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Medientyp:
E-Book;
Hochschulschrift
Titel:
Evaluation des simulierten Schnarchens für die klinische Diagnostik des Obstruktiven Schlafapnoesyndroms und Integration in ein Vorhersagemodell
With 2 - 4%, OSAS has a high prevalence in the population. It leads to a reduction in the quality of life (e.g. daytime sleepiness) and secondary diseases (e.g. arterial hypertension). OSAS is a population-relevant disease. Various therapeutic options are available. Continuous positive airway pressure ventilation during nighttime is the gold standard for severe forms of the disease. The early diagnosis and initiation of therapy could prevent the occurrence of secondary diseases associated with OSAS and improve the quality of life. The reliable diagnosis is made with the AHI, which can be determined as part of a polysomnography in the sleep laboratory or by ambulatory diagnostic using polygraphy. Some authors assume, that there is a high number of unreported OSAS cases. It therefore makes sense to optimize the screening of OSAS, in order to identify those affected at an early stage and to initiate further diagnostics / therapies. In this effort, publications have been released since the early 1990s, that focus on possible predictors of OSAS and / or present prediction models. With regard to their predictive value, the results of a clinical ENT examination were also investigated. Initially the static parameters of a clinical ENT examination were considered to be of great importance in the development of OSAS. However, in the following years there were rising concerns regarding this theory. Various authors came to the conclusion, that the results of a static ENT examination are ...