Treatment options for obstructive sleep apnea

Pavwoski, Patrick; Shelgikar, Anita Valanju

doi:10.1212/cpj.0000000000000320

Cited by 59 publications

(38 citation statements)

References 53 publications

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“…Additionally, considering that soldiers with e-Profiles for sleep, cardiometabolic or behavioral health issues were less likely to be nondeployable, it is possible that these conditions are not generally considered serious enough to limit a soldier's ability to serve. For example, OSA, which accounted for the vast majority of sleep disorder diagnoses in the current study, can be treated with oral devices, surgery or positive airway pressure devices [28] and thus would not necessarily limit a soldiers' functionality. Additionally, an underappreciation for the severity of sleep problems may prevent soldiers from discussing fatigue-related issues with their healthcare providers.…”

Section: Discussionmentioning

confidence: 97%

Sleep disturbances and predictors of nondeployability among active-duty Army soldiers: an odds ratio analysis of medical healthcare data from fiscal year 2018

et al. 2020

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Background: The impact of sleep disorders on active-duty soldiers' medical readiness is not currently quantified. Patient data generated at military treatment facilities can be accessed to create research reports and thus can be used to estimate the prevalence of sleep disturbances and the role of sleep on overall health in service members. The current study aimed to quantify sleep-related health issues and their impact on health and nondeployability through the analysis of U.S. military healthcare records from fiscal year 2018 (FY2018). Methods: Medical diagnosis information and deployability profiles (e-Profiles) were queried for all active-duty U.S. Army patients with a concurrent sleep disorder diagnosis receiving medical care within FY2018. Nondeployability was predicted from medical reasons for having an e-Profile (categorized as sleep, behavioral health, musculoskeletal, cardiometabolic, injury, or accident) using binomial logistic regression. Sleep e-Profiles were investigated as a moderator between other e-Profile categories and nondeployability. Results: Out of 582,031 soldiers, 48.4% (n = 281,738) had a sleep-related diagnosis in their healthcare records, 9.7% (n = 56,247) of soldiers had e-Profiles, and 1.9% (n = 10,885) had a sleep e-Profile. Soldiers with sleep e-Profiles were more likely to have had a motor vehicle accident (pOR (prevalence odds ratio) =4.7, 95% CI 2.63-8.39, P ≤ 0.001) or work/duty-related injury (pOR = 1.6, 95% CI 1.32-1.94, P ≤ 0.001). The likelihood of nondeployability was greater in soldiers with a sleep e-Profile and a musculoskeletal e-Profile (pOR = 4.25, 95% CI 3.75-4.81, P ≤ 0.001) or work/dutyrelated injury (pOR = 2.62, 95% CI 1.63-4.21, P ≤ 0.001). Conclusion: Nearly half of soldiers had a sleep disorder or sleep-related medical diagnosis in 2018, but their sleep problems are largely not profiled as limitations to medical readiness. Musculoskeletal issues and physical injury predict nondeployability, and nondeployability is more likely to occur in soldiers who have sleep e-Profiles in addition to these issues. Addressing sleep problems may prevent accidents and injuries that could render a soldier nondeployable.

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Section: Discussionmentioning

confidence: 97%

Sleep disturbances and predictors of nondeployability among active-duty Army soldiers: an odds ratio analysis of medical healthcare data from fiscal year 2018

et al. 2020

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“…A value of 15 or more events per hour, or five or more events per hour with existent symptoms or concomitant cardiovascular disorders, are an essential diagnostic criterion for OSA [ 8 , 9 ]. OSA management typically involves behavioral modifications, continuous positive airway pressure (CPAP) therapy, mouth appliances, mandibular advancement devices, supplement therapies, and surgeries in severe cases of OSA [ 10 ].…”

Section: Reviewmentioning

confidence: 99%

Cultivating Lifestyle Transformations in Obstructive Sleep Apnea

Kaleelullah

Nagarajan

2021

Cureus

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Today, our well-being and awareness have become markedly determined by our way of living through our everyday activities. Needless to say, daily practices specifically have a significant impact on the quality of sleep. Obstructive sleep apnea (OSA) is an exhausting sleep disorder regulating an individual's routine life. Although several therapeutic modalities are available for curing OSA, behavioral therapies are also utilized for a positive outcome. Besides, several studies are performed to prove the efficacy of lifestyle strategies to resolute OSA in adults. Reducing weight, quitting alcohol and smoking, eating a nutritional diet, and exercising are the modifications to benefit people. This review aims to expand our knowledge of the association between alterations to comportment and better treatment outcomes for sleep apnea.

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“…Oral appliances such as tongue-retaining devices and mandibular advancement devices or surgical interventions have been used in patients who cannot tolerate or do not wish to utilize CPAP. Surgical options for OSA include tonsillectomy and nasal or palatal surgeries [ 32 ]. Weight-loss is another option since there is evidence of prevention and reduction of AF burden through aggressive risk-factor modifications [ 15 ].…”

Section: Reviewmentioning

confidence: 99%

The Converging Pathologies of Obstructive Sleep Apnea and Atrial Arrhythmias

Riaz

Bhatti

Sampat

et al. 2020

Cureus

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Obstructive sleep apnea (OSA) is highly prevalent in the United States (US). Along with epidemic rates of obesity, the rate of OSA cases is also on the rise. OSA is associated with multiple chronic health conditions, including hypertension, diabetes, stroke, myocardial ischemia, and heart rhythm disturbances. OSA is commonly treated with continuous positive airway pressure (CPAP) therapy. Several reports indicate that effective treatment of OSA can reduce the risk of cardiovascular diseases, including cardiac arrhythmias, especially atrial fibrillation (AF). CPAP therapy helps to maintain sinus rhythm after interventions such as electrical cardioversion and catheter ablation in patients with AF. However, more data is required to establish a relationship between OSA and other atrial arrhythmias as well to evaluate the effect of CPAP. This review will compile the latest evidence on the pathophysiology, management, and treatment of atrial arrhythmias associated with OSA.

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Treatment options for obstructive sleep apnea

Cited by 59 publications

References 53 publications

Sleep disturbances and predictors of nondeployability among active-duty Army soldiers: an odds ratio analysis of medical healthcare data from fiscal year 2018

Sleep disturbances and predictors of nondeployability among active-duty Army soldiers: an odds ratio analysis of medical healthcare data from fiscal year 2018

Cultivating Lifestyle Transformations in Obstructive Sleep Apnea

The Converging Pathologies of Obstructive Sleep Apnea and Atrial Arrhythmias

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