Article
Medicine, General & Internal
Baixin Chen, Miaolan Guo, Yueksel Peker, Neus Salord, Luciano F. Drager, Geraldo Lorenzi-Filho, Xiangdong Tang, Yun Li
Summary: CPAP treatment leads to a significant decrease in total cholesterol but has no effect on other lipid profiles in patients with obstructive sleep apnea. Factors such as age, gender, body mass index, daytime sleepiness, OSA severity, follow-up duration, CPAP compliance, and presence of cardiometabolic disease do not moderate the effects of CPAP treatment on lipid profiles.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Medicine, General & Internal
Yinghua Xu, Haiyan Wu, Xiaoling Lu
Summary: This meta-analysis investigated the influence of continuous positive airway pressure (CPAP) on lipid profiles of patients with obstructive sleep apnea (OSA). The results showed that CPAP treatment did not affect the lipid profiles, including total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL), and high density lipoprotein (HDL), of OSA patients, regardless of the duration of CPAP treatment.
Article
Medicine, General & Internal
Samuel Knoedler, Leonard Knoedler, Helena Baecher, Martin Kauke-Navarro, Doha Obed, Cosima C. Hoch, Yannick F. Diehm, Peter S. Vosler, Ulrich Harreus, Ulrich Kneser, Adriana C. Panayi
Summary: This study retrospectively analyzed the outcomes of OSA surgery at a national level, and identified risk factors for complications such as alkaline phosphatase levels, male gender, extreme BMI, and diabetes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Anesthesiology
Linor Berezin, Mahesh Nagappa, Khashayar Poorzargar, Aparna Saripella, Jennita Ariaratnam, Nina Butris, Marina Englesakis, Frances Chung
Summary: The study aimed to determine the effectiveness of positive airway pressure (PAP) therapy in reducing the risk of postoperative complications in patients with obstructive sleep apnea (OSA) undergoing surgery. The results showed that PAP therapy was associated with a decreased risk of postoperative respiratory complications and unplanned ICU admission in non-cardiac surgery patients with OSA. In patients undergoing cardiac surgery, PAP therapy decreased the risk of postoperative cardiac complications and atrial fibrillation.
JOURNAL OF CLINICAL ANESTHESIA
(2023)
Article
Medicine, General & Internal
Hyunjin Jo, Sujung Choi, Dongyeop Kim, Eunyeon Joo
Summary: Patients with epilepsy have milder characteristics of obstructive sleep apnea (OSA), but because of the high coexistence of OSA and epilepsy, continuous positive airway pressure (CPAP) therapy can reduce the frequency of seizures. Therefore, it is important to evaluate the presence of OSA in patients with epilepsy and provide concurrent treatment.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Xinyao Li, Xinbin Zhou, Xiaoming Xu, Jin Dai, Chen Chen, Lan Ma, Jiaying Li, Wei Mao, Min Zhu
Summary: The study found that CPAP therapy can significantly reduce the risk of AF recurrence or progression, especially for patients with OSA. Compared to patients without OSA, CPAP nonusers had a higher rate of AF recurrence or progression.
Article
Medicine, General & Internal
Jae Hyuk Choi, Eunkyu Lee, Sang Duk Hong, Seung Kyu Chung, Yong Gi Jung, Hyo Yeol Kim
Summary: A retrospective analysis of OSA patients undergoing CPAP therapy showed significant improvements in laryngopharyngeal reflux symptoms and examination findings, independent of body mass index or OSA severity.CPAP treatment has the potential to reduce laryngeal reflux symptoms and improve laryngeal examination results in OSA patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
Laetitia S. Gaspar, Janina Hesse, Muge Yalcin, Barbara Santos, Catarina Carvalhas-Almeida, Mafalda Ferreira, Joaquim Moita, Angela Relogio, Claudia Cavadas, Ana Rita Alvaro
Summary: The study revealed that obstructive sleep apnea (OSA) affects the biological clock, and long-term continuous positive airway pressure (CPAP) treatment can partially restore normal clock function. However, the treatment does not fully reverse the impact on clock gene expression levels.
Article
Clinical Neurology
Yoko Fujino, Yasunori Oka, Tomoko Wakamura
Summary: This study found that seasonal differences can impact the CPAP adherence of patients with obstructive sleep apnea. Patients in the adherent group had lower CPAP use rate and shorter duration in summer, while the non-adherent group showed significant differences between winter and summer.
Article
Medicine, General & Internal
Ki Hwan Kwak, Young Jeong Lee, Jae Yong Lee, Jae Hoon Cho, Ji Ho Choi
Summary: This meta-analysis assessed the effect of pharyngeal OSA surgery on PAP therapy parameters and found that the surgery lowered optimal PAP levels and increased PAP usage time.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Clinical Neurology
Wojciech Trzepizur, Peter A. Cistulli, Martin Glos, Bruno Vielle, Kate Sutherland, Peter J. Wijkstra, Aarnoud Hoekema, Frederic Gagnadoux
Summary: This study compared the treatment effects of CPAP and MAD in patients with severe OSA. Results showed that MAD had similar impact to CPAP on sleepiness and quality of life, while CPAP was more effective in reducing AHI and ODI. Both treatments had similar impact on sleep structure, but patients preferred MAD for treatment adherence and preference.
Review
Clinical Neurology
Annie C. Lajoie, Yusing Gu, Andrew Lim, Andrea Benedetti, Marta Kaminska
Summary: This systematic review examines positive airway pressure (PAP) therapy adherence in patients with neurodegenerative diseases and obstructive sleep apnea (OSA). It reveals low adherence rates and high attrition rates, suggesting the need for interventions to optimize adherence. Factors such as age, race, confidence, genetics, and marital status influence adherence, and adherent patients experience improvements in sleepiness, sleep quality, cognition, and daily functioning.
SLEEP MEDICINE REVIEWS
(2023)
Review
Clinical Neurology
Amy Brown, Steven Jones, Guillermo Perez-Algorta
Summary: This study conducted a systematic review and qualitative metasynthesis of PAP user experience, revealing barriers to PAP use and suggesting ways services can address these barriers.
Article
Clinical Neurology
Wan-Ju Cheng, Eysteinn Finnsson, Jon S. Agustsson, Scott A. Sands, Liang-Wen Hang
Summary: Determining endotypes of OSA can have potential implications for precision interventions. The study aimed to assess whether CPAP treatment outcomes differ across endotypic subgroups. Retrospective analysis of data obtained from 225 patients with OSA showed that certain endotypic subgroups had different outcomes in CPAP treatment, including optimal CPAP pressure, improvements in sleep architecture, and CPAP adherence.
JOURNAL OF SLEEP RESEARCH
(2023)
Review
Cardiac & Cardiovascular Systems
Yasha Chen, Yihong Chen, Feng Wen, Zhiqing He, Wenhao Niu, Changzhen Ren, Na Li, Qinqin Wang, Yusheng Ren, Chun Liang
Summary: The use of CPAP in patients with OSA and CAD is associated with reduced risk of cardiovascular events and death, particularly in those with AHI less than 30 events/h, suggesting it may be an effective treatment option that warrants further study.
CLINICAL CARDIOLOGY
(2021)
Article
Anesthesiology
Selena Gong, Dorothy Qian, Sheila Riazi, Frances Chung, Marina Englesakis, Qixuan Li, Ella Huszti, Jean Wong
Summary: This systematic review and meta-analysis examined the association between the FRAIL scale and mortality and postoperative outcomes in older surgical patients. The results showed that frailty was associated with 30-day mortality, 6-month mortality, postoperative complications, and postoperative delirium.
ANESTHESIA AND ANALGESIA
(2023)
Article
Biology
Bjorn Bjorvatn, Ilona Merikanto, Catia Reis, Maria Korman, Adrijana Koscec Bjelajac, Brigitte Holzinger, Luigi De Gennaro, Yun Kwok Wing, Charles M. Morin, Colin A. Espie, Christian Benedict, Anne-Marie Landtblom, Kentaro Matsui, Harald Hrubos-Strom, Sergio Mota-Rolim, Michael R. Nadorff, Giuseppe Plazzi, Rachel Ngan Yin Chan, Markku Partinen, Yves Dauvilliers, Frances Chung, Ingeborg Forthun
Summary: The present study aimed to investigate the relationship between shift/night work and face-to-face work with the prevalence and severity of COVID-19. The results showed that shift/night work was not associated with an increased risk of COVID-19, but shift/night workers reported more severe disease when infected. Face-to-face work was associated with an increased risk of COVID-19, but not with higher disease severity.
CHRONOBIOLOGY INTERNATIONAL
(2023)
Review
Anesthesiology
Linor Berezin, Mahesh Nagappa, Khashayar Poorzargar, Aparna Saripella, Jennita Ariaratnam, Nina Butris, Marina Englesakis, Frances Chung
Summary: The study aimed to determine the effectiveness of positive airway pressure (PAP) therapy in reducing the risk of postoperative complications in patients with obstructive sleep apnea (OSA) undergoing surgery. The results showed that PAP therapy was associated with a decreased risk of postoperative respiratory complications and unplanned ICU admission in non-cardiac surgery patients with OSA. In patients undergoing cardiac surgery, PAP therapy decreased the risk of postoperative cardiac complications and atrial fibrillation.
JOURNAL OF CLINICAL ANESTHESIA
(2023)
Article
Clinical Neurology
Serena Scarpelli, Alessandra De Santis, Valentina Alfonsi, Maurizio Gorgoni, Charles M. Morin, Colin Espie, Ilona Merikanto, Frances Chung, Thomas Penzel, Bjorn Bjorvatn, Yves Dauvilliers, Brigitte Holzinger, Yun K. Wing, Markku Partinen, Giuseppe Plazzi, Luigi De Gennaro
Summary: Recent investigations have found that COVID-19 patients may continue to experience symptoms for 2-3 months after the onset of the infection. This study examined sleep and dream alterations in patients with long-COVID and identified the factors that contribute to these alterations. The results showed that long-COVID patients had more severe sleep problems compared to short-COVID patients. Additionally, the number of post-acute symptoms and psychological factors were found to be important determinants of sleep and dream alterations in long-COVID individuals.
JOURNAL OF SLEEP RESEARCH
(2023)
Article
Psychiatry
Pei Xue, Ilona Merikanto, Frances Chung, Charles M. Morin, Colin Espie, Bjorn Bjorvatn, Jonathan Cedernaes, Anne-Marie Landtblom, Thomas Penzel, Luigi De Gennaro, Brigitte Holzinger, Kentaro Matsui, Harald Hrubos-Strom, Maria Korman, Damien Leger, Sergio Mota-Rolim, Courtney J. Bolstad, Michael Nadorff, Giuseppe Plazzi, Catia Reis, Rachel Ngan Yin Chan, Yun Kwok Wing, Juliana Yordanova, Adrijana Koscec Bjelajac, Yuichi Inoue, Markku Partinen, Yves Dauvilliers, Christian Benedict
Summary: Short and long sleep duration after receiving mRNA vaccines is associated with a higher risk of post-COVID symptoms. The study suggests that short and long sleepers are more likely to experience prolonged COVID-19 symptoms compared to normal sleepers. Further research is needed to validate these findings in cohorts with confirmed SARS-CoV-2 infection.
TRANSLATIONAL PSYCHIATRY
(2023)
Article
Anesthesiology
Ellene Yan, David He, Tarek K. Rajji, Frances Chung
INTERNATIONAL ANESTHESIOLOGY CLINICS
(2023)
Review
Clinical Neurology
Nina Butris, Evan Tang, Bianca Pivetta, David He, Aparna Saripella, Ellene Yan, Marina Englesakis, Mark I. Boulos, Mahesh Nagappa, Frances Chung
Summary: Determining the prevalence and risk factors of sleep disturbances in surgical patients is crucial for risk stratification and perioperative care planning. A systematic review and meta-analysis showed that the overall prevalence of sleep disturbances in these patients was 60%, with high preoperative PSQI scores and anxiety being significant risk factors. Patients with postoperative delirium also had higher rates of pre- and postoperative sleep disturbances. The high prevalence of preoperative sleep disturbances negatively impacts postoperative outcomes and well-being, calling for further research.
SLEEP MEDICINE REVIEWS
(2023)
Article
Cardiac & Cardiovascular Systems
Shashank Shekhar, Roop Kaw, Shivabalan Kathavarayan Ramu, Adam Pampori, Toshiaki Isogai, Amar Krishnaswamy, Rishi Puri, Grant Reed, Serge C. Harb, James Yun, Samir R. Kapadia
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Letter
Cardiac & Cardiovascular Systems
Shashank Shekhar, Roop Kaw, Ankit Agrawal, Toshiaki Isogai, Hassan Lak, Gauranga Mahalwar, Adam Pampori, Grant Reed, Venu Menon, Samir R. Kapadia
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Obstetrics & Gynecology
Jennifer E. Dominguez, Sarah Cantrell, Ashraf S. Habib, Bilgay Izci-Balserak, Ellen Lockhart, Judette M. Louis, Alice Miskovic, Jacob W. Nadler, Mahesh Nagappa, Louise M. O'Brien, Christine Won, Ghada Bourjeily
Summary: The Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology have collaborated to provide recommendations on the management of obstructive sleep apnea during pregnancy. These recommendations are based on a review of scientific evidence and expert opinions. It is important for physicians to assess whether these recommendations are suitable for their individual patients, as the guideline may not be applicable to all clinical situations.
OBSTETRICS AND GYNECOLOGY
(2023)
Article
Anesthesiology
Chi Pham, Khashayar Poorzargar, Darshan Panesar, Kang Lee, Jean Wong, Matteo Parotto, Frances Chung
Summary: The study aimed to evaluate the feasibility and accuracy of remote Video Plethysmography (VPPG) for contactless measurements of blood pressure (BP) and heart rate (HR) in adult surgical patients in a hospital setting. An iPad Pro was used to record a 1.5-minute facial video of the participant's face and VPPG was used to extract vital signs measurements. The VPPG BP algorithm showed limitations in capturing individual variations in blood pressure, highlighting the need for further improvements.
JOURNAL OF CLINICAL MONITORING AND COMPUTING
(2023)
Article
Anesthesiology
Khashayar Poorzargar, Chi Pham, Darshan Panesar, Sheila Riazi, Kang Lee, Matteo Parotto, Frances Chung
Summary: The accurate and contactless measurement of respiratory rate (RR) is crucial for patient care. Video Plethysmography (VPPG) is a novel technology that uses facial video to measure RR without contact. This study showed that VPPG can accurately predict RR in surgical patients, with a success rate of 99.1%.
JOURNAL OF CLINICAL MONITORING AND COMPUTING
(2023)
Review
Cardiac & Cardiovascular Systems
Roop K. Kaw
Summary: Pulmonary hypertension is a risk factor for perioperative complications after non-cardiac surgery. Limited data and monitoring for patients with pulmonary hypertension undergoing non-cardiac surgery may contribute to higher complication rates and poor outcomes.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)