| Autor: |
Giannicola Iannella, Giovanni Cammaroto, Giuseppe Meccariello, Angelo Cannavicci, Riccardo Gobbi, Jerome Rene Lechien, Christian Calvo-Henríquez, Ahmed Bahgat, Giuseppe Di Prinzio, Luca Cerritelli, Antonino Maniaci, Salvatore Cocuzza, Antonella Polimeni, Giuseppe Magliulo, Antonio Greco, Marco de Vincentiis, Massimo Ralli, Annalisa Pace, Roberta Polimeni, Federica Lo Re, Laura Morciano, Antonio Moffa, Manuele Casale, Claudio Vicini |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Journal of Clinical Medicine; Volume 11; Issue 19; Pages: 5620 |
| Popis: |
Purpose: Evaluate the effectiveness of the head-of-bed elevation position (HOBE) with a 30° elevation of the head and trunk, in improving obstruction of the upper airways in obstructive sleep apnea (OSA) patients. A prospective trial simultaneously performing drug-induced sleep endoscopy (DISE) and polysomnography (PSG) tests was performed. Methods: Forty-five patients were included in the prospective study protocol. All patients enrolled in the study and underwent the following evaluations: (1) a drug-induced sleep endoscopy, with an evaluation of obstructions and collapse of the upper airways at 0° and in a HOBE position, with head and trunk elevation of 30°; (2) an overnight PSG assessment in the hospital with head and trunk elevation from 0° to 30° during the night; (3) a questionnaire to evaluate the feedback of patients to sleeping with head-of-bed elevation. Results: Velum (V) and oropharynx lateral wall (O) collapses were reduced in the 30° up position. There were no statistical differences that emerged in the obstruction of the tongue base and epiglottis between the 0° position and the 30° up position (p > 0.05). The average AHI score changed from 23.8 ± 13.3 (0° supine position) to 17.7 ± 12.4 (HOBE position), with a statistical difference (p = 0.03); the same statistical difference emerged in the percentage of apneas that decreased from 55 ± 28.1 to 44 ± 25.8 (p = 0.05). Conclusions: By adopting the HOBE position with 30° elevation of the head and trunk, it is possible to obtain a reduction of upper airways collapses and an improvement of apnea/hypopnea events and nightly respiratory outcomes. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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