Apnea del sueño y conducción de vehículos. Recomendaciones para la interpretación del nuevo Reglamento General de Conductores en España

Terán-Santos, Joaquín; Egea, Carlos; Montserrat, Josep M.; Jiménez, Fernando Masa; Escribano, Maria Villar Librada; Mirabet, Enrique; Rodríguez, Elena Valdés

doi:10.1016/j.arbres.2016.11.007

Archivos de Bronconeumología

2017

DOI: 10.1016/j.arbres.2016.11.007

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Apnea del sueño y conducción de vehículos. Recomendaciones para la interpretación del nuevo Reglamento General de Conductores en España

Joaquín Terán-Santos

Carlos Egea

Josep M. Montserrat

et al.

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Cited by 2 publications

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Sleep apnea and its role in transportation safety

Bonsignore

2017

F1000Res

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Obstructive sleep apnea (OSA) is a main cause of excessive daytime sleepiness and increases the risk for driving accidents, which can be normalized by treatment with continuous positive airway pressure ventilation. Since it is estimated that OSA is not diagnosed in about 80% of cases, recognition of patients at risk for driving accidents is a problem from both medical and societal points of view. Strategies to screen and identify subjects at high risk for driving accidents are under study in order to improve safety on the road, especially for commercial drivers, who show a high prevalence of OSA.

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Sleep apnea and its role in transportation safety

Bonsignore

2017

F1000Res

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Quality of Life Impact of Hypoglossal Nerve Stimulation with Inspire® Device in Patients with Obstructive Sleep Apnea Intolerant to Continuous Positive Airway Pressure Therapy

Baptista¹,

Frisco

Urrestarazu³

et al. 2022

Life

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Patients with obstructive sleep apnea (OSA) that do not tolerate/accept continuous positive airway pressure (CPAP) are candidates for surgical alternatives. Hypoglossal nerve stimulation (HNS) through the implantation of the Inspire®® device constitutes a minimally invasive operative option. The main objective of this study is to estimate, under real-world clinical practice conditions, the 3-month impact on the quality of life (IQoL) of the HNS in patients with moderate/severe OSA who do not tolerate or accept CPAP, compared to patients who did not receive HNS. As a baseline, the unadjusted EuroQol utility index was 0.764 (SD:0.190) in the intervention group (IGr) and 0.733 (SD:0.205) in the control group (CGr); three months later, the indexes were 0.935 (SD: 0.101) and 0.727 (SD:0.200), respectively. The positive impact on quality of life was estimated to be +0.177 (95% CI: 0.044–0.310; p = 0.010. All dimensions in the IGr improved compared to CGr, especially for usual activities (p < 0.001) and anxiety/depression (p > 0.001). At the end of the follow-up, there was no significant difference in the quality of life between the general Spanish population and the IGr (difference: 0.012; CI95%: −0.03 to −0.057; p = 0.0578) for the same age range; however, there was a difference concerning the CGr (difference: −0.196; CI95%: −0.257 to −0.135; p < 0.001). In conclusion, patients with moderate/severe OSA implanted with the Inspire®® device showed a positive IQoL.

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Apnea del sueño y conducción de vehículos. Recomendaciones para la interpretación del nuevo Reglamento General de Conductores en España

Cited by 2 publications

References 16 publications

Sleep apnea and its role in transportation safety

Sleep apnea and its role in transportation safety

Quality of Life Impact of Hypoglossal Nerve Stimulation with Inspire® Device in Patients with Obstructive Sleep Apnea Intolerant to Continuous Positive Airway Pressure Therapy

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