Oral appliance effectiveness and patient satisfaction with obstructive sleep apnea treatment in adults
Autor: | Marek Buzga, Pavel Skalny, Jiri Stransky, Jan Štembírek, Marketa Skalna, Vilen Novak, Jaroslava Hybaskova |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Male
Pediatrics medicine.medical_specialty administration oral Oral appliance Polysomnography sleep apnea obstructive 030204 cardiovascular system & hematology Overweight Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Patient satisfaction Sleep Apnea Syndromes stomatognathic system Class I obesity Clinical Research Surveys and Questionnaires Severity of illness Medicine Humans Adult patients business.industry adult Snoring Sleep apnea General Medicine Middle Aged medicine.disease nervous system diseases respiratory tract diseases Obstructive sleep apnea Treatment Outcome Patient Satisfaction 030220 oncology & carcinogenesis Female medicine.symptom business |
Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
Popis: | Background: Indication of oral appliances for the treatment of an obstructive sleep apnea (OSA) includes both patients with primary snoring and mild OSA, as well as patients with moderate to severe OSA who refuse other treatment or in whom such treatment failed. The aim of this study was to verify the effectiveness of current OSA treatment by objective measurements, and to assess by means of a questionnaire patients' satisfaction with oral appliances manufactured in our laboratory. Material/Methods: The study enrolled 58 adult patients (40 men, 18 women) with mean age of 50.5 years; most were overweight or had class I obesity; mean baseline apnea-hypopnea index (AHI) value prior to the beginning of treatment was 31.3, range 0.6-71. Results: Average AHI reduction in the entire group was 10.4; 31% of patients experienced AHI reduction by at least 50%. Significant AHI reduction was proven when using the appliance. Appliances affect the reduction of AHI and patients tolerate the appliances well. Conclusions: Oral appliances complement positive-pressure treatment and do not interfere with it in any way. Craniometric parameters seem to be applicable as predictors of success or failure of appliance treatment. Web of Science 25 524 516 |
Databáze: | OpenAIRE |
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