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Abstract:
OBJECTIVES:To assess the impact of the American Academy of Sleep Medicine (AASM) 2012Rec criteria on the surgical success rate and polysomnography (PSG) parameters of patients with obstructive sleep apnea (OSA). STUDY DESIGN:A prospective clinical trial. METHODS:A total of 60 patients who performed surgery for treatment of OSA at the sleep breathing disorder center of a tertiary referral university hospital from October 1, 2015, to September 30, 2016, were enrolled. Preoperative and postoperative PSG were performed and scored using AASM 2007Rec and AASM 2012Rec . Surgical success was determined by criteria 1 (postoperative Apnea-Hypopnea Index [AHI] <20% and 50% reduction) and criteria 2 (postoperative AHI <10), and surgical success rates according to AASM 2007Rec and AASM 2012Rec were compared. RESULTS:PSG parameters including AHI, hypopnea index, respiratory effort-related arousals, respiratory disturbance index, and supine AHI scored significantly higher with AASM 2012Rec compared to AASM 2007Rec criteria, both preoperatively and postoperatively (all P < 0.05). Furthermore, when compared to the AASM 2007Rec criteria, AASM 2012Rec resulted in increased proportion of patients with severe OSA (70.0% vs. 95.0%; P < 0.001). For the surgical outcomes, AASM 2012Rec showed significantly lower surgical success rate both in criteria 1 (51.7% vs. 38.3%) and criteria 2 (35.0% vs. 18.3%) compared to the AASM 2007Rec , respectively (P < 0 .05). CONCLUSIONS:This study demonstrated that AASM 2012Rec tends to decrease the success rate of surgical outcome for OSA patients, suggesting that defining success of surgical treatment for OSA could be changed dramatically according to the hypopnea scoring criteria. LEVEL OF EVIDENCE:4 Laryngoscope, 130:825-831, 2020.
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最新影响因子:2.97 | 期刊ISSN:0023-852X | CiteScore:2.37 |
出版周期:Monthly | 是否OA:YES | 出版年份:1896 |
期刊官方网址:http://onlinelibrary.wiley.com/journal/10.1002/%28ISSN%291531-4995
自引率:10.50% | 研究方向:医学-耳鼻喉科学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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For more than 100 years, otolaryngologists, clinicians, and researchers around the world have read The Laryngoscope to keep pace with and learn how to take advantage of the most important advances in the diagnosis and treatment of head and neck disorders. Moreover, the journal is the first choice among otolaryngologists to publish their most important findings and share their own successful techniques with their colleagues.
100多年来,世界各地的耳鼻喉科医生、临床医生和研究人员都阅读喉镜,以跟上并学习如何利用头颈部疾病诊断和治疗方面最重要的进展。此外,该杂志是耳鼻喉科医生的第一选择,发表他们最重要的发现,并与他们的同事分享他们自己的成功技术。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
MEDICINE, RESEARCH & EXPERIMENTAL (医学:研究与实验) 4区 OTORHINOLARYNGOLOGY (耳鼻喉科学) 3区 |
73/133 12/41 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
483 | 442 | 41 |
引文计数(2018)
文献(2015-2017)
4357次引用
1837篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Otorhinolaryngology
|
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发表一篇学和医学成像类SCI论文
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