin C. Lewis ◽  
James W. Schroeder ◽  
Bushra Ayub ◽  
Bharat Bhushan
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Symptoms ◽  
Obstructive Sleep

scholarly journals OBSTRUCTIVE APNEA SYNDROME IN SLEEP: A MODERN LOOK AT DIAGNOSTICS AND TREATMENT

2021 ◽  
Vol 2 (1(82)) ◽  
pp. 20-23
Author(s):  
Sh. Khamidjonov ◽  
Sh. Khodjanov ◽  
N. Akhundjaov
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Symptoms ◽  
Sleep Apnea Syndrome ◽  
Upper Airways ◽  
Air Supply ◽  
Obstructive Sleep ◽  
Air Intake ◽  
Apnea Syndrome ◽  
Hypopnea Syndrome

Obstructive sleep apnea syndrome (OSA) is a violation of breathing during sleep as a result of the closure of the upper airways, leading to a partial or complete cessation of air supply, the onset of hypoxia, and as a result, a transient decrease in the depth of sleep, followed by restoration of patency of the upper airways and air intake [1,2]. During a patient's sleep, such episodes can occur hundreds of times per night, which in the presence of clinical symptoms is called OSAS syndrome or obstructive sleep apnea-hypopnea syndrome [3]. 

scholarly journals Accuracy of Diagnosis Based on Clinical Symptoms in Pediatric Obstructive Sleep Apnea Hypopnea Syndrome

2003 ◽  
Vol 96 (4) ◽  
pp. 329-332
Author(s):  
Takeshi Morita ◽  
Kyosuke Kurata ◽  
Nobuya Fujiki ◽  
Yasuyuki Hiratsuka
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Symptoms ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

scholarly journals Obstructive sleep apnea in Norwegian adults with achondroplasia: a population-based study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Svein O. Fredwall ◽  
Britt Øverland ◽  
Hanne Berdal ◽  
Søren Berg ◽  
Harald Weedon-Fekjær ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Clinical Symptoms ◽  
Population Based ◽  
Cross Sectional Study ◽  
Apnea Hypopnea Index ◽  
Berlin Questionnaire ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Sleep Registration

Abstract Background Previous studies have found a high prevalence of obstructive sleep apnea (OSA) in children with achondroplasia, but clinical studies on this complication in adults with achondroplasia are lacking. Objectives This population-based, cross-sectional study investigated the prevalence, severity, and predictive factors of OSA in Norwegian adults with achondroplasia. Methods We collected clinical data on 49 participants. Participants without a preexisting diagnosis of OSA had an overnight sleep registration. OSA was defined as an apnea–hypopnea index (AHI) ≥ 5 plus characteristic clinical symptoms, or AHI ≥ 15. We used the Berlin Questionnaire to assess clinical symptoms of OSA. Results OSA was found in 59% (29/49) of the participants (95% confidence interval 44 to 73%), of whom 59% (17/29) had moderate to severe OSA (AHI ≥ 15), and 48% (14/29) were previously undiagnosed. Variables predictive of OSA were: excessive daytime sleepiness; unrested sleep; loud snoring; observed nocturnal breathing stops; hypertension; age > 40 years; and BMI > 30 kg/m2. Conclusion OSA was highly prevalent in Norwegian adults with achondroplasia, which we believe is representative of this population worldwide. Follow-up of adults with achondroplasia should include assessment of symptoms and signs of OSA, with a low threshold for conducting an overnight sleep registration if findings suggestive of OSA are present.

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

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