Identifying obstructive sleep apnea in patients presenting for laser-assisted uvulopalatoplasty

The Laryngoscope
A M VaidyaC Gopalsami

Abstract

The authors report on a series of 850 patients with snoring who were evaluated for laser-assisted uvulopalatoplasty (LAUP). Stepwise multivariate linear regression was employed to correlate patient symptoms and characteristics to the respiratory disturbance index (RDI). Body mass index, falling asleep while driving, snoring every night, and stopping breathing during sleep were found to correlate strongly with an increasing RDI (variance of 25%). Logistic multivariate linear regression analysis was used to predict the outcome of apnea (RDI>10). This model selected all of the above variables, as well as age, male sex, and the total number of symptoms, as being strong predictors of apnea. A receiver operating characteristic curve was used to describe the ability of this model to predict apnea. The authors conclude that otolaryngologists play an important role in the evaluation of OSAS, especially when a snoring patient may undergo LAUP, and they present an algorithm for the evaluation of such a patient. The authors believe that the clinical assessment, including a thorough history and a complete physical examination, remains extremely important in this evaluation. At present, the authors strongly recommend referral for a PSG if th...Continue Reading

References

Oct 3, 1992·Lancet·J Munro
Feb 1, 1992·The American Journal of Clinical Nutrition·G A Bray
Sep 1, 1991·Annals of Internal Medicine·S VinerV Hoffstein
Jul 1, 1990·The American Review of Respiratory Disease·B D CrockerS G Gyulay
Jan 1, 1990·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·R Stoohs, C Guilleminault
Oct 1, 1988·Sleep·L E KapuniaiJ W Pearce
Oct 1, 1984·The American Journal of Medicine·E F HaponikE R Bleecker
Apr 29, 1993·The New England Journal of Medicine·T YoungS Badr
Jun 1, 1993·The American Review of Respiratory Disease·H Miljeteig, V Hoffstein

❮ Previous
Next ❯

Citations

Oct 3, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kenny P PangRobert Podolsky
Apr 18, 1998·The Laryngoscope·T A TamiM Pfleger
Sep 14, 2002·AORN Journal·Yvonne Mull, Marshall Bedder
Feb 28, 2006·American Journal of Otolaryngology·Kenny P Pang, David J Terris
Dec 5, 1998·Otolaryngologic Clinics of North America·J T Johnson, T W Braun
Mar 19, 2009·Anesthesiology·Satya Krishna Ramachandran, Lydia A Josephs
Mar 10, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·I Kamal
Jan 1, 1997·Lasers in Surgery and Medicine·A M LauretanoM P Fried
Mar 1, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ibrahim Kamal

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved