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Effectiveness of Treating Obstructive Sleep Apnea by Surgeries and Continuous Positive Airway Pressure: Evaluation
Yu-Ching Hsu1,2,3, Jung-Der Wang1,4, Sheng-Mao Chang5
1Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan.
Journal of Clinical Medicine
|October 16, 2024
Summary
Surgical interventions and CPAP therapy offer sustained long-term benefits for obstructive sleep apnea (OSA) by improving key sleep parameters. However, snoring may return after several years, impacting patient-participatory decision-making.
Area of Science:
- Sleep Medicine
- Otolaryngology
- Pulmonology
Background:
- Obstructive sleep apnea (OSA) is a common condition treated with surgery (UPPP, PNS) or CPAP.
- Long-term effects of these OSA treatments on sleep parameters and patient outcomes are not fully understood.
Purpose of the Study:
- To evaluate the long-term efficacy of UPPP, PNS, and CPAP for moderate-to-severe OSA.
- To assess changes in objective sleep parameters and patient-reported outcomes over time.
Main Methods:
- Retrospective analysis of 448 patients with moderate-to-severe OSA from 2011-2018.
- Objective measures: Apnea-Hypopnea Index (AHI), minimum O2 saturation, sleep efficiency.
- Patient-reported outcomes: Snore Outcomes Survey, Epworth Sleepiness Scale. Analyzed using mixed-effects models.
Main Results:
- UPPP, PNS, and CPAP significantly improved AHI, minimum O2 saturation, and daytime sleepiness immediately post-intervention.
- These improvements were sustained long-term, with no significant rate of change over time.
- Snoring improved short-term but returned to baseline levels after 3.9-5.3 years for surgery and 6.2 years for CPAP.
Conclusions:
- Surgical interventions and CPAP therapy demonstrate sustained long-term effectiveness for OSA management.
- Recurrence of snoring after 3.9-6.2 years highlights the need for ongoing monitoring and patient-centered decision-making.
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