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Published on: December 6, 2016
Clinical and Research Solutions to Manage Obstructive Sleep Apnea: A Review
Fen Xia1,2, Mohamad Sawan2
1Zhejiang University, Hangzhou 310024, China.
Abstract:
Obstructive sleep apnea (OSA), a common sleep disorder disease, affects millions of people. Without appropriate treatment, this disease can provoke several health-related risks including stroke and sudden death. A variety of treatments have been introduced to relieve OSA. The main present clinical treatments and undertaken research activities to improve the success rate of OSA were covered in this paper. Additionally, guidelines on choosing a suitable treatment based on scientific evidence and objective comparison were provided. This review paper specifically elaborated the clinically offered managements as well as the research activities to better treat OSA. We analyzed the methodology of each diagnostic and treatment method, the success rate, and the economic burden on the world. This review paper provided an evidence-based comparison of each treatment to guide patients and physicians, but there are some limitations that would affect the comparison result. Future research should consider the consistent follow-up period and a sufficient number of samples. With the development of implantable medical devices, hypoglossal nerve stimulation systems will be designed to be smart and miniature and one of the potential upcoming research topics. The transcutaneous electrical stimulation as a non-invasive potential treatment would be further investigated in a clinical setting. Meanwhile, no treatment can cure OSA due to the complicated etiology. To maximize the treatment success of OSA, a multidisciplinary and integrated management would be considered in the future.
Insights
Obstructive sleep apnea (OSA) treatments are reviewed, comparing current options and future research like smart implants and non-invasive stimulation. Effective OSA management requires integrated, multidisciplinary approaches due to complex causes.
Area of Science:
- Sleep Medicine
- Medical Engineering
Background:
- Obstructive sleep apnea (OSA) is a prevalent sleep disorder with serious health risks like stroke.
- Millions are affected globally, necessitating effective treatment strategies.
Purpose of the Study:
- To review current clinical treatments for OSA.
- To analyze ongoing research and future directions for improving OSA management.
- To provide evidence-based guidelines for treatment selection.
Main Methods:
- Comprehensive literature review of diagnostic and treatment methods for OSA.
- Analysis of success rates, methodologies, and economic impact of various OSA treatments.
- Evidence-based comparison of existing and emerging therapies.
Main Results:
- Current OSA treatments vary in efficacy, success rates, and economic burden.
- Emerging research includes advanced hypoglossal nerve stimulation and transcutaneous electrical stimulation.
- No single treatment currently cures OSA due to its complex etiology.
Conclusions:
- A multidisciplinary and integrated management approach is crucial for maximizing OSA treatment success.
- Future research should focus on larger sample sizes and consistent follow-up periods.
- Smart, miniature implantable devices and non-invasive stimulation show promise for future OSA management.
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