Effect of Drug-Induced Sedation Endoscopy on the Decision of Treatment Plan in Patients with Obstructive Sleep Apnea / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 295-299, 2018.
Article
Dans Anglais
| WPRIM
| ID: wpr-714775
ABSTRACT
BACKGROUND AND OBJECTIVES:
Drug-induced sedation endoscopy (DISE) has recently gained popularity among otolaryngologists because it can provide direct information of upper airway obstruction in patients with obstructive sleep apnea (OSA). In that regard, we examined how DISE examination affected the decision of clinician's treatment plan and the consequent patient's compliance in OSA patients. SUBJECTS ANDMETHOD:
All enrolled patients were classified into two groups according to the method of upper airway evaluation employed a physical examination only group and a physical examination combined with DISE group. The clinician's treatment plan was categorized into the following four groups sleep surgery, positive airway pressure, oral appliance, and sleep surgery combined with oral appliance. The change of patient's compliance was also evaluated.RESULTS:
There were several differences in how DISE evaluation affected the decision of clinician's treatment plan and patient's compliance between the two groups. The rate for sleep surgery fell from 69.6% to 15.9%; on the other hand, the rate for positive airway pressure, oral appliance and sleep surgery combined with oral appliance all increased from 13.0% to 36.2%, 14.5% to 26.6%, and 2.9% to 21.3%, respectively. The patient's compliance also changed after DISE evaluation sleep surgery, positive airway pressure, oral appliance and sleep surgery combined with oral appliance all increased from 78.1% to 87.9%, 16.7% to 76.0%, 25.0% to 87.3%, and 50.0% to 91.03%, respectively.CONCLUSION:
We found that DISE examination influences the decision of clinician's treatment plan and patient's compliance. We suggest additional cohort studies to confirm these findings.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Examen physique
/
Études de cohortes
/
Compliance
/
Syndrome d'apnées obstructives du sommeil
/
Obstruction des voies aériennes
/
Endoscopie
/
Main
/
Méthodes
Type d'étude:
Etude d'étiologie
/
Etude d'incidence
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Otolaryngology - Head and Neck Surgery
Année:
2018
Type:
Article
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