Operating Model of Obstructive Sleep Apnea Patients in North Karelia Central Hospital

Authors: L. Korpinen, T. Kava, I. Salmi

Abstract:

This study aimed to describe the operating model of obstructive sleep apnea. Due to the large number of patients, the role of nurses in the diagnosis and treatment of sleep apnea was important. Pulmonary physicians met only a minority of the patients. The sleep apnea study in 2018 included about 800 patients, of which about 28% were normal and 180 patients were classified as severe (apnea-hypopnea index [AHI] over 30). The operating model has proven to be workable and appropriate. The patients understand well that they may not be referred to a pulmonary doctor. However, specialized medical follow-up on professional drivers continues every year.

Keywords: Sleep, apnea patient, operating model, hospital.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.3462079

References:

[1] Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013;177(9):1006–1014.
[2] Kapur VK, Auckley DH, Chowdhuri S, Kuhlmann DC, Mehra R, Ramar K, Harrod CG. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2017;13(3): 479–504.
[3] Arnardottir ES, Bjornsdottir E, Olafsdottir KA, Benediktsdottir B, Thorarinn Gislason: Obstructive sleep apnoea in the general population: highly prevalent but minimal symptoms. Eur Respir J. 2016; 47: 23–26 (DOI: 10.1183/13993003.01955-2015)
[4] Peters U, Dixon AE, Erick Forno: Obesity and asthma. J Allergy Clin Immunol. 2018; 141(4): 1169–1179
[5] Korpinen, L, Pääkkönen, R. Self-reported sleep disorders/disturbances associated with physical symptoms and usage of computers. Int J Ind Ergon. 2013; 43(4), 257–263.’
[6] Sleep apnea (obstructive sleep apnea in adults). Current Care Guidelines. Working group set up by the Finnish Medical Society Duodecim, The Finnish Respiratory Society and Finnish Sleep Research Society. Helsinki: The Finnish Medical Society Duodecim, 2017 (referred May 31, 2019). Available online at: www.kaypahoito.fi
[7] Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep. 1999; 22:667–689
[8] Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of obstructive sleep apnea. Bloomington (MN). March 2005
[9] Friedman M, Jacobowitz O, Hwang MS, Bergler WF, Fietze I, Rombaux P, Mwenge GB, Yalamanchali S, Campana JN, Maurer JT. Targeted hypoglossal nerve stimulation for the treatment of obstructive sleep apnea: Six-month results. The Laryngoscope. (2016); 126(11): 2618–2623.
[10] Woodson BT, Soose RJ, Gillespie MJ, Strohl KP, Maurer JT, de Vries N, Steward DL, Baskin JZ, Safwan Badr M, Lin H-S, Padhya TA, Mickelson S, McDowell Anderson W, Vanderveken OM, Strollo, PJ Jr, on Behalf of STAR Trial Investigators*. Three-year outcomes of cranial nerve stimulation for obstructive sleep apnea: the STAR trial. Otolaryngology–Head and Neck Surgery. YEAR; 154(1), 181–188
[11] Bisogni V, Pengo MF, De Vito A, Maiolino G, Rossi GP, Moxham J, Steier J. Electrical stimulation for the treatment of obstructive sleep apnoea: a review of the evidence. Expert Review of Respiratory Medicine. 2017; 11(9): 711–720. DOI: 10.1080/17476348.2017.1358619
[12] Huntley C, Topf MC, Christopher V, Doghramji K, Curry J, Boon M. Comparing upper airway stimulation to transoral robotic base of tongue resection for treatment of obstructive sleep apnea. Laryngoscope. 2019; 129: 1010–1013.