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.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Exame Físico
/
Estudos de Coortes
/
Complacência (Medida de Distensibilidade)
/
Apneia Obstrutiva do Sono
/
Obstrução das Vias Respiratórias
/
Endoscopia
/
Mãos
/
Métodos
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Ano de publicação:
2018
Tipo de documento:
Artigo
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