Investigation of trends and characteristics in patients with obstructive sleep apnea

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• 作者：Chieko Ishikawa (1)
  Yuko Shigeta (2)
  Takumi Ogawa (2)
  Shinya Hirai (2)
  Eriko Ando (2)
  Tomoko Ikawa (2)
  Shintaro Kasama (2)
  Keisuke Ihara (3)
  Noboru Kawamura (3)
  Yukihiro Mizuno (3)
  Shunji Fukushima (2)
  Toshio Hosoi (1)
  Jun Nejima (4)
  C. Ohkubo (1)
  
• 关键词：Obstructive sleep apnea ; Medical trend ; Sex ratio ; Age distribution ; Systemic disease ; BMI ; Severity of OSA (AHI) ; Efficacy of oral appliance
• 刊名：The Journal of Indian Prosthodontic Society
• 出版年：2010
• 出版时间：March 2010
• 年：2010
• 卷：10
• 期：1
• 页码：57-63
• 全文大小：580KB
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• 作者单位：Chieko Ishikawa (1)
  Yuko Shigeta (2)
  Takumi Ogawa (2)
  Shinya Hirai (2)
  Eriko Ando (2)
  Tomoko Ikawa (2)
  Shintaro Kasama (2)
  Keisuke Ihara (3)
  Noboru Kawamura (3)
  Yukihiro Mizuno (3)
  Shunji Fukushima (2)
  Toshio Hosoi (1)
  Jun Nejima (4)
  C. Ohkubo (1)
  
  1. Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Yokohama, Japan
  2. Department of Fixed Prosthodontics, Tsurumi University School of Dental Medicine, Yokohama, Japan
  3. The Dental Technician Training Institute, Tsurumi University School of Dental Medicine, Yokohama, Japan
  4. Department of Internal Medicine, Tsurumi University School of Dental Medicine, Yokohama, Japan
  

文摘

Background Oral appliance (OA) therapy for obstructive sleep apnea (OSA) has only been part of Japan’s National Health care coverage plan since 2004. Subsequently, not enough time has passed to establish the medical trends and characteristics of OSA patients in Japanese Dental Hospitals. Aim The aim of this study was to investigate the medical trends and the characteristics in patients with OSA who visited our clinic, and to compare our findings with previous studies. Setting and design Epidemiological survey (retrospective study). Materials and methods Two hundred and one patients were recruited at the Internal Medicine Division in the Tsurumi University Dental Hospital from February 2006 to December 2008, consecutively. Patients received a medical interview, and a detailed sleep analysis that included a polysomnography (PSG) to verify the exact nature of their condition. The efficacy of OA was assessed in 49 patients who wore an OA and underwent PSG. Results Of all subjects, 141 patients visited the Prosthodontic Division to receive OA therapy, 38 patients were treated or received a follow up examination in the Internal Medicine Division. The dropout rate was 10.4% in the all subjects, 17.0% in patients who visited the Prosthodontic Division. The male-to-female ratio was 3.3:1, 3.0:1 in patients who visited the Prosthodontic Division. In addition, females had a lower rate of OAS severity than males. In our patients, the major complication was hypertension and cardiac disease. The success rate of OA was 75.5%. Conclusion This approach allowed us to reveal some of the trends and characteristics in our patients.