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Chung F, Yang Y, Liao P. Predictive performance of the STOP-Bang score for determining obstructive sleep apnea in obese clients. Obes Surg. 2013; 23( 12 ):20502057. 30. Fenton ME, Heathcote K, Bryce R, et al. The utility of the elbow indication in the diagnosis of OSA. Chest. 2014; 145( 3 ):518524. 31. Centers for Medicare & Medicaid Providers. Choice memo for continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA) (CAG-00093R2). Baltimore, Md.: Centers for Medicare & Medicaid Services; 2008. https://www. cms.gov/ medicare-coverage-database/details/nca-decision-memo. aspx?NCAId=204. Accessed May 19, 2016. 32. Collop NA, et al. Clinical guidelines for using unattended portable displays in the diagnosis of obstructive sleep apnea in adult patients.

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37. Randerath WJ, et al.; European Respiratory Society task force on non-CPAP treatments in sleep apnoea. Non-CPAP treatments in obstructive sleep apnoea. Eur Respir J. 2011; 37( 5 ):10001028. 38. Bignold JJ, Deans-Costi G, Goldsworthy MR, et al. Poor long-lasting client compliance with the tennis ball strategy for dealing with positional obstructive sleep apnea. J Clin Sleep Medication. 2009; 5( 5 ):428430. 39. de Vries GE, et al. Use of positional therapy in adults with obstructive sleep apnea. J Clin Sleep Med. 2015; 11( 2 ):131137. 40. Gay P, Weaver T, Loube D, Iber C; Favorable Respiratory Tract Pressure Task Force; Standards of Practice Committee; American Academy of Sleep Medicine. Evaluation of favorable airway pressure treatment for sleep related breathing disorders in grownups.

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Snoring can keep you awake, ruin your sleep cycle and your daily rhythm, even hurt your relationships. But more than being simply an inconvenience, snoring might produce life-threatening repercussions. If you have actually ever awakened yourself with a sudden snore or if your partner nudges you awake to get you to turn over it's possible you might be impacted by sleep apnea, which is associated with hypertension, arrhythmia, stroke and heart failure. Not at all. Snoring is that bothersome sound that occurs when air passes relaxed tissues in your throat as you sleep. Sleep apnea is a disorder in which an individual's breathing repeatedly begins and stops throughout sleep.

One in 5 grownups suffers from at least moderate sleep apnea; it afflicts more men than ladies. The most common type is obstructive sleep apnea (OSA), in which weight on the upper chest and neck contributes to blocking the flow of air. A less-common type, central sleep apnea (CSA), happens when the brain fails to send routine signals to the diaphragm to contract and expand. CSA has been related to brain stem stroke. For people with OSA, it becomes difficult to keep the upper respiratory tract open during sleep because weight overpowers the muscles that hold it open. Each time the airway closes throughout sleep, there is a pause in breathing; it can take place five to 30 times an hour or more, causing the sleeper to get up suddenly, gasping for air.

It also can increase the danger of type 2 diabetes, liver issues and metabolic syndrome. It's likewise connected with obesity, and experts state it can be part of a vicious circle in which the sleep deprivation it triggers can lead to a lot more weight problems, which in turn makes the condition worse. Individuals who are overweight are specifically at threat for OSA due to the fact that fat deposits around the upper air passage can cause the airway's muscles to lose tone in time, leading to obstructed breathing. Similarly, people with thicker necks, narrow throats or enlarged tonsils or adenoids might likewise be at risk. Men are more most likely to have sleep apnea than females, and it happens substantially more frequently in older adults. 10. Myers KA, Mrkobrada M, Simel DL. Does this patient have obstructive sleep apnea?: The logical clinical examination systematic review. Jama 2013; 310( 7 ):731 -41. 11. Bearpark H, Elliott L, Grunstein R, et al. Snoring and sleep apnea. A population study in Australian males. Am J Respir Crit Care Med 1995; 151( 5 ):1459 -65. 12. Bernstein P, Ebba JH. Snoring versus obstructive sleep apnea: A case report. Perm J 2006; 10( 1 ):21 -3. 13. Maimon N, Hanly PJ. Does snoring intensity associate with the severity of obstructive sleep apnea? J Clin Sleep Med 2010; 6( 5 ):475 -8. 14. Nixon GM, Davey M. Sleep apnoea in the child. Aust Fam Doctor 2015; 44( 6 ):352 -5. 15.

Snoring and obstructive sleep apnea in children: A 6-month follow-up study. JAMA Otolaryngology, Head & Neck Surgery 2000; 126( 4 ):481 -86. 16. Kapur V, Blough DK, Sandblom RE, et al. The medical expense of undiagnosed sleep apnea. Sleep 1999; 22( 6 ):749 -55. 17. Sullivan F. Hidden health crisis costing america billions. American Academy of Sleep Medicine. 2016:1 -25. 18. Kapur V, Strohl KP, Redline S, et al. Underdiagnosis of sleep apnea syndrome in U.S. Communities. Sleep Breath 2002; 6( 2 ):49 -54. 19. Jonas DE, Amick HR, Feltner C, et al. Screening for obstructive sleep apnea in adults. JAMA