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Correlation between short-time and whole-night obstruction level tests for patients with obstructive sleep apnea
Scientific Reports ( IF 4.6 ) Pub Date : 2021-01-15 , DOI: 10.1038/s41598-020-80825-w
Jeong-Whun Kim 1 , Jae-Cheul Ahn 2 , Young-Seok Choi 3 , Chae-Seo Rhee 4, 5 , Hahn Jin Jung 3
Affiliation  

Identification of obstructive level is crucial for successful surgical outcomes in patients with obstructive sleep apnea (OSA). Unfortunately, most of the dynamic airway evaluations are performed for a short duration under drug-induced sleep; therefore, it is uncertain whether they represent airway events that occur during a whole night of sleep. This study was aimed to evaluate the correlation between obstructive levels that were identified by a short-time and a whole-night test in patients with OSA. Total 101 patients with OSA underwent drug-induced sleep fluoroscopy (DISF) and pressure manometry (PM). For DISF, the obstructive pattern was classified into one of three groups: soft palate, tongue-based, and a combined obstruction. PM was used to measure the proportion of retroglossal events out of total whole-night obstructive events in each patient. The mean age of the patients was 43.8 years. The obstructive pattern was identified as soft palate in 56 patients, combined in 38 patients, and tongue-based in 7 patients following DISF. Results from PM showed that the mean percentage of retroglossal obstructive events was 31.2 ± 30.7%. The average proportion of retroglossal obstructive events that were identified by PM in patients with soft palate, combined, and tongue-based obstruction was 27.2%, 32.1%, and 59.0%, respectively (p = 0.033). There are limitations of evaluating obstructive events that occur during a whole night with short-time tests. Surgeons should be aware the possibility of disagreement in the obstructive level between short-time and whole-night tests.



中文翻译:

阻塞性睡眠呼吸暂停患者短时和整夜阻塞水平测试的相关性

阻塞性水平的识别对于阻塞性睡眠呼吸暂停 (OSA) 患者的成功手术结果至关重要。不幸的是,大多数动态气道评估都是在药物诱导的睡眠下进行的。因此,不确定它们是否代表整夜睡眠期间发生的气道事件。本研究旨在评估 OSA 患者通过短时间和整夜测试确定的阻塞水平之间的相关性。共有 101 名 OSA 患者接受了药物诱导睡眠透视 (DISF) 和压力测量 (PM)。对于 DISF,阻塞模式被分为三组之一:软腭、舌基和组合阻塞。PM 用于测量每位患者的舌后事件占整夜阻塞事件的比例。患者的平均年龄为 43.8 岁。DISF 后 56 名患者的阻塞模式被确定为软腭,38 名患者合并,7 名患者的阻塞模式为基于舌头。PM 结果显示舌后阻塞事件的平均百分比为 31.2 ± 30.7%。PM 在软腭、联合和舌基阻塞患者中识别的舌后阻塞事件的平均比例分别为 27.2%、32.1% 和 59.0% (p = 0.033)。使用短时间测试评估整夜发生的阻塞事件存在局限性。外科医生应该意识到短时间和整夜测试之间阻塞水平存在分歧的可能性。患者的平均年龄为 43.8 岁。DISF 后 56 名患者的阻塞模式被确定为软腭,38 名患者合并,7 名患者的阻塞模式为基于舌头。PM 结果显示舌后阻塞事件的平均百分比为 31.2 ± 30.7%。PM 在软腭、联合和舌基阻塞患者中识别的舌后阻塞事件的平均比例分别为 27.2%、32.1% 和 59.0% (p = 0.033)。使用短时间测试评估整夜发生的阻塞事件存在局限性。外科医生应该意识到短时间和整夜测试之间阻塞水平存在分歧的可能性。患者的平均年龄为 43.8 岁。DISF 后 56 名患者的阻塞模式被确定为软腭,38 名患者合并,7 名患者的阻塞模式为基于舌头。PM 结果显示舌后阻塞事件的平均百分比为 31.2 ± 30.7%。PM 在软腭、联合和舌部阻塞患者中识别的舌后阻塞事件的平均比例分别为 27.2%、32.1% 和 59.0% (p = 0.033)。使用短时间测试评估整夜发生的阻塞事件存在局限性。外科医生应该意识到短时间和整夜测试之间阻塞水平存在分歧的可能性。38 名患者合并,7 名 DISF 患者以舌为基础。PM 结果显示舌后阻塞事件的平均百分比为 31.2 ± 30.7%。PM 在软腭、联合和舌基阻塞患者中识别的舌后阻塞事件的平均比例分别为 27.2%、32.1% 和 59.0% (p = 0.033)。使用短时间测试评估整夜发生的阻塞事件存在局限性。外科医生应该意识到短时间和整夜测试之间阻塞水平存在分歧的可能性。38 名患者合并,7 名 DISF 患者以舌为基础。PM 结果显示舌后阻塞事件的平均百分比为 31.2 ± 30.7%。PM 在软腭、联合和舌部阻塞患者中识别的舌后阻塞事件的平均比例分别为 27.2%、32.1% 和 59.0% (p = 0.033)。使用短时间测试评估整夜发生的阻塞事件存在局限性。外科医生应该意识到短时间和整夜测试之间阻塞水平存在分歧的可能性。PM 在软腭、联合和舌部阻塞患者中识别的舌后阻塞事件的平均比例分别为 27.2%、32.1% 和 59.0% (p = 0.033)。使用短时间测试评估整夜发生的阻塞事件存在局限性。外科医生应该意识到短时间和整夜测试之间阻塞水平存在分歧的可能性。PM 在软腭、联合和舌部阻塞患者中识别的舌后阻塞事件的平均比例分别为 27.2%、32.1% 和 59.0% (p = 0.033)。使用短时间测试评估整夜发生的阻塞事件存在局限性。外科医生应该意识到短时间和整夜测试之间阻塞水平存在分歧的可能性。

更新日期:2021-01-16
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