Selecting Sources of Literature 2
PICO question/statement. In adult patients with mild Obstructive Sleep Apnea (OSA) (P); is CPAP therapy (I) or other modalities (C), for example, surgery, administered in early disease more effective in reducing the occurrence of complications (O)? Locate a minimum of 15 peer-reviewed articles that describe this problem (OSA) and that support the proposed solution. Eight of the 15 articles must be research-based (e.g., a study which is qualitative, quantitative, descriptive, or longitudinal). Hint: Begin your search for literature by utilizing the databases located in the GCU eLibrary. Contact your faculty member, the librarian, or library staff for additional researching tips and key word suggestions. Preview each of the 15 articles chosen by reading the article abstracts and summaries. Hint: Article abstracts and summaries provide a concise description of the topic, research outcomes, and significance of findings. Hint: Refer to "RefWorks" and "Module 1: Checklist." Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question): How does each article describe the nature of the problem, issue, or deficit you have identified? Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit? What are example(s) of morbidity, mortality, and rate of incidence or rate of occurrence in the general population? Does each article support your proposed change? Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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Selecting Sources of Literature
Article 1: American Academy of Otolaryngology. (2011). Surgery for Obstructive Sleep Apnea.
According to the American Academy of Otolaryngology (2011), risks of untreated OSA include motor vehicle accident, heart disease, stroke and high blood pressure. In the United States, it is estimated that 1 in five people have at least mild obstructive sleep apnea. In patients who have difficulty in other treatments such as continuous positive airway pressure (CPAP), surgical therapy for throat and nose is effective and is a beneficial alternative.
Article 2: Morgan, C., & Meyers, A. (2013). Surgical Approach to Snoring and Sleep Apnea. Medscape.
OSA is a primary disorder that might require surgical intervention. OSA is essentially a sleep disorder whereby airflow is repetitively stopped or reduced. This condition might vary in severity, and is usually linked to other physiologic problems such as decreased libido, morning headaches, altered behavior and mood, as well as congestive heart failure. The common effective surgical therapy is uvulopalatopharyngoplasty (UPPP) (Morgan & Meyers, 2013).
Article 3: Mehra, P., & Wolford, L. M. (2009). Surgical Management of Obstructive Sleep Apnea. Baylor University Medical Centre; 13(4): 338-342.
This article is research-based. OSA is a rather common disorder involving periodic incomplete collapse or complete collapse of the pharyngeal airway as one sleeps. The systemic results of this disorder are cardiac arrhythmias, left ventricular dysfunction, hypertension, stroke, cor pulmonale and death. Various effectual surgical options include UPPP, tracheostomy, laser-assisted uvuloplasty, as well as external and internal nasal reconstruction (Mehra & Wolford, 2009).
Article 4: Weaver, E. D., & Woodson, B. T. (2010). The Sleep Study: Studying Life Effects and Effectiveness of Palatopharyngoplasty.
This article is research-based and it reports about a prospective longitudinal cohort study that was designed to assess the effectiveness of UPPP in improving sleep apnea specific quality of life. Palatopharyngoplasty enhances sleep related quality of life. It improves apnea-hypopnea index as well as polysomnography outcomes. However, it does not completely eradicate these abnormalities (Weaver & Woodson, 2010).
Article 5: Weaver, E. M. (2009). Survival of Veterans with Apnea: Continuous Positive Airway Pressure versus Surgery.
This article is research-based. The study was aimed at testing whether Continuous Positive Airway Pressure therapy is linked to better survival compared with UPPP. In relation to CPAP, UPPP presents a survival advantage and is thus more effective than CPAP as an intervention for OSA (Weaver, 2009).
Article 6: Caples, S. M., Rowley, J. A., Prinsell, J. R., Pallanch, J. F., Elamin, M., Katz, S. G., & Harwick, J. D. (2010). Surgical Modifications of the Upper Airway for Obstructive Sleep Apnea in Adults: A Systematic Review and Meta-Analysis. SLEEP; 33(10): 1396-1407.
This article is research-based. Many patients with OSA look for alternatives to Positive Airway Pressure, which is typically the first-line treatment for the condition. Upper airway surgery is one of the options. There are several effective upper airway surgeries including UPPP, radiofrequency ablation (RFA), maxillomandibular advancement (MMA), and laser assisted uvulopalatoplasty (LAUP) (Caples et al., 2010).
Article 7: Woodson, T. B. (2009). A Randomized Trial Temperature-Controlled Radiofrequency, Continuous Positive Airway Pressure, and Placebo for Obstructive Sleep Apnea Syndrome. Otolaryngology; 128(6): 848-861.
This article is researched and the researchers aimed at determining the effectiveness of CPAP and temperature-controlled radiofrequency ablation (TCRFTA), a surgical intervention, for treating moderate to mild OSA. TCRFTA reduces complications and side effects more effectively than CPAP and improves the quality of life for patients who have moderate to mild OSA (Woodson, 2009).
Article 8: Steward, D. L. (2009). Multilevel Temperature-controlled Radiofrequency ablation (TCRFTA) for Obstructive Sleep Apnea: Extended Follow-up. Otolaryngology; 132 (4): 630-635.
This is a research-based article. Multilevel TCRFTA, a surgical procedure, leads to prolonged objective as well as subjective improvements across treatment outcomes including apnea-hypopnea index, psychomotor vigilance, daytime somnolence and OSA syndrome-related quality of life (Steward, 2009).
Article 9: Riley, R. (2009). An Adjunctive of Radiofrequency Volumetric Reduction of the Tongue for OSAS. Otalaryngology; 129(1):37-42.
This article is research-based. OSA entails repeated airway collapse as one sleeps, resulting in partial or complete cessation of breathing – apnea or hypopnea. Temperature-controlled radiofrequency volumetric reduction (TCRF) was utilized in treating tongue-based obstruction in OSA. TCRF tongue reduction decreases the severity of obstructive sleep apnea. Combined treatment of the dorsal and ventral tongue is safe and improves outcome than CPAP (Riley, 2009).
Article 10: Ephros, H. D., Madani, M., & Yalamanchili, S. C. (2010). Surgical Treatment of Snoring & Obstructive Sleep Apnea.
OSA disorder is a potentially grave syndrome that affects millions of people worldwide. Those diagnosed usually display poor conformance to nightly use of CPAP. A number of surgical therapies have been suggested for managing and in some instances, treating OSA. These methods include advancement genioplasty, UPPP, nasal reconstruction, and mandibular osteotomy with genioglossus advancement (Ephros, Madani & Yalamanchili, 2010).
Article 11: Plzak, J., Zabrodsky, M., Kastner, J., Betka, J., & Klozar, J. (2013). Combined Bipolar Radiofrequency Surgery of the Tongue Base and Uvulopalatopharyngoplasty for Obstructive Sleep Apnea. Archives of Medical Science.
This article is research-based. OSA is a prevalent syndrome affecting people of every age although is more com...
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