Sleep & breathing = Schlaf & Atmung
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Evidence suggests that obesity hypoventilation syndrome (OHS) is underrecognized and undertreated. Aim of this study was to evaluate the prevalence and clinical characteristics of OHS among patients reporting sleep-related breathing disorders in northern Greece. ⋯ In our study population, OHS was accounted for a significant percentage of the patients with reported breathing disorders in sleep. As obesity has become an international epidemic, it is crucial that physicians have the ability to recognize and treat obesity-associated diseases.
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Comparative Study
Continuous positive airway pressure device-based automated detection of obstructive sleep apnea compared to standard laboratory polysomnography.
Obstructive sleep apnea (OSA) is a common health problem that affects more than 2-4% of the US population. Polysomnography (PSG) is the gold standard for diagnosing OSA. PSG is, however, expensive, time-consuming, and not always readily accessible. Hence, alternative diagnostic methods such as home-based testing have been evaluated. We studied the ability of the REMstar Pro (RSP2, a brand of continuous positive airway pressure (CPAP) device) to identify abnormal breathing events in subjects with OSA and compared this with breathing events simultaneously determined by laboratory-based PSG. ⋯ The monitoring of residual sleep-disordered breathing on treatment, in addition to adherence, is an important objective therapeutic target in OSA. The REMstar Pro detects sleep-disordered breathing events similar to that of a manually scored PSG-for apnea but not for hypopnea-and merits further investigation as a device to determine disease severity and treatment efficacy.
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Case Reports
Improvement in quality of life after adenotonsillectomy in a child with Prader Willi syndrome.
We report a child with Prader Willi syndrome who developed obstructive sleep apnea (OSA). This patient underwent surgical treatment for OSA. There was improvement not only on her OSA but in her quality of life score as well. This report highlights the need for a comprehensive assessment in the management of patients with Prader Willi syndrome.