Obstructive Sleep Apnea Linked With Worse COVID-19
(Reuters) - Obstructive sleep apnea (OSA) appears to put COVID-19 patients at higher risk for critical illness, a new study finds.
Using Finnish national databases, researchers found that while the rates of infection with the new coronavirus were the same for people with and without OSA, among people who did become infected, those with OSA had a five-fold higher risk of hospitalization.
OSA is associated with health problems like obesity, high blood pressure, heart disease, and diabetes, but it was linked with a higher risk for severe COVID-19 even after researchers adjusted for these other factors.
The study cannot prove that OSA caused the more severe outcomes. But in a paper posted on medRxiv ahead of peer review, researchers advise doctors evaluating patients with suspected or confirmed coronavirus infection to recognize that the sleep disorder is a risk factor for severe COVID-19.
SOURCE: https://bit.ly/3nmUDuz medRxiv, online September 28, 2020.
Oral Appliance Therapy Should be Prescribed as a First-Line Therapy for OSA during the COVID-19 Pandemic
It is the position of the American Academy of Dental Sleep Medicine (AADSM) that oral appliance therapy (OAT) should be prescribed as a first-line therapy for the treatment of obstructive sleep apnea (OSA) during the COVID-19 pandemic. This recommendation is being made based on the following information:
• The American Academy of Sleep Medicine (AASM) has indicated that PAP therapy potentially exposes individuals, especially those in proximity to the patient, to increased risk of transmission of COVI-19. A number of studies have found evidence that COVID-19 can remain suspended in the air in aerosol particles.
• It is unknown whether it is possible for patients to be re-infected from re-using PAP tubing, filters, and/or masks.
• There have been reported shortages of distilled water and other supplies necessary for optimal use of PAP machines.
• Oral appliances do not generate aerosols and can be easily disinfected by patients to kill the COVID-19 virus.
According to the AADSM and AASM clinical practice guideline, oral appliances should be prescribed for adult patients who prefer alternate therapy to PAP. During this pandemic, it is reasonable to assume that patients would prefer a therapy that both treats their OSA and does not increase the risk of COVID-19 transmission. Oral appliance therapy is an effective treatment for OSA without increased risks for transmitting COVID-19. Patients who prefer OAT may be more likely to adhere to treatment, if they are confident that their therapy is not putting those in their household at an increased risk for COVID-19 exposure. CITATION Schwartz D, Addy N, Levine M, Smith H. Oral appliance therapy should be prescribed as a first-line therapy for OSA during the COVID-19 pandemic. J Dent Sleep Med. 2020;7(3). REFERENCES 1. COVID-19: FAQs for Sleep Clinicians. https://aasm.org/covid-19- resources/covid-19-faq/. Accessed May 8, 2020. 2. Liu, Y., Ning, Z., Chen, Y. et al. Aerodynamic analysis of SARSCoV-2 in two Wuhan hospitals. Nature (2020). https://doi.org/10.1038/s41586-020-2271-3 3. Ramar K, Dort LC, et al. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015 An American Academy of Sleep Medicine and American Academy of Dental Sleep Medicine Clinical Practice Guideline. J Dent Sleep Med. 2015;2(3). doi:10.15331/jdsm.4868 SUBMISSION AND CORRESPONDENCE INFORMATION Submitted in final revised form May 14, 2020. Address correspondence to: David Schwartz, DDS; Email: email@example.com DISCLOSURE STATEMENT All authors are members of the AADSM Board of Directors Executive Committee. Dr. Schwartz is a consultant of ResMed and has conducted lectures and speaking engagements for SomnoMed and ProSomnus Sleep Technologies.
David Schwartz, DDS1 ; Nancy Addy, DDS2 ; Mitchell Levine, DMD3 ; Harold Smith, DDS4 1North Shore Family Dentistry, Skokie, IL; 2Snoring and Sleep Apnea Dental Treatment Center, Leawood, KS; 3Department of Orthodontics, University of Tennessee Health Science Center, Memphis, Tennessee; 4Dental Sleep Medicine of Indiana, Indianapolis, Indiana
For the past 16 years, Super Dentists® has been honoring the top dentists in Texas as reported in Texas Monthly magazine. With his selection to the 2019 list, Dr. Osborne has joined an exclusive club of Hall of Fame dentists who have been selected 15 or more years.
From your physical traits to your risk for developing various diseases or disorders, genetics plays a huge role in your appearance and your health. Because we treat patients with obstructive sleep apnea, a serious sleep disorder, we often get asked if sleep apnea is genetic. The answer? It can be!
Sleep apnea is a serious sleep disorder that can cause you to stop breathing up to hundreds of times each night while you sleep. In addition to triggering symptoms like daytime fatigue, irritability, headaches, and brain fog, sleep apnea can also increase your risk for high blood pressure, stroke, and heart disease.
If you have sleep apnea but hate your CPAP machine, you’re not alone. Some studies estimate that as many as 50 percent of folks using CPAP therapy don’t like the treatment, while other studies show that up to half of the people using CPAP machines stop using them within just a few weeks. At Sleep Easy Dentistry, we are proud to provide a CPAP alternative to patients throughout San Antonio.
Pediatric sleep apnea is a serious condition that can impact your child's ability to thrive. However, you can help your child get the relief they need by recognizing some of the common signs and symptoms of sleep apnea in children.
The future of medicine is calling -- will you answer?
While some of the symptoms of sleep apnea may make you feel isolated, you’re not alone: Doctors estimate that 22 million Americans experience sleep apnea. In fact, many celebrities experience sleep apnea and the resulting interrupted breathing, daytime fatigue, irritability, and other symptoms that you may be experiencing. Let’s take a closer look at some celebrities with sleep apnea who continue to excel!