Gradual reduction in the STOP score in patients with obstructive sleep apnea undergoing oral appliance therapy

Autor: Satoru Tsuiki, Tatsuya Fukuda, Yukiko Narahara-Eno, Hitoshi Taga, Hideaki Nakayama, Yuichi Inoue
Rok vydání: 2021
Předmět:
Zdroj: Journal of Prosthodontic Research. 65:360-364
ISSN: 1883-9207
1883-1958
DOI: 10.2186/jpr.jpr_d_20_00118
Popis: Purpose In the treatment of obstructive sleep apnea (OSA), there is not yet a convenient tool for deciding whether a mandibular advancement oral appliance (OA) is adequately adjusted or when to perform post-treatment sleep-testing. We hypothesized that a gradual reduction in the STOP (snoring, tiredness during daytime, observed apnea, high blood pressure) score, i.e., fewer Yes responses in the STOP questionnaire, in patients undergoing OA treatment could be an indicator of better OA adjustment and, thus, the best timing for follow-up polysomnography.Methods The STOP score was recorded at every patient visit when the OA was adjusted ventrally as necessary (i.e., STOP group). We considered that the appropriate timing for follow-up polysomnography was when the STOP score stopped decreasing. A historical control group was established from consecutive patients without a STOP score.Results In the STOP group (n=57), the median (interquartile range) of STOP scores gradually decreased with OA treatment, from 3 (2-3) to 0 (0-1) (p
Databáze: OpenAIRE
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