scholarly journals Improving quality of life in patients with sleep apnea and stroke

2016 ◽  
Vol 63 (2) ◽  
pp. 148-152
Author(s):  
Maria-Irina Ionescu ◽  
◽  
Crina Julieta Sinescu ◽  
Ştefan Dumitrache-Rujinski ◽  
Bogdan Miron Alexandru ◽  
...  

Introduction. Obstructive sleep apnea syndrome (OSAS) is the most frequent pathology among respiratory disorders during sleep and determines multiple sleep fragmentations causing excessive daytime sleepiness. The stroke represents an important death cause worldwide and the most frequent cause of disability on long term. This study shows the improvement of the quality of life in patients with sleep apnea syndrome and stroke, who follow the continous positive airway pressure (CPAP) treatment, in comparison with those who refused this therapy. Material and method. I conducted a study on 262 patients between 18 and 83 years old, admitted in the „Bagdasar Arseni” Clinical Emergency Hospital and the „Marius Nasta” Pneumology Institute between 01.01.2014 – 25.05.2015 and diagnosed with obstructive sleep apnea syndrome, with or without CPAP treatment, 12 of these patients having a stroke in their medical history. Results. All of the patients with history of stroke, regardless of the CPAP therapy use, were asked to complete the quality of life questionnaire SF-36. In the group of patients who were following the CPAP treatment it was registered an improvement on the quality of life. Conclusions. Present data show that OSAS can be a predisposing risk factor for stroke. At the moment there aren’t any guidelines to state if patients with stroke should be commonly investigated for sleep apnea syndrome.

2004 ◽  
Vol 62 (2a) ◽  
pp. 222-225 ◽  
Author(s):  
Marco Antonio Cardoso Machado ◽  
Lucila Bizari Fernandes do Prado ◽  
Luciane Bizari Coin de Carvalho ◽  
Silvio Francisco ◽  
Ademir Baptista da Silva ◽  
...  

BACKGROUND: Obstructive sleep apnea syndrome (OSAS) is a very important and prevalent disease, which is associated with a poor quality of life in many patients. Treatments for OSAS include surgery, Continuos Positive Air way Pressure, and an intraoral mandibular repositioner (IOMR), but the tendency of sleep centers is to emphasize the apnea index, neglecting quality of life as treatment outcome. OBJECTIVE: To verify to what extent treatment with an IOMR improves the OSAS patient's quality of life. METHOD: Eleven male patients aged 34 to 63 years (mean=49) with mild to moderate OSAS were evaluated using the Calgary SAQLI questionnaire applied before and four weeks after treatment with an IOMR. The mandibular repositioners were manufactured individually for each patient with acrylic polymer and equipped with a retentive device to maintain the mandible in a forward position during sleep. RESULTS: Excellent improvement in the quality of life was observed in five patients (45.5%) and excellent improvement in symptoms in 10 (90.9%). CONCLUSION: The systematic use of the IOMR indicates a clear improvement in the global quality of life as well as in the symptoms of patients with OSAS.


CHEST Journal ◽  
2002 ◽  
Vol 122 (3) ◽  
pp. 861-865 ◽  
Author(s):  
Tsuneto Akashiba ◽  
Seiji Kawahara ◽  
Toshiki Akahoshi ◽  
Chiharu Omori ◽  
Osamu Saito ◽  
...  

2017 ◽  
Vol 41 (S1) ◽  
pp. S492-S492
Author(s):  
I. Gassara ◽  
J. Ben Thabet ◽  
S. Msaad ◽  
S. Yaich ◽  
K. Medhaffar ◽  
...  

IntroductionObstructive sleep apnea syndrome (OSAS) is a highly widespread sleep-related breathing disorder that leads to serious impairment in quality of life (QOL).ObjectivesWe aimed to assess QOL in patients with OSAS and to investigate its relationship with illness representations.MethodsWe performed an analytical cross-sectional study of 87 recently diagnosed OSAS patients. Apnea hypopnea index (AHI) was determined by an overnight polysomnography. Excessive daytime sleepiness (EDS) was assessed by the Epworth Sleepiness Scale (ESS). QOL was assessed by the 36-item short form health survey (SF-36). Illness representations were measured by the Brief Illness Perceptions Questionnaire (B-IPQ); High scores reveal a more threatening perception of the illness.ResultsMean age of the participants was 55.7 years (SD = 11.6). According to the AHI, 70,1% of the patients had severe OSAS, and 16.1% had moderate OSAS. The mean score of the SF-36 was 40.2 (SD = 18.7). Overall QOL was impaired in 87.7% of the patients. There was a considerable decrease in both mental and physical QOL. EDS was associated with impairment in mental QOL. Illness representations were negatively correlated with overall QOL (r = - 0.45; P < 0.01). No relationship was found between QOL and illness severity.ConclusionThe present study provides evidence that OSAS has serious influence on QOL of patients, which could be mediated by negative illness perception. So it is extremely important to know how OSAS sufferers perceive their illness to better understand their coping behavior and to improve their adherence to treatment and their QOL.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2011 ◽  
Vol 16 (2) ◽  
pp. 563-569 ◽  
Author(s):  
Eirini Avlonitou ◽  
Fotis Kapsimalis ◽  
George Varouchakis ◽  
Constantine I. Vardavas ◽  
Panagiotis Behrakis

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