High-Resolution Pulse Oximetry (HRPO): A Cost-Effective Tool in Screening for Obstructive Sleep Apnea (OSA) in Acute Stroke and Predicting Outcome

Yaddanapudi, Sridhara; Pineda, Maria Carissa; Boorman, David W.; Bryne, Richard E.; Hing, Krista Lim; Sharma, Sunil

doi:10.1016/j.jstrokecerebrovasdis.2018.06.030

Cited by 12 publications

(5 citation statements)

References 20 publications

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“…Lastly, the ESS is an 8‐item questionnaire asking participants to rate their likelihood of falling asleep during various daytime activities 448 . The convenience and low cost of questionnaires are well suited for the primary care setting 449–452 . The four questionnaires mentioned above are the most widely discussed with respect to OSA screening in primary care and have each been validated on multiple occasions across a wide range of demographics.…”

Section: Diagnosing Osamentioning

confidence: 99%

See 1 more Smart Citation

International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

119

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Section: Diagnosing Osamentioning

confidence: 99%

“…448 The convenience and low cost of questionnaires are well suited for the primary care setting. [449][450][451][452] The four questionnaires mentioned above are the most widely discussed with respect to OSA screening in primary care and have each been validated on multiple occasions across a wide range of demographics.…”

Section: Vib1 Primary Care Settingmentioning

confidence: 99%

International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

119

View full text Add to dashboard Cite

show abstract

“…Undiagnosed sleep apnoea or poor compliance with CPAP can also cause nocturia; however, the study had not been designed to detect these, and the single participant with poor compliance with CPAP did not have nocturia. Future studies should consider screening patients for obstructive sleep apnoea using high-resolution pulse-oximetry (33).…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of a novel sleep clinical pathway in an inpatient musculoskeletal rehabilitation cohort: A pilot randomized controlled trial

Hsu¹,

Kee²,

Perkins³

et al. 2020

J Rehabil Med-CC

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Objective: Sleep disturbance in hospital is common. This pilot randomized controlled trial assessed a sleep clinical pathway compared with standard care in improving sleep quality, engagement in therapy and length of stay in musculoskeletal inpatient rehabilitation. Methods: Participants (n = 51) were randomized to standard care ("control", n = 29) or sleep clinical pathway ("intervention", n = 22). Outcome measures included: Pittsburgh Sleep Quality Index (PSQI), Hopkins Rehabilitation Engagement Rating Scale (HRERS), Fatigue Severity Scale (FSS), Patient Satisfaction with Sleep Scale, and actigraphy. Assessment time-points were at admission and before discharge from rehabilitation. Results: No significant differences were found between groups for any outcome measure. As a cohort (n = 51), there were significant improvements from admission to discharge in sleep quality (PSQI (-2.31; 95% confidence interval (95% CI)-3.33 to-1.30; p <0.001)], fatigue (FSS (-8.75; 95% CI-13.15 to-4.34; p <0.001)], engagement with therapy (HRERS-Physiotherapists (+1.37; 95% CI 0.51-3.17; p = 0.037), HRERS-Occupational Therapists (+1.84; 95% CI 0.089-2.65; p = 0.008)), and satisfaction with sleep (+0.824; 95% CI 0.35-1.30; p = 0.001). Actigraphy findings were equivocal. Conclusion: The sleep clinical pathway did not improve sleep quality compared with standard care. Larger studies and studies with alternate methodology such as "cluster randomization" are needed.

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“…447 The convenience and low cost of questionnaires are well suited for the primary care setting. [448][449][450][451] The four questionnaires mentioned above are the most widely discussed with respect to OSA screening in primary care and have each been validated on multiple occasions across a wide range of demographics.…”

Section: Vib1 Primary Care Settingmentioning

confidence: 99%