Falling-Asleep–Related Injured Falls In The Elderly

Onen, Fannie; Higgins, Susan; Onen, S. Hakki

doi:10.1016/j.jamda.2008.10.008

Cited by 43 publications

(19 citation statements)

References 18 publications

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“…Recently, a specific postural dysfunction has been reported to be a feature of OSAS. Reported series describe abnormal spinal curvature, with cervical hyperextension and anterior projection of the head (9)(10)(11), disturbances of balance (12,13), and walking (12,14,15), and an increased risk of falls (16). These difficulties with balance and walking improve significantly after treatment with CPAP is instituted, suggesting that they are specifically related to OSAS (12,14).…”

Section: Introductionmentioning

confidence: 99%

Cervical Spine Hyperextension and Altered Posturo-Respiratory Coupling in Patients With Obstructive Sleep Apnea Syndrome

et al. 2020

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Keywords: obstructive sleep apnea syndrome, biplanar X-ray, personalized 3D models of the spine, posturorespiratory coupling, respiratory emergence, cervical spine hyperextension, head forward, hyperkyphosis Clavel et al. Altered Posturo-Respiratory Coupling in OSASConflict of Interest: VA reports personal fees from ADEP Assistance, personal fees from Resmed, personal fees from Nyxoah, outside the submitted work. TS reports personal fees from AstraZeneca, France, personal fees from Boerhinger Ingelheim, France, personal fees from GSK, France, personal fees and non-financial support from Novartis, France, personal fees from Lungpacer Inc.

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Section: Introductionmentioning

confidence: 99%

Cervical Spine Hyperextension and Altered Posturo-Respiratory Coupling in Patients With Obstructive Sleep Apnea Syndrome

et al. 2020

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“…In middle-aged populations, SDB is associated with serious cardio- and cerebrovascular, metabolic, cognitive, and functional outcomes, including increased mortality. Additional outcomes of particular interest in older people may include glaucoma [ 67 ], falls with fractures [ 68 ], impaired quality of life [ 69 ], decreased pain tolerance [ 70 ], frailty [ 71 ] and mortality [ 72 – 74 ].…”

Section: Consequences Of Sdb In Older Peoplementioning

confidence: 99%

Sleep disordered breathing at the extremes of age: the elderly

McMillan

Morrell

2016

Breathe

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Key pointsSleep disordered breathing (SDB) is common and its prevalence increases with age. Despite this high prevalence, SDB is frequently unrecognised and undiagnosed in older people.There is accumulating evidence that SDB in older people is associated with worsening cardio- cerebrovascular, cognitive and functional outcomes.There is now good evidence to support the use of continuous positive airway pressure therapy in older patients with symptomatic SDB.Educational aimsTo highlight the prevalence and presentation of sleep disordered breathing (SDB) in older people.To inform readers about the risk factors for SDB in older people.To explore the impact of SDB in older people.To introduce current evidence based treatment options for SDB in older people.Sleep disordered breathing (SBD) increases in prevalence as we age, most likely due to physiological and physical changes that occur with ageing. Additionally, SDB is associated with comorbidity and its subsequent polypharmacy, which may increase with increasing age. Finally, the increased prevalence of SDB is intrinsically linked to the obesity epidemic. SDB is associated with serious outcomes in younger people and, likewise, older people. Thus, identification, diagnosis and treatment of SDB is important irrelevant of age. This article reviews the age-related changes contributing to SDB, the epidemiology and the risk factors for SDB in older people, the association of SDB with adverse outcomes, and diagnostic and treatment options for this population.

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“…87 In addition, postmenopausal women are as likely as men to have OSA. Using the STOPBang Questionnaire may be helpful for preoperative assessment of the geriatric patient; anesthesiologists should also be suspicious of the disease in patients with a medical history of nocturia, frequent falls, 88 cognitive changes, 89 and decreasing attention/vigilance. 90 An anesthetic with carefully titrated doses of opioids and neuromuscular blockade, in addition to close observation in the postoperative period, is needed for patients with known or suspected sleep apnea.…”

Section: Pulmonary Complications During Anesthetic Recoverymentioning

confidence: 99%