大人における阻害性睡眠時無呼吸のスクリーニング:米国予防サービスタスクフォースの勧告声明
, Kirsten Bibbins-Domingo1, David C Grossman2
1University of California, San Francisco.
JAMA
|January 25, 2017
まとめ
症状のない成人における阻害性睡眠無呼吸 (OSA) のスクリーニングの利益と害を決定するには,現在の証拠は不十分である. OSAスクリーニングの健康への影響を評価するには,さらなる研究が必要です.
科学分野:
- 睡眠医学
- 予防的な心臓病
- 公衆衛生
背景:
- 阻害性睡眠無呼吸症候群 (OSA) は 何百万人に罹患しており 肥満による罹患率は 増加している可能性があります
- 重度のOSAは,心臓血管疾患,糖尿病,死亡率を含む重大な健康問題と関連しています.
- 症状のない個体におけるOSAの現在のスクリーニングガイドラインは検討中です.
研究 の 目的:
- 障害性睡眠無呼吸 (OSA) の無症状成人のスクリーニングのための証拠を評価する.
- OSAスクリーニングに関する新しい米国予防サービスタスクフォース (USPSTF) の勧告を伝える.
主な方法:
- 初等医療におけるOSAスクリーニングの正確性,利益,害に関する証拠の体系的なレビュー.
- OSA患者に対する治療効果と健康への害の評価
主要な成果:
- 無症状の成人のOSAスクリーニングの正確性と有効性に関する証拠は不十分です.
- USPSTFは,OSAのスクリーニングの利益や害を決定することができなかった.
- OSAスクリーニングの健康上の利益や害は 未定である.
結論:
- USPSTFは,無症状の成人における阻害性睡眠無呼吸 (OSA) のスクリーニングの利益と害を評価するのに十分な証拠が見つかりませんでした.
- "I"の文は,勧告のための証拠が不十分であることを示す.
- OSAスクリーニングの価値を確立するには,さらなる研究が必要です.
関連する概念動画
01:30Preventive Healthcare Services
2.3K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.3K
01:20Assessment of Ventilation I: Respiratory Rate
2.8K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
2.8K
01:19Respiratory Assessment: Purpose and Indications
2.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
2.1K
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.8K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.8K
01:21Sleep Apnea
914
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.
The condition is more prevalent among...
The condition is more prevalent among...
914
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
1.2K
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
1.2K