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Sleep apnoea - Wiley Online Library

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Last Updated: 24 April 2022

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Scoring heart rate increases as a surrogate arousal marker on portable monitor studies for obstructive sleep apnea: Impact on diagnostic accuracy and clinical decision‐making

Hypopneas with cortical arousal were not scored on type 3 home computers, limiting their diagnostic accuracy for obstructive sleep apnea. This research sought to determine whether scoring heart rate accelerations as survivor markers of arousal in a variety of settings including polysomnography and improves therapeutic decision-making. Hypopnea activities were rated on portable monitor studies with and without autonomic scoring, which was identified as an increase in pulse oximetry-derived heart rate 6 beats per min. After four physicians reviewed clinical data and sleep study findings, four doctors examined whether reporting autonomic hypopnea scoring improves portable monitor clinical treatment decision agreement. In a decreased mean difference between in-laboratory portable monitor respiratory event index and polysomnography apnea index in Bland–Altman's study, and an increased intraclass correlation from 0. 769 to 0. 844, according to a reduced mean difference between in-laboratory portable monitor respiratory event index and polysomnography apnea index, which resulted in a reduced mean difference between in-laboratory portable monitor respiratory event index and polysomnea.

Source link: https://onlinelibrary.wiley.com/doi/10.1111/jsr.13594


Rapid eye movement sleep apnea and carotid intima thickness in men and women: a SHE‐MUSTACHE cohort study

In a community-based sample of men and women, as well as potential gender differences in this group, we sought to investigate the relationship between sleep apnea during REM sleep and signs of atherosclerotic disease in the form of carotid intima thickness. During REM sleep, there was an association between sleep apnea and a thicker carotid intima, which remained unchanged after adjustment for confounding. After adjustment for confounders, the intima thickness remained unchanged, although the association between severe sleep apnea during REM sleep and increased intima thickness was unchanged. Apnea during REM sleep was more noticeable in women than men, but not in men; moreover, in sex-stratified studies, the connection between sleep apnea during REM sleep and intima thickness was found in women but not in men.

Source link: https://onlinelibrary.wiley.com/doi/10.1111/jsr.13599


Sleep apnea and the risk of dementia: A systematic review and meta‐analysis

Sleep apnea can possibly be a modifiable risk factor for dementia. A systematic review and meta-analysis of cohort studies looking at the relationship between sleep apnea and specific aetiologies of dementia, including Alzheimer's disease, Parkinson's disease, Lewy body dementia, and frontotemporal dementia were all present. Sleep apnea has been shown to a significant risk of dementia in Alzheimer's disease and Parkinson's disease, but not for vascular dementia. Future studies should examine the effect of sleep apnea on specific dementia biomarkers.

Source link: https://onlinelibrary.wiley.com/doi/10.1111/jsr.13589


Postoperative outcomes in surgical patients with obstructive sleep apnoea diagnosed by sleep studies: a meta‐analysis and trial sequential analysis

Identifying surgical patients with obstructive sleep apnoea may help with anaesthetic management to minimize postoperative complications. We analyzed the effect of obstructive sleep apnoea diagnosed by polysomnography or home sleep apnoea research on surgical patients using trial-sequencing. The Mantel–Haenszel method random effects model evaluated the pooled odds ratios of postoperative complications. Patients were included in twenty prospective cohort studies, with 3756 patients enrolled. Obstructive sleep apnoea was correlated with a 1. 5-fold risk of postoperative cardiovascular disease in a 1. 5-fold increase in respiratory difficulties, OR 1. 91, p = 0. 001; certainty of results, moderate; and hospital and ICU admissions, OR 2. 01; certainty of evidence, low; certainty of evidence, low. This increased risk occurred in patients in whom obstructive sleep apnoea had been newly diagnosed, as well as pre-operative screening, stressing the importance of pre-operative screening.

Source link: https://onlinelibrary.wiley.com/doi/10.1111/anae.15718

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions