Abstract:
OBJECTIVE/BACKGROUND:In obstructive sleep apnea (OSA), long-term adherence to treatment is crucial. This prospective single-center study investigated factors associated with long-term adherence to mandibular repositioning device (MRD) therapy. PATIENTS/METHODS:All OSA patients who had MRD treatment initiated in the previous year were prospectively contacted to evaluate long-term effectiveness and compliance. Long-term adherence was based on continuation of treatment (yes/no). Predictors of long-term adherence were analyzed using an adjusted multivariate analysis. RESULTS:Median follow-up was 1002 days (interquartile range: 668-1345) in 279 patients (age 58 [50-64] years); 63% of patients were continuing MRD treatment with a good efficacy, tolerability and compliance over time. In some patients, relapse of nocturia was observed while efficacy was maintained for snoring and somnolence. In adjusted multivariate analysis, significant predictors of continuing MRD treatment were early ≥50% reduction in AHI (odds ratio [OR] 2.73, 95% confidence interval [CI] 1.466-5.10; p = 0.0002) and complete symptom resolution (OR 3.83, 95% CI 1.74-8.48; p = 0.0014). In the 37% of patients who stopped MRD treatment, median treatment duration was 351 (174-752) days. The main reasons for late stopping of treatment were inefficacy (26.2%), discomfort (25.2%) and side effects (21.4%). CONCLUSIONS:After three years, MRD was effective for the two-thirds of OSA patients who continued treatment. Relapse of nocturia might be an early signal of MRD wear that may explain long-term cessation of treatment in some patients. Short-term control of OSA by MAD was predictive of long-term efficiency. The major criteria were a ≥50% reduction in AHI and complete symptom resolution at short-term evaluation.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Attali V,Chaumereuil C,Arnulf I,Golmard JL,Tordjman F,Morin L,Goudot P,Similowski T,Collet JMdoi
10.1016/j.sleep.2016.10.004subject
Has Abstractpub_date
2016-01-01 00:00:00pages
107-114eissn
1389-9457issn
1878-5506pii
S1389-9457(16)30207-6journal_volume
27-28pub_type
杂志文章相关文献
SLEEP MEDICINE文献大全abstract:OBJECTIVES:In some patients with obstructive sleep apnea (OSA), Epworth Sleepiness Scale scores (ESS) do not reflect the severity of disease. In many cases, bed partners (BPs) report more severe hypersomnia on the part of the patient than the patient him/herself. The purpose of this study was to assess the agreement be...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/s1389-9457(01)00079-x
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:Our objective was to explore the clinical characteristics of Parkinson's disease (PD) comorbidity with obstructive sleep apnea (OSA), explore the correlation between OSA and PD features and identify factors that are independent predictors of OSA in PD patients. METHODS:In sum, 239 PD patients were divided in...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.11.1251
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Executive dysfunction (ED) is often observed in subjects diagnosed with obstructive sleep apnea (OSA), but their assessment requires facilities that are not always available. We aim to evaluate the extent to which Frontal Assessment Battery (FAB) discriminates ED in newly diagnosed, untreated, and without-co...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.11.1122
更新日期:2018-02-01 00:00:00
abstract:AIM:The aim of this study was to evaluate the National Institute of Health (NIH)-funded PRIDE Institute in Behavioral Medicine and Sleep Disorders Research at New York University (NYU) Langone Medical Center. The NYU PRIDE Institute provides intensive didactic and mentored research training to junior underrepresented m...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.09.010
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:The present study was conducted to clarify the prevalence of the use of alcohol and hypnotic medication as sleep aids, and associated factors, in the general population in Japan. METHODS:The survey was conducted in June 2000, using self-administered questionnaires, targeting a population that was selected ra...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2006.10.009
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:This study aims at assessing the relative impact of psychological factors on insomnia among daytime workers. BACKGROUND:Insomnia affects 5-45% of non-shift workers, making it a serious public health concern. METHODS:The study population was 3435 male civil servants aged 35 years and over. A self-administere...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2007.01.008
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Adaptive servo-ventilation (ASV) is a well-established treatment of central sleep apnea (CSA) related to congestive heart failure (CHF). Few studies have evaluated the effectiveness and adherence in patients with CSA of other etiologies, and even less is known about treatment of CSA in patients of post ische...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2014.06.013
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:Changes in blood pressure (BP) were measured following auditory stimuli in the prone and the supine position to study the correlation between arousal from sleep and autonomic responses. METHOD:Two newborns born at term, two infants and four children were recorded polygraphically during one night, while sleep...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/s1389-9457(02)00165-x
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We investigated the frequency of restless legs syndrome (RLS) and sleep disturbance in spinocerebellar ataxia type 6 (SCA6). PATIENTS AND METHODS:Five patients out of three multigenerational SCA6 families underwent a standardized investigation protocol including clinical interview for RLS, neuro...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2006.03.013
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVE:Some studies indicate an association between napping and increased risk of type 2 diabetes. We studied this prospectively in a sample representative of general population. METHODS:A questionnaire was administered to the Finnish Twin Cohort in 1990 (response rate 77%, age 33-60 years). The study population in...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.11.004
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Morning headaches are often ascribed to patients with sleep apnea syndrome (SAS) but the etiology of headaches in SAS is unclear. Given the relationship between oxygen and other headache syndromes, nocturnal hypoxia might be one factor contributing to headaches in SAS. METHODS:All subjects 18-80 years of ag...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/s1389-9457(02)00006-0
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:To report our findings from a sample of narcoleptic children and adolescents evaluated in our unit from 1988 to 2005. PATIENTS AND METHODS:The sample was composed of nine children (5 boys) with a mean age of 14.5 years at diagnosis. The protocol included the following: Epworth, Ullanlinna narcolepsy scale, a...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2010.02.017
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Extensive empirical evidence indicates that sleep plays an active role in memory consolidation. Moreover, sleep has been found to preferentially enhance emotional memories and may modulate affective reactions to previously encountered stimuli. Notably, recent findings suggest that disruptions of sleep-relate...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2018.10.030
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:This study aimed at determining the mean total sleep time (TST) and the relationship between sleep duration and basic socio-demographic factors and BMI sleep problems in Chinese subjects. METHOD:A total of 5926 subjects were randomly selected and interviewed using standardized assessment tools. RESULTS:The ...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2009.03.002
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the association of sleep problems with weight and waist size gain during four years of follow-up. METHODS:We investigated 13,030 participants (35-74 years) of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a multicentric cohort conducted with civil servants from six academic inst...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.06.017
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE/BACKGROUND:Machado-Joseph disease (MJD) or spinocerebellar ataxia type 3 (SCA3) is the most common type of autosomal dominant spinocerebellar ataxia (SCA). Sleep disorders have been described as frequent non-motor symptoms in MJD, and with marked impairment on quality of life. However, few studies have evalua...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2018.04.002
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:We examined the relationship between baseline substantia nigra (SN) echogenicity on transcranial sonography (TCS) images and medium-to long-term developments of Parkinson's disease (PD) and dementia with Lewy bodies (DLB) in idiopathic RBD (IRBD) patients. METHODS:From 2007-2009, TCS and odor identification...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.09.008
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVES:Restless legs syndrome (RLS) is a common neurological disorder but it is not sufficiently recognized in children and adolescents. It often overlaps with growing pains in children, and as a result the clinical characteristics of pediatric RLS are not well studied, especially in Asia. The purpose of this study...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.12.016
更新日期:2020-05-01 00:00:00
abstract::The association between sleep-disordered breathing and stroke has been a subject of increased interest and research. Obstructive sleep apnea (OSA) is an important risk factor for stroke incidence and mortality. Moreover, OSA is a common clinical outcome after stroke, directly influencing the patient's recovery. The tr...
journal_title:Sleep medicine
pub_type: 杂志文章,评审
doi:10.1016/j.sleep.2014.12.017
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:To examine the long-term relationship between sleep duration and type 2 diabetes or impaired glucose tolerance (IGT). METHODS:Body composition measurements and self-reported sleep duration were determined in a longitudinal sample of 276 individuals aged 21 to 64 years followed for a mean of 6 years. Risk fac...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2008.09.016
更新日期:2009-09-01 00:00:00
abstract:STUDY OBJECTIVES:Theoretical accounts of the progression of insomnia from acute to chronic are lacking. A framework is proposed and tested to examine differences in cognitive coping styles between acute and chronic insomniacs and the relation of cognitive processing and sleep hygiene to causal attributions of insomnia....
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/s1389-9457(02)00039-4
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:Noise in the vicinity of airports is a public health issue. Exposure to aircraft noise has been shown to have adverse effects on health and particularly on sleep. Many studies support the hypothesis that noise at night can affect subjective sleep quality. Fewer studies, however, have performed objective meas...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2018.10.013
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:The Japanese Sleep Questionnaire for Elementary Schoolers (JSQ-ES) was developed to measure the sleep habits and disturbances of Japanese children. The current study aimed to present psychometric properties and describe the score distribution of the JSQ-ES. In addition, it examined correlations between the sl...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.07.025
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Sleep-disordered breathing (SDB) is often co-morbid with conductive hearing loss in early childhood due to a shared aetiology of adenotonsillar hypertrophy. Hearing loss is independently associated with impairment of executive function and behavioural difficulties. We hypothesised that these impairments in c...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.02.008
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:To investigate clinical and dopaminergic pre-synaptic brain imaging characteristics of subjects with idiopathic rapid eye movement (REM) behavior disorder (iRBD) and mild cognitive impairment (MCI), and to evaluate the combined predictive value of risk factors for short-term conversion to synucleinopathy. ME...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.02.011
更新日期:2020-02-29 00:00:00
abstract:BACKGROUND AND PURPOSE:Sleep-disordered breathing (SDB) is more prevalent in stroke patients than age- and sex-matched controls, but the relationship between SDB and functional outcome of stroke patients is unclear. The aim of our study was to determine the prevalence of SDB in ischemic stroke and its influence on func...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2008.08.006
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Using transcranial B-mode sonography (TCS), the first morphological marker for restless legs syndrome (RLS), hypoechogenicity of the substantia nigra (SN) has been found. The aim of this study was to validate SN hypoechogenicity as a morphological marker for RLS in a large patient cohort and to i...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2007.09.001
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:The right anterior insula (AIns) is an important node of the salience network and serves to switch between two major cognitive-related functional brain networks, ie, the central executive network (CEN) and the default mode network (DMN), both of which show functional deficits in obstructive sleep apnea (OSA)...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.04.018
更新日期:2015-09-01 00:00:00
abstract:STUDY OBJECTIVES:To examine the associations between screen time, the time spent on different screen devices, and sleep in a sample of Finnish preschool children. METHODS:The current study analyzed cross-sectional data from the DAGIS study carried out in Finland in 2015-2016 on 736 children aged 3-6 years. Parents rep...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.11.008
更新日期:2020-11-11 00:00:00
abstract:OBJECTIVE:Previous studies have demonstrated the association between Cushing's syndrome (CS), obstructive sleep apnea (OSA), and the risk factors for OSA, but rarely provided the evidence within a large population. Using the Taiwan National Health Insurance Research Database, we attempted to investigate the association...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.04.016
更新日期:2017-08-01 00:00:00