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 |
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Rok vydání: | 2021 |
Předmět: |
Male
Polysomnography Oral appliance 0206 medical engineering 02 engineering and technology 03 medical and health sciences 0302 clinical medicine Interquartile range Surveys and Questionnaires medicine Humans Dentistry (miscellaneous) Sleep Apnea Obstructive medicine.diagnostic_test business.industry Snoring Apnea 030206 dentistry medicine.disease 020601 biomedical engineering Obstructive sleep apnea Treatment Outcome Blood pressure Apnea–hypopnea index Anesthesia Oral Surgery medicine.symptom business Mandibular Advancement Body mass index |
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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