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
in English
| WPRIM (Western Pacific)
| ID: wpr-714775
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Cohort Studies
/
Compliance
/
Sleep Apnea, Obstructive
/
Airway Obstruction
/
Endoscopy
/
Hand
/
Methods
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2018
Document type:
Article