Pubblicazioni

OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities

OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities

OSAS is an emerging public health problem. Early diagnosis in adults with comorbidities is the gold standard to avoid complications caused by a late diagnosis. The aim of the study, part of the SLeeP@SA project, was to identify within a population with dysmetabolic comorbidities the association of occlusal clinical signs, defined by orthodontic parameters, and of the anthropometric phenotype, with the severity of OSAS. Materials and methods: A dedicated questionnaire containing questions regarding the presence of deep bite, augmented overjet, partial edentulism, and bruxism was completed by clinic staff. OSAS was evaluated using an unattended home PSG device, which recorded the AHI value. BMI and neck circumference were also measured. The Kolmogorov-Smirnov test was performed to evaluate the association of the AHI with occlusal clinical signs. The significance was set at p ≤ 0.05. The association of AHI with BMI and neck circumference was evaluated with the Pearson correlation coefficient. Results: In total, 199 subjects were evaluated. No statistically significant association between occlusal parameters and AHI was found, while the AHI showed a positive correlation with BMI and neck circumference. The neck circumference seemed to be a better clinical predictor for OSAS severity than BMI, especially for females. Conclusions: These results highlight how the orthodontic
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Correlations of OSAS and Daytime Sleepiness with the Risk of Car Accidents in Adult Working Population

Correlations of OSAS and Daytime Sleepiness with the Risk of Car Accidents in Adult Working Population

Obstructive sleep apnea syndrome (OSAS) is an under-recognized clinical condition and is correlated with sleepiness and impaired cognitive function. Objectives: The primary aim of this systematic review, developed within the Sleep@OSA project, was to determine the correlations of obstructive sleep apnea syndrome, daytime sleepiness and sleep-disordered breathing with the risk of car accidents in adult working populations; a secondary aim was to analyze the epidemiologic data with a gender-based approach to identify differences between women and men in the data and in associated risk factors. Methods: Clinical trials and studies reporting data on the frequency of car accidents involving adult working population with daytime sleepiness and/or OSAS compared with a control group of participants were included. Literature searches of free text and MeSH terms were performed using PubMed, Google Scholar, the Cochrane Library and Scopus from 1952 to 3 May 2021. Results and Conclusions: The search strategy identified 2138 potential articles. Of these, 49 papers were included in the qualitative synthesis, and 30 were included in the meta-analysis. Compared with controls, the odds of car accidents were found to be more than double in subjects with OSAS (OR = 2.36; 95% CI 1.92–2.91; p < 0.001), with a similar risk between commercial motor vehicle
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La sindrome delle apnee ostruttive nel sonno. Una lettura interdisciplinare del fenomeno

La sindrome delle apnee ostruttive nel sonno. Una lettura interdisciplinare del fenomeno

La Sindrome delle Apnee Ostruttive del Sonno (OSAS) è una patologia cronica con gravi implicazioni economico–sociali, ad elevata prevalenza, sotto–diagnosticata e sotto–trattata.
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LA SINDROME DELLE APNEE OSTRUTTIVE DEL SONNO: NUMERI, CONSEGUENZE, TRATTAMENTO  E PREVENZIONE

LA SINDROME DELLE APNEE OSTRUTTIVE DEL SONNO: NUMERI, CONSEGUENZE, TRATTAMENTO E PREVENZIONE

I disturbi respiratori del sonno sono alterazioni di origine complessa che determinano alterazioni del sonno fisiologico. La causa medica più comune di tali disturbi è la sindrome delle apnee ostruttive del sonno (Obstructive Sleep Apnea Syndrome – OSAS).
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