Treating sleep apnea may improve stroke outcomes

If treatment of sleep apnea occurs immediately after a stroke or mini-stroke, new research shows that it may improve patients’ neurological symptoms and daily functioning. More than 20 million adults in the U.S. have obstructive sleep apnea, which has been linked with increased risk for heart attack, hypertension, sudden death, stroke and faster progression of cardiovascular disease.

In a recent study, researchers found that stroke patients who were diagnosed with sleep apnea saw greater improvements in both neurological symptoms and daily ability to function when they used treatment for OSA. This was in comparison to patients with sleep apnea who only received typical medical care.

Sleep apnea and stroke

The study looked at 252 adults that were hospitalized for an ischemic stroke or a mini-stroke, which is known as a transient ischemic attack (TIA). Every participant was screened for sleep apnea. Researchers found that three-quarters of patients had sleep apnea and about two-thirds of those patients with sleep apnea were assigned to one of two interventions that included receiving CPAP therapy, training and encouragement. The other one-third with sleep apnea served as a control group and received usual medical care, plus recommendation at the end of the study to seek CPAP treatment.

Patients’ neurological symptoms and their ability to function in normal activities, such as walking and self care, were assessed at the beginning of the study and six months to one year later. At follow-up, all patients experienced improvement in both neurological symptoms and functional status. However, 59 percent of the patients who used CPAP had neurological symptoms scores at or close to normal. This was in contrast to 38 percent who had just received typical medical care.

If you treat sleep apnea early, the better your stroke outcome will be. Contact Dr. Mayoor Patel to discuss this further. What are some ways to help your patients now and in the future? My guess is that we will need to continue to build upon our relationships with physicians in our communities.

How to get a good night’s sleep infographic

Getting the proper amount of sleep each night is important for our patients’ health and well-being. As you know, this is because sleep is considered to be one of the biggest–and most underrated–factors in a person’s health. To help your patients get a better night’s sleep, take a look at the infographic below.

Feel free to download and print this infographic to share with your patients. Together we can provide our patients with the care they need to live healthier lives.

Team-based care works in dental sleep medicine

Just like any sporting event, teamwork means success. While you won’t be choosing a whole roster, you will need to find  a sleep physician to work with. Collaboration with a sleep physician allows your office to generate a diagnosis for your patient while also receiving referrals for sleep apnea treatment. Let’s learn more about this team-based care approach to treating sleep apnea.

Receive a diagnosis. This is important to note. Dentists DO NOT diagnose–it is important to remember you need a diagnosis from a sleep physician before beginning treatment. By building a rapport with a sleep physician you can send your patients their way for a proper diagnosis. Begin now by introducing yourself, and providing information about what you know and services you offer your patients–the more they know the better.

Receive referrals. Many are unaware of the availability of oral appliance therapy, which often is the same for many sleep physicians. By not only educating your patients, but sleep physicians, too, you can begin receiving referrals to your office. As you know, mild to moderate sleep apnea can often be treated with oral appliance therapy.

Physicians who understand oral appliance therapy can frequently refer patients to your office for proper care when CPAP therapy is not working or the patient doesn’t want to utilize a CPAP machine. It can also be beneficial for combination therapy with both the oral appliance and the CPAP machine.

To learn more about building a relationship with a sleep physician, sign up for an upcoming lecture, or schedule a consultation and shadowing options. Together we can improve your service offerings.