Friedman Score in Relation to Compliance and Treatment Response in Nonsevere Obstructive Sleep Apnea

International Journal of Otolaryngology

Yi-Qian Sun¹  Lars M. Berg²  Anders Sjögren²  Sølve Hellem³  Tordis A. Trovik⁴  Vegard Bugten⁵  Ketil Moen⁶  Oddveig G. Rikardsen⁷  Torun K. S. Ankjell⁷ 

[1]Center for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, Norway

[2]Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU Norwegian University of Science and Technology, Trondheim, Norway, upm.edu.my

[3]Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway, uit.no

[4]Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway, uib.no

[5]Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway, uit.no

[6]Department of Otorhinolaryngology, Head and Neck Surgery, St. Olav’s University Hospital, Trondheim, Norway, stolav.no

[7]Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU Norwegian University of Science and Technology, Trondheim, Norway, upm.edu.my

[8]ENT Department, Section for Oral and Maxillofacial Surgery, Arendal Hospital, Arendal, Norway

[9]ENT Department, University Hospital of Northern Norway, Tromsø, Norway, unn.no

[10]Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway, uit.no

DOI  :  10.1155/2020/6459276

来源: publisher

【 摘 要 】

Nonsevere obstructive sleep apnea (OSA) is most often treated with a continuous positive airway pressure (CPAP) device or a mandibular advancement splint (MAS). However, patient compliance with these treatments is difficult to predict. Improvement in apnea-hypopnea index (AHI) is also somewhat unpredictable in MAS treatment. In this study, we investigated the association between Friedman tongue position score (Friedman score) and both treatment compliance and AHI improvement in patients with nonsevere OSA receiving CPAP or MAS treatment. 104 patients with nonsevere OSA were randomly allocated to CPAP or MAS treatment and followed for 12 months. Data were collected through a medical examination, questionnaires, sleep recordings from ambulatory type 3 polygraphic sleep recording devices, and CPAP recordings. Associations between Friedman score, treatment compliance, and AHI improvement were analysed with logistic regression analyses. Friedman score was not associated with treatment compliance (odds ratio [OR]: 0.85, 95% confidence interval [CI]: 0.59–1.23), or AHI improvement (OR: 1.05, 95% CI: 0.62–1.76) in the overall study sample, the CPAP treatment group, or the MAS treatment group. Adjustment for socioeconomic factors, body mass index, and tonsil size did not significantly impact the results. Although Friedman score may predict OSA severity and contribute to the prediction of success in uvulopalatopharyngoplasty, we found no association between Friedman score and treatment compliance in patients with nonsevere OSA receiving CPAP or MAS treatment, nor did we find any association between Friedman score and AHI improvement. Factors other than Friedman score should be considered when deciding whether a patient with nonsevere OSA should be treated with CPAP or MAS.

【 授权许可】

CC BY