5 résultat(s) recherche sur le mot-clé 'Sleep apnea syndromes'    

 trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Can a Prediction Model Combining Self-Reported Symptoms, Sociodemographic and Clinical Features Serve as a Reliable First Screening Method for Sleep Apnea Syndrome in Patients With Stroke? / Justine A. Aaronson in Archives of Physical Medicine and Rehabilitation, 2014/4 (2014)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2014/4 (2014) . - p. 747-752 Titre : Can a Prediction Model Combining Self-Reported Symptoms, Sociodemographic and Clinical Features Serve as a Reliable First Screening Method for Sleep Apnea Syndrome in Patients With Stroke? Type de document : Article Auteurs : Justine A. Aaronson ; Janneke Nachtegaal ; Tijs van Bezeij Article en page(s) : p. 747-752 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation ; Syndromes d'apnées du sommeil Mots-clés : Sleep apnea syndromes  Stroke Résumé : Objective To determine whether a prediction model combining self-reported symptoms, sociodemographic and clinical parameters could serve as a reliable first screening method in a step-by-step diagnostic approach to sleep apnea syndrome (SAS) in stroke rehabilitation. Design Retrospective study. Setting Rehabilitation center. Participants Consecutive sample of patients with stroke (N=620) admitted between May 2007 and July 2012. Of these, 533 patients underwent SAS screening. In total, 438 patients met the inclusion and exclusion criteria. Interventions Not applicable. Main Outcome Measures We administered an SAS questionnaire consisting of self-reported symptoms and sociodemographic and clinical parameters. We performed nocturnal oximetry to determine the oxygen desaturation index (ODI). We classified patients with an ODI ≥15 as having a high likelihood of SAS. We built a prediction model using backward multivariate logistic regression and evaluated diagnostic accuracy using receiver operating characteristic analysis. We calculated sensitivity, specificity, and predictive values for different probability cutoffs. Results Thirty-one percent of patients had a high likelihood of SAS. The prediction model consisted of the following variables: sex, age, body mass index, and self-reported apneas and falling asleep during daytime. The diagnostic accuracy was .76. Using a low probability cutoff (0.1), the model was very sensitive (95%) but not specific (21%). At a high cutoff (0.6), the specificity increased to 97%, but the sensitivity dropped to 24%. A cutoff of 0.3 yielded almost equal sensitivity and specificity of 72% and 69%, respectively. Depending on the cutoff, positive predictive values ranged from 35% to 75%. Conclusions The prediction model shows acceptable diagnostic accuracy for a high likelihood of SAS. Therefore, we conclude that the prediction model can serve as a reasonable first screening method in a stepped diagnostic approach to SAS in stroke rehabilitation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119068 [article]

Objective Sleep Measures in Inpatients With Subacute Stroke Associated With Levels and Improvements in Activities of Daily Living / Ren-Jing Huang in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 4 (2018)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 99, n° 4 (2018) . - p. 699-706 Titre : Objective Sleep Measures in Inpatients With Subacute Stroke Associated With Levels and Improvements in Activities of Daily Living Type de document : Article Auteurs : Ren-Jing Huang ; Ching-Hsiang Lai ; Shin-Da Lee Article en page(s) : p. 699-706 Langues : Anglais (eng) Descripteurs : HE Vinci Hypertension intracranienne ; Pronostic ; Syndromes d'apnées du sommeil ; Troubles de l'endormissement et du maintien du sommeil Mots-clés : Cerebrovascular Disorders  Angiopathies intracrâniennes  Intracranial Hypertension  Sleep Initiation and Maintenance Disorders  Prognosis  Sleep Apnea Syndromes Résumé : Objective To investigate whether objective polysomnographic measures of prevalent sleep problems such as sleep-disordered-breathing (SDB) and insomnia are associated with activities of daily living levels in inpatients at rehabilitation units. Design Retrospective and observational study. Setting Single rehabilitation center. Participants Inpatients with subacute stroke (N=123) (61.6+13.1 years; 23.8+3.4 kg/m2; 33% women; 90.5+36.7 days post-stroke) underwent a 1-night polysomnographic study and a 1-month inpatient rehabilitation program. Main outcome measures Admission and discharge Barthel Index (BI) scores and its change scores. Results One hundred three (92%) patients had moderate-to-severe SDB (46.7+25.1 events/h in the apnea-hypopnea index), and 24 (19.5%) patients had acceptable continuous positive airway pressure adherence. Diverse values were found for total sleep time (259+71 min), sleep efficiency (69.5%+19.3%), sleep latency (24.3+30.9 min), and wakefulness after sleep onset (93.1+74.2 min). Admission BI scores and the BI change scores were 33.8+23.2 and 10.1+9.2, respectively. The National Institutes of Health Stroke Scale (NIHSS, 10.2+5.6), available in 57 (46%) patients, was negatively associated with admission levels and gains in BI change scores (P<.001 respectively in a univariate analysis. regression models with backward selection excluding nihss score both age and wakefulness after sleep onset were negatively associated r2="0.260)" admission bi scores. comorbidity of hypertension latency percentage stage non eye movement desaturation events adjusted gains.> Conclusions Based on objective sleep measures, insomnia rather than SDB in inpatients with subacute stroke was associated negatively with admission levels of activity of daily living and its improvement after a 1-month rehabilitation course. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118785 [article]

Relationships Between Objective Sleep Indices and Symptoms in a Community Sample of People With Tetraplegia / David Berlowitz in Archives of Physical Medicine and Rehabilitation, 2012/7 (2012)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2012/7 (2012) . - pp. 1246-1252 Titre : Relationships Between Objective Sleep Indices and Symptoms in a Community Sample of People With Tetraplegia Type de document : Article Auteurs : David Berlowitz ; Jo Spong ; Ian Gordon ; [et al.] Article en page(s) : pp. 1246-1252 Langues : Anglais (eng) Descripteurs : HE Vinci Polysomnographie ; Qualité de vie ; Rééducation et réadaptation ; Syndromes d'apnées du sommeil ; Traumatismes de la moelle épinière Mots-clés : Polysomnography  Quality of life  Sleep apnea syndromes  Spinal cord injuries Résumé : Objective To examine the relationships between injury severity, quality of life, sleep symptoms, objectively measured sleep, and sleep disorders in chronic tetraplegia. Design Cross-sectional survey. Setting Community. Participants People with tetraplegia (N=78; 59 men, 35 with motor and sensory complete tetraplegia; mean age + SD, 43+12.1; age range 18–70y), living in the state of Victoria, Australia, who were not currently being treated for sleep disorders and who completed both questionnaires and sleep studies comprised the study cohort. Intervention Questionnaire battery mailed to potential participants. Returned questionnaires were followed with full, home-based polysomnography. Main Outcome Measures Demographics and questionnaire responses. Results Quality of life (Assessment of Quality of Life instrument) was worse in the group with complete lesions compared with incomplete lesions (P=.001; median=16; interquartile range, 9 vs 12 [12]), and the Apnea-Hypopnea Index was higher (P=.002; interquartile range, 32.0 [25.2] vs 13.2 [24.8]). Ninety-one percent of those with complete lesions had obstructive sleep apnea (Apnea-Hypopnea Index >10) versus 55.8% of those with incomplete tetraplegia. No effect of lesion level on the Apnea-Hypopnea Index was observed (r=–.04, P=.73). In the complete group, the time taken from sleep onset until the first rapid eye movement sleep period was significantly delayed at over 2 hours. Multiple regression analyses showed substantially stronger relationships between daytime sleep complaints and abnormalities observed in the sleep study in those with complete lesions. Conclusions Obstructive sleep apnea is a major problem, particularly in those with complete tetraplegia, and this single comorbidity is associated with reduced quality of life. In those with incomplete cervical lesions, the relationships between sleepiness, other sleep symptoms, and polysomnography indices are less precise. Disponible en ligne : Oui En ligne : http://www.archives-pmr.org/article/S0003-9993%2812%2900146-3/abstract Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117222 [article]

Effect of an occlusal splint on sleep bruxism in children in a pilot study with a short-term follow up / Lilian Chrystiane Giannasi in Journal of Bodywork and Movement Therapies, 2013/4 (2013)  

[article]  inJournal of Bodywork and Movement Therapies > 2013/4 (2013) . - pp. 418-422 Titre : Effect of an occlusal splint on sleep bruxism in children in a pilot study with a short-term follow up Type de document : Article Auteurs : Lilian Chrystiane Giannasi ; Israel Reis Santos ; Thays Almeida Alfaya ; [et al.] Article en page(s) : pp. 418-422 Langues : Anglais (eng) Descripteurs : HE Vinci Enfant (6-12 ans) ; Ronflement ; Syndromes d'apnées du sommeil Mots-clés : Sleep Bruxism  Bruxisme du sommeil  Snoring  Sleep Apnea Syndromes  Child Résumé : The aim of the present study was to evaluate the effect of the use of an occlusal splint in children with bruxism in a pilot study with a short-term follow up. Seventeen children were recruited, only nine of whom formed the sample following the application of the inclusion criteria: presence of sleep bruxism for at least six months (based on parents' reports); presence of at least the first permanent molars; and no previous history of treatment involving an occlusal splint. The sample was submitted to a clinical exam. Other sleep problems were screened with the use of a sleep questionnaire filled out by parents before and after 90 days of occlusal splint usage. The children received a flat acrylic resin splint with full coverage of the occlusal surfaces to be worn in the maxilla. In children with erupting teeth, a space was created in the splint to allow normal eruption. After the 90-day period, the absence of sleep bruxism and sleep movements was noted in most of children. Moreover, snoring was reduced in nearly 50%, which raises a new issue to be investigated with regard to the pathophysiology of sleep bruxism. The use of an occlusal splint was effective in reducing the symptoms of sleep bruxism and other sleep problems. Further investigations should be carried out on the relationship between snoring and sleep bruxism in children. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://www.sciencedirect.com/science/ar [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=127290 [article]

Home-Based Overnight Transcutaneous Capnography/Pulse Oximetry for Diagnosing Nocturnal Hypoventilation Associated With Neuromuscular Disorders / Kristy A Bauman in Archives of Physical Medicine and Rehabilitation, 2013/1 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/1 (2013) . - pp. 46-52 Titre : Home-Based Overnight Transcutaneous Capnography/Pulse Oximetry for Diagnosing Nocturnal Hypoventilation Associated With Neuromuscular Disorders Type de document : Article Auteurs : Kristy A Bauman ; Armando Kurili ; L. Schmidt Shelley ; [et al.] Article en page(s) : pp. 46-52 Langues : Anglais (eng) Descripteurs : HE Vinci Hospitalisation à domicile ; Rééducation et réadaptation ; Syndromes d'apnées du sommeil Mots-clés : Blood gas monitoring  transcutaneous  Mesure transcutanée des gaz du sang  Home care services  hospital-based  Hypoventilation  Neuromuscular diseases  Maladies neuromusculaires  Sleep apnea syndromes Résumé : "Objective To determine the utility of home-based, unsupervised transcutaneous partial pressure of carbon dioxide (tc-Pco2) monitoring/oxygen saturation by pulse oximetry (Spo2) for detecting nocturnal hypoventilation (NH) in individuals with neuromuscular disorders. Design Retrospective case series analyzed consecutively. Setting Multidisciplinary neuromuscular respiratory failure (NMRF) clinic at an academic institution. Participants Subjects (N=35, 68.6% men; mean age, 46.9y) with spinal cord injury (45.7%) or other neuromuscular disorders underwent overnight tests with tc-Pco2/Spo2 monitoring. Fifteen (42.9%) were using nocturnal ventilatory support, either bilevel positive airway pressure (BiPAP) or tracheostomy ventilation (TV). Interventions A respiratory therapist brought a calibrated tc-Pco2/Spo2 monitor to the patient’s home and provided instructions for data collection during the subject’s normal sleep period. Forced vital capacity (FVC), body mass index (BMI), and exhaled end-tidal Pco2 (ET-Pco2) were recorded at a clinic visit before monitoring. Main Outcome Measures Detection of NH (tc-Pco2 ≥50mmHg for ≥5% of monitoring time). Data were also analyzed to determine whether nocturnal oxygen desaturation (Spo2 ≤88% for ≥5% of monitoring time), FVC, BMI, or daytime ET-Pco2 could predict the presence of NH. Results NH was detected in 18 subjects (51.4%), including 53.3% of those using BiPAP or TV. NH was detected in 43.8% of ventilator-independent subjects with normal daytime ET-Pco2 (present for 49.4%+31.5% [mean + SD] of the study period), and in 75% of subjects with an elevated daytime ET-Pco2 (present for 92.3%+8.7% of the study period). Oxygen desaturation, BMI, and FVC were poor predictors of NH. Only 3 attempted monitoring studies failed to produce acceptable results. Conclusions Home-based, unsupervised monitoring with tc-Pco2/Spo2 is a useful method for diagnosing NH in NMRF." Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117356 [article]