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Mattress and pillow for prone positioning for treatment of obstructive sleep apnoea

dc.contributor.authorMoniri, Armin
dc.contributor.authorNilsson, Michael
dc.contributor.authorAttia, John
dc.contributor.authorEjnell, Hasse
dc.date.accessioned2018-12-07T14:53:41Z
dc.date.available2018-12-07T14:53:41Z
dc.date.issued2015-03
dc.description.abstractConclusion: The new mattress and pillow for prone positioning (MPP) is efficient in reducing the apnoea-hypopnoea index (AHI) and oxygen desaturation index (ODI) in most patients with obstructive sleep apnoea (OSA), with satisfactory compliance. Objective: The aim of the present study was to evaluate the effect of the prone body and head sleep position on severity of disease in patients with OSA after 4 weeks of adaptation to a mattress and pillow facilitating prone positioning. Methods: Fourteen patients with mild to severe OSA, 11 men and 3 women with a mean AHI of 26 (min, 6; max, 53) and mean ODI of 21 (min, 6; max, 51) were evaluated. Two polysomnographic (PSG) studies were performed. The first PSG study was without any treatment and the second was after 4 weeks of adaptation to the MPP for prone positioning of the body and the head. Results: Mean AHI and ODI decreased from 26 and 21 to 8 and 7, respectively (p < 0.001) with treatment. The mean time spent in the supine position was reduced from 128 to 10 min (p = 0.02) and the prone time increased from 42 to 174 min (p = 0.02) with the MPP. The mean total sleep time was 390 min during the first PSG study night without treatment and 370 min during the second night with the MPP (p = 0.7). Ten patients (71%) reduced their AHI by at least 50% and reached a value < 10 during treatment. All patients managed to sleep on the MPP for > 4 h per night during the 4-week study.
dc.description.sponsorshipActa Otolaryngologica Foundation, Sweden
dc.identifier.doi10.3109/00016489.2014.968674
dc.identifier.issn0001-6489
dc.identifier.issn1651-2251
dc.identifier.urihttp://hdl.handle.net/10400.1/11635
dc.language.isoeng
dc.peerreviewedyes
dc.publisherInforma Healthcare
dc.subjectRespiratory-Distress-Syndrome
dc.subjectObjective Measurement
dc.subjectTherapy
dc.subjectSeverity
dc.subjectEfficacy
dc.subjectTrainer
dc.subjectNcpap
dc.subjectCpap
dc.titleMattress and pillow for prone positioning for treatment of obstructive sleep apnoea
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage276
oaire.citation.issue3
oaire.citation.startPage271
oaire.citation.titleActa Oto-Laryngologica
oaire.citation.volume135
person.familyNameMoniri
person.givenNameArmin
person.identifier.orcid0000-0002-6054-5980
rcaap.rightsopenAccess
rcaap.typearticle
relation.isAuthorOfPublication0fab8330-d1aa-4210-b91c-5547de263033
relation.isAuthorOfPublication.latestForDiscovery0fab8330-d1aa-4210-b91c-5547de263033

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