scholarly journals Predicted relative prevalence estimates for obstructive sleep apnoea and the associated healthcare provision across the UK

Thorax ◽  
2013 ◽  
Vol 69 (4) ◽  
pp. 390-392 ◽  
Author(s):  
Joerg Steier ◽  
Alistair Martin ◽  
Judy Harris ◽  
Ian Jarrold ◽  
Darien Pugh ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Healthcare Provision ◽  
Obstructive Sleep ◽  
Prevalence Estimates ◽  
Relative Prevalence ◽  
The Uk

Obstructive sleep apnoea is more prevalent in men with schizophrenia compared to general population controls: results of a matched cohort study

2018 ◽  
Vol 26 (6) ◽  
pp. 600-603 ◽  
Author(s):  
Hannah Myles ◽  
Andrew Vincent ◽  
Nicholas Myles ◽  
Robert Adams ◽  
Madhu Chandratilleke ◽  
...  
Keyword(s):  
Relative Risk ◽  
General Population ◽  
Obstructive Sleep Apnoea ◽  
Population Group ◽  
Sleep Apnoea ◽  
General Population Study ◽  
Obstructive Sleep ◽  
General Population Group ◽  
Relative Prevalence ◽  
Population Controls

Objectives: Obstructive sleep apnoea (OSA) may be more common in people with schizophrenia compared to the general population, but the relative prevalence is unknown. Here, we determine the relative prevalence of severe OSA in a cohort of men with schizophrenia compared to representative general population controls, and investigate the contribution of age and body mass index (BMI) to differences in prevalence. Methods: Rates of severe OSA (apnoea–hypopnoea index > 30) were compared between male patients with schizophrenia and controls from a representative general population study of OSA. Results: The prevalence of severe OSA was 25% in the schizophrenia group and 12.3% in the general population group. In subgroups matched by age, the relative risk of severe OSA was 2.9 ( p = 0.05) in the schizophrenia subjects, but when adjusted for age and BMI, the relative risk dropped to 1.7 and became non-significant ( p = 0.17). Conclusions: OSA is prevalent in men with schizophrenia. Obesity may be an important contributing factor to the increased rate of OSA.

Complications of palatoplasty for snoring or sleep apnoea

1997 ◽  
Vol 111 (12) ◽  
pp. 1151-1154 ◽  
Author(s):  
W. C. Lee ◽  
D. W. Skinner ◽  
A. J. N. Prichard
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Positive Airway Pressure ◽  
Response Rate ◽  
Sleep Apnoea ◽  
Sleep Study ◽  
Mortality And Morbidity ◽  
Obstructive Sleep ◽  
Life Threatening ◽  
The Uk ◽  
Significant Mortality

AbstractA questionnaire was sent to consultant Otolaryngologists (483) throughout the UK to identify any mortality associated with uvulopalatoplasty and other forms of palatoplasties for snoring and/or obstructive sleep apnoea. The response rate was 76.8 per cent (371). Six intra- and post-operative deaths were reported and four were known to have obstructive sleep apnoea. Life-threatening morbidity occurred in at least seven patients (three known apnoeic), two required immediate tracheostomy and two were managed in the intensive care unit. This suggests that the apnoeic patients undergoing palatoplasties experienced significant mortality and morbidity. Pre-operative sleep study should be performed in all snoring patients to identify the apnoeic subgroup. Continuous positive airway pressure, management of excessive obesity, elective tracheostomy and other strategies should be first considered before palatoplasties in these patients.

Latest trends in the assessment and management of paediatric snoring and sleep apnoea

2016 ◽  
Vol 130 (5) ◽  
pp. 482-489 ◽  
Author(s):  
S D Sharma ◽  
H Kanona ◽  
G Kumar ◽  
B Kotecha
Keyword(s):  
Pulse Oximetry ◽  
Obstructive Sleep Apnoea ◽  
Response Rate ◽  
Sleep Apnoea ◽  
Obstructive Sleep ◽  
Management Protocol ◽  
The Mean ◽  
The Uk ◽  
Telephone Questionnaire

AbstractObjective:To investigate the assessment and management of paediatric snoring and obstructive sleep apnoea in UK otolaryngology departments.Method:A telephone questionnaire survey of UK otolaryngology departments was conducted over a 16-week period.Results:The response rate was 61 per cent (85 out of 139 trusts). Use of pre-operative pulse oximetry was reported by 84 per cent of respondents, mainly to diagnose obstructive sleep apnoea (73 per cent) or stratify post-operative risk (46 per cent). Thirty-one per cent of respondents reported using post-operative pulse oximetry. Twenty-five per cent of respondents have a dedicated management protocol for paediatric obstructive sleep apnoea and snoring. Thirty-four per cent require prior clinical commissioning group approval before performing surgery. Fifty-eight per cent of respondents reported following up their obstructive sleep apnoea patients after surgery. The mean follow-up period (±standard deviation) was 6.8 ± 1.2 weeks.Conclusion:There is variation in the assessment and management of paediatric snoring and obstructive sleep apnoea across the UK, particularly in the use of pre- and post-operative pulse oximetry monitoring, and further guidelines regarding this are necessary.

Accuracy of clinical assessment of paediatric obstructive sleep apnoea in two English centres

2009 ◽  
Vol 123 (9) ◽  
pp. 1002-1009 ◽  
Author(s):  
E L Sproson ◽  
A M Hogan ◽  
C M Hill
Keyword(s):  
High Risk ◽  
Clinical Diagnosis ◽  
Obstructive Sleep Apnoea ◽  
Clinical Assessment ◽  
Sleep Apnoea ◽  
Diagnostic Process ◽  
Screening Guidelines ◽  
Risk Algorithm ◽  
Obstructive Sleep ◽  
The Uk

AbstractObjectives:To ascertain the sensitivity and specificity of clinical diagnosis of obstructive sleep apnoea in children, and to determine if a published clinical algorithm identifies those at high risk of post-adenotonsillectomy complications.Method:Sixty-seven children aged three to eight years underwent clinical assessment and overnight polysomnography.Results:Polysomnography detected a significant apnoea–hypopnoea index (i.e. ≥5, indicating significant obstructive sleep apnoea) in 13 (43 per cent) children with a clinical diagnosis of obstructive sleep apnoea and in six (19 per cent) children with no such diagnosis. The sensitivity of clinical assessment was 68.4 per cent and the specificity 59.5 per cent. The post-operative risk algorithm failed to identify any high risk children, although in actuality seven had severe obstructive sleep apnoea confirmed by polysomnography.Conclusions:This study of two English centres confirms that the clinical diagnostic process for obstructive sleep apnoea is reasonably insensitive and has low specificity. The studied algorithm discriminated poorly between children with and without severe obstructive sleep apnoea. Realistic diagnostic screening guidelines for paediatric sleep apnoea are overdue in the UK, where access to polysomnography is limited.

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