Clinical insights into sleep health
Clinical Respiratory News
Keeping you updated about sleep and breathing health with relevant clinical papers, events and podcasts, from ResMed.
It’s World Sleep Day on Friday, so we’ve dedicated this issue to the subject of sleep and its importance for health. Take a look at our curated collection of clinical content, to help you gain expert insight into topics ranging from insomnia and obstructive sleep apnoea to CPAP and ASV.
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Podcast
World Sleep Day: improving health by improving sleep
Daniela Gautschi focuses on sleep with clinical expert Professor Christoph Sch?bel . There’s growing awareness of the importance of sleep for our cardiovascular system and general health and wellbeing. At the same time, our ability to get good sleep is increasingly challenged by everything from late-night scrolling to irregular work schedules, stress and anxiety. It’s thought that 10-30% of people worldwide suffer from insomnia 1 , not to mention other sleep disorders such as OSA and restless leg syndrome.?
In this context, which diagnostic and treatment pathways should we be prioritising? Should primary care screening programmes focus on sleep as well as diet and exercise? What benefits might digital technology offer? Professor Sch?bel shares his thoughts, as well as discussing the new European Insomnia Guideline and the challenges of treating COMISA (co-morbid insomnia and sleep apnoea).
Must-read articles
What is the impact of CPAP resumption on survival in OSA?
Analysis of French insurance data finds that in patients with obstructive sleep apnoea who terminated CPAP treatment (N=103,091), risk of death was 38% lower for patients who resumed CPAP versus those who discontinued a second time.
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Use of positive airway pressure therapy for OSA in Germany
Retrospective study of adults with obstructive sleep apnoea (N>12,000) finds only 55% were prescribed positive airway pressure (PAP). Several comorbidities were identified as positively or negatively influencing PAP prescription.
Sleep-disordered breathing: impact of adaptive servo-ventilation
Analysis of patients with central sleep apnoea ± obstructive sleep apnoea in the READ-ASV registry (n=801) shows that ~1 year of ASV improves disease-specific QoL, particularly for patients who were symptomatic at baseline.
Does baseline hypoxic burden predict CPAP benefit in OSA + ACS?
Post-hoc analysis of the ISAACC trial (N=727) finds high hypoxic burden in patients with non-sleepy acute coronary syndrome and obstructive sleep apnoea was associated with improved cardiovascular prognosis following CPAP treatment.
1. Bhaskar S, Hemavathy D, Prasad S. Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities. J Family Med Prim Care. 2016 Oct-Dec;5(4):780-784. doi: 10.4103/2249-4863.201153 . PMID: 28348990; PMCID: PMC5353813.