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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
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Sleep Apnea Syndrome (SAS) Clinical Practice Guidelines 2020.

Tsuneto Akashiba1, Yuichi Inoue2, Naohisa Uchimura3

  • 1Shiki Respiratory Clinic, Saitama, Japan.

Sleep and Biological Rhythms
|March 12, 2024
PubMed
Summary
This summary is machine-generated.

Obstructive sleep apnea (OSA) affects many adults globally, with continuous positive airway pressure (CPAP) therapy becoming increasingly common. This study introduces updated clinical practice guidelines for diagnosing and treating sleep apnea syndrome in Japan.

Keywords:
Clinical question (CQ)Continuous positive airway pressure (CPAP)GuidelineSleep apnea syndrome (SAS)

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Area of Science:

  • Sleep Medicine
  • Respiratory Medicine
  • Clinical Practice Guidelines

Background:

  • Sleep-disordered breathing (SDB), particularly obstructive sleep apnea (OSA), has a high prevalence in adult males and postmenopausal women worldwide.
  • The number of patients undergoing continuous positive airway pressure (CPAP) therapy for sleep apnea has significantly increased in Japan since 1998.
  • Existing guidelines for Sleep Apnea Syndrome (SAS) required updating to reflect current medical trends and evidence.

Purpose of the Study:

  • To establish standard medical care for sleep apnea by developing updated clinical practice guidelines.
  • To provide evidence-based recommendations for the diagnosis and treatment of Sleep Apnea Syndrome (SAS).
  • To address the interdisciplinary nature of sleep apnea management through comprehensive clinical questions.

Main Methods:

  • Development of a new guideline based on the latest trends and previous guidelines.
  • Inclusion of 36 clinical questions (CQs) to cover various aspects of sleep apnea.
  • Collaboration with multiple Japanese academic societies, including the Japanese Respiratory Society and the Japanese Society of Sleep Research.

Main Results:

  • The guideline covers therapies and management strategies for SAS, detailed in the English version from CQ16 to CQ36.
  • The Japanese version of the guideline was published in July 2020.
  • The guideline was officially published as part of the Medical Information Network Distribution Service (Minds) clinical practice guidelines in Japan in July 2021.

Conclusions:

  • The updated guidelines provide a standard for medical care in diagnosing and treating sleep apnea in Japan.
  • These guidelines incorporate the latest research and expert consensus to improve patient outcomes.
  • The comprehensive nature of the guidelines, addressing 36 clinical questions, supports interdisciplinary sleep apnea management.