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

Bidarian-Moniri A, Nilsson M, Attia J, Ejnell H - Acta Otolaryngol. (2015)

Bottom Line: 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.Ten patients (71%) reduced their AHI by at least 50% and reached a value < 10 during treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital , Gothenburg , Sweden.

ABSTRACT

Conclusion: 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.

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Distribution of apnoea/hypopnoea index (AHI) and oxygen desaturation index (ODI) during the first polysomnographic (PSG) study night without treatment (blue) and the second study with the mattress and pillow for prone positioning (MPP) (red).
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Figure 4: Distribution of apnoea/hypopnoea index (AHI) and oxygen desaturation index (ODI) during the first polysomnographic (PSG) study night without treatment (blue) and the second study with the mattress and pillow for prone positioning (MPP) (red).

Mentions: The mean AHI and ODI without treatment were 26 (min, 6; max, 53) and 21 (min, 6; max, 51) and decreased to 8 (min, 1; max, 26) and 7 (min, 1; max, 25), respectively, with the MPP (p < 0.001) (Figure 4). Eleven patients (79%) achieved an AHI < 10 with the MPP and 10 patients (71%) reduced the AHI by at least 50% and reached a value < 10 during treatment. All patients had a reduction in AHI (Figure 6) and ODI, even if they did not meet these criteria.


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

Bidarian-Moniri A, Nilsson M, Attia J, Ejnell H - Acta Otolaryngol. (2015)

Distribution of apnoea/hypopnoea index (AHI) and oxygen desaturation index (ODI) during the first polysomnographic (PSG) study night without treatment (blue) and the second study with the mattress and pillow for prone positioning (MPP) (red).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4389730&req=5

Figure 4: Distribution of apnoea/hypopnoea index (AHI) and oxygen desaturation index (ODI) during the first polysomnographic (PSG) study night without treatment (blue) and the second study with the mattress and pillow for prone positioning (MPP) (red).
Mentions: The mean AHI and ODI without treatment were 26 (min, 6; max, 53) and 21 (min, 6; max, 51) and decreased to 8 (min, 1; max, 26) and 7 (min, 1; max, 25), respectively, with the MPP (p < 0.001) (Figure 4). Eleven patients (79%) achieved an AHI < 10 with the MPP and 10 patients (71%) reduced the AHI by at least 50% and reached a value < 10 during treatment. All patients had a reduction in AHI (Figure 6) and ODI, even if they did not meet these criteria.

Bottom Line: 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.Ten patients (71%) reduced their AHI by at least 50% and reached a value < 10 during treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital , Gothenburg , Sweden.

ABSTRACT

Conclusion: 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.

Show MeSH
Related in: MedlinePlus