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Related Experiment Videos

Obstructive sleep apnea treatment outcomes pilot study

J F Piccirillo1, G A Gates, D L White

  • 1Department of Otolaryngology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|June 17, 1998
PubMed
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This study explored outcomes for obstructive sleep apnea (OSA) patients using a new staging system. While treatment effectiveness couldn't be analyzed, it advanced multicenter research for sleep apnea care.

Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Health Services Research

Background:

  • Chronic sleep disorders affect 40 million Americans, with obstructive sleep apnea (OSA) being a severe condition.
  • Multicenter outcomes research is crucial for understanding and improving OSA patient care.
  • Existing research often lacks standardized methods for comparing treatment effectiveness.

Purpose of the Study:

  • To demonstrate a framework for a multicenter outcomes research project for obstructive sleep apnea (OSA) patients.
  • To develop and utilize a clinical-severity staging system to account for variations in patient conditions.
  • To assess patient-reported quality of life changes following treatment for OSA.

Main Methods:

  • A prospective study enrolled 142 adult patients with an apnea index > 5 from eight otolaryngology practices.

Related Experiment Videos

  • Patients were categorized using a clinical-severity staging system.
  • Treatments included continuous positive airway pressure (CPAP) or surgery; outcomes were measured using health status surveys at 4 months.

    • Main Results:

    • The study enrolled a cohort with severe OSA (mean apnea index 40.0).
    • 71 patients received CPAP, and 48 underwent surgery.
    • A 4-month follow-up using patient-reported outcomes was completed.

    Conclusions:

    • The study established a foundation for future multicenter outcomes research in obstructive sleep apnea.
    • The developed staging system and quality-of-life measures provide tools for future research.
    • Further investigation with longer follow-up and polysomnography is needed to analyze treatment effectiveness.