The prevalence of treatment-emergent central sleep apnea with mandibular advancement device therapy.
central sleep apnea
complex sleep apnea
obstructive sleep apnea
oral appliance
Journal
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977
Informations de publication
Date de publication:
01 12 2023
01 12 2023
Historique:
pmc-release:
01
12
2024
medline:
4
12
2023
pubmed:
4
8
2023
entrez:
4
8
2023
Statut:
ppublish
Résumé
Treatment-emergent central sleep apnea (TECSA) describes the appearance or persistence of central sleep apnea while undergoing treatment for obstructive sleep apnea. TECSA is well studied in continuous positive airway pressure therapy with an estimated prevalence of 8%. Based on a few case reports, mandibular advancement devices (MAD) may also provoke TECSA. This study aims to gain insight into the prevalence of TECSA with MAD therapy. This retrospective study includes a total of 129 patients with moderate to severe obstructive sleep apnea who were treated with a custom-made titratable MAD. Baseline and follow-up sleep studies were compared to identify patients with TECSA. Since different diagnostic criteria to define TECSA are used in literature, prevalence was calculated according to three definitions (TECSA-1, -2, and -3). Demographics, MAD treatment variables, and findings of the diagnostic polysomnography were compared between TECSA and non-TECSA patients to identify possible predictors. Depending on the definition used, TECSA was found in 3.1%-7.8% of patients undergoing MAD therapy. TECSA patients had a higher apnea index (9.2 vs 2.0 events/h, These findings demonstrate that TECSA also occurs in patients starting MAD treatment. Patients with TECSA had a higher apnea index, central apnea-hypopnea index, and oxygen desaturation index at baseline compared to non-TECSA patients. Hellemans S, Van de Perck E, Braem MJ, Verbraecken J, Dieltjens M, Vanderveken OM. The prevalence of treatment-emergent central sleep apnea with mandibular advancement device therapy.
Identifiants
pubmed: 37539639
pii: jcsm.10742
doi: 10.5664/jcsm.10742
pmc: PMC10692941
doi:
Substances chimiques
Oxygen
S88TT14065
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2035-2041Informations de copyright
© 2023 American Academy of Sleep Medicine.
Références
J Clin Sleep Med. 2012 Oct 15;8(5):597-619
pubmed: 23066376
Ann Am Thorac Soc. 2015 Sep;12(9):1351-7
pubmed: 26214564
J Clin Sleep Med. 2008 Oct 15;4(5):403-5
pubmed: 18853694
J Thorac Dis. 2015 May;7(5):930-7
pubmed: 26101651
Chest. 2017 Oct;152(4):751-760
pubmed: 28629918
J Physiol. 2012 Mar 1;590(5):1199-211
pubmed: 22219335
Chest. 2014 Nov;146(5):1387-1394
pubmed: 25367475
Nat Sci Sleep. 2022 Dec 22;14:2227-2236
pubmed: 36578670
Sleep Med. 2006 Jan;7(1):85-6
pubmed: 16194621
J Clin Sleep Med. 2017 May 15;13(5):675-683
pubmed: 28356181
Eur Respir J. 2011 Aug;38(2):329-37
pubmed: 21464115
J Clin Sleep Med. 2016 Jan;12(1):137-8
pubmed: 26414980
Bull Physiopathol Respir (Nancy). 1972 Sep-Oct;8(5):1217-27
pubmed: 4348640
J Clin Sleep Med. 2017 May 15;13(5):665-666
pubmed: 28416048
J Clin Sleep Med. 2008 Oct 15;4(5):406-8
pubmed: 18853695
Chin Med J (Engl). 2020 Nov 20;133(22):2721-2730
pubmed: 33009018
Am J Respir Crit Care Med. 2010 Jan 15;181(2):189-93
pubmed: 19762565
J Craniomaxillofac Surg. 2022 Jul;50(7):537-542
pubmed: 35778235
Chest. 2007 Feb;131(2):595-607
pubmed: 17296668
Otolaryngol Head Neck Surg. 2020 May;162(5):767-772
pubmed: 32178573
J Clin Sleep Med. 2017 Apr 15;13(4):551-555
pubmed: 28095966
Thorax. 2010 Aug;65(8):726-32
pubmed: 20685749
J Clin Sleep Med. 2012 Jun 15;8(3):321-2
pubmed: 22701391
J Clin Sleep Med. 2007 Aug 15;3(5):462-6
pubmed: 17803008
Rev Mal Respir. 2006 Nov;23(5 Pt 1):477-80
pubmed: 17314750
Sleep Med Rev. 2012 Apr;16(2):177-85
pubmed: 22033170
Arch Intern Med. 1981 Jul;141(8):985-8
pubmed: 7247605
Sleep Med. 2006 Sep;7(6):474-9
pubmed: 16931153
J Oral Maxillofac Surg. 2019 Nov;77(11):2303-2307
pubmed: 31302064
Sleep Med Rev. 2021 Aug;58:101513
pubmed: 34166994
J Clin Sleep Med. 2009 Jun 15;5(3):205-11
pubmed: 19960639
Sleep Breath. 2011 May;15(2):249-52
pubmed: 21190088
Ann Thorac Med. 2016 Jul-Sep;11(3):202-10
pubmed: 27512510
Tohoku J Exp Med. 2008 Aug;215(4):349-54
pubmed: 18679009
Sleep. 1999 Aug 1;22(5):667-89
pubmed: 10450601