Development, testing, and feasibility of a customized mobile application for obstructive sleep apnea (OSA) risk assessment: A hospital-based pilot study
Introduction: Obstructive Sleep Apnea (OSA), the most prevalent form of sleep-related breathing disorder has practical and financial limitations in diagnosis by polysomnography, hence OSA risk-assessment can identify OSA-related symptoms early. Objectives: To develop a mobile application for OSA-ris...
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| Format: | Article |
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Elsevier
2022-01-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426821001330 |
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| author | Priyanka Kapoor Aman Chowdhry Poonam Sengar Abhishek Mehta |
| author_facet | Priyanka Kapoor Aman Chowdhry Poonam Sengar Abhishek Mehta |
| author_sort | Priyanka Kapoor |
| collection | DOAJ |
| description | Introduction: Obstructive Sleep Apnea (OSA), the most prevalent form of sleep-related breathing disorder has practical and financial limitations in diagnosis by polysomnography, hence OSA risk-assessment can identify OSA-related symptoms early. Objectives: To develop a mobile application for OSA-risk assessment and tests its validity, feasibility, and application in a hospital-based pilot sample. Study design and methods: The study comprised of two parts. Part i: Development of a mobile application “OSA-Risk Assessment Tool” using automated questionnaires. Part ii: A pilot study to screen OSA-risk in 200 patients (100 adults,100 children) from the orthodontic OPD of a Govt. Dental Hospital, using the mobile application. Internal validation by manual and mobile-based methods was done on 30 random patients. Non-parametric tests assessed the statistical differences between OSA-risk and nonOSA-risk variables. Results: The prevalence of OSA-risk was 21.4% in adults and 8% in children. In adults, OSA-risk showed significantly greater neck circumference (p = 0.0001), waist circumference(p = 0.001), body mass index(p = 0.008), daytime sleepiness, headache, and mouth breathing(p = 0.0001). In children, OSA-risk is associated with a dry mouth on awakening, daytime sleepiness, and mouth breathing, and nocturnal enuresis. The low OSA-risk patients were suggested standardized preventive management counseling and orthodontic interventions while medium to high-risk underwent sleep-specialist referrals. Conclusions: This study supports the feasibility and usability of the mobile application ''OSA-risk assessment tool'' in a hospital setup. This cost-effective tool can be advocated for self-evaluation, early detection, and awareness in pandemic times. The future upgraded versions may include preventive modules and real-time coordination with the nearest sleep clinics and specialists. |
| format | Article |
| id | doaj-art-b2bc813637264ec08d996917d18a0373 |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-b2bc813637264ec08d996917d18a03732024-11-23T06:29:05ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-01-01121109115Development, testing, and feasibility of a customized mobile application for obstructive sleep apnea (OSA) risk assessment: A hospital-based pilot studyPriyanka Kapoor0Aman Chowdhry1Poonam Sengar2Abhishek Mehta3Orthodontics & Dentofacial Orthopaedics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, 110025, India; Corresponding author.Oral Pathology & Microbiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, 110025, IndiaFaculty of Dentistry, Jamia Millia Islamia, New Delhi, 110025, IndiaPublic Health Dentistry, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, 110025, IndiaIntroduction: Obstructive Sleep Apnea (OSA), the most prevalent form of sleep-related breathing disorder has practical and financial limitations in diagnosis by polysomnography, hence OSA risk-assessment can identify OSA-related symptoms early. Objectives: To develop a mobile application for OSA-risk assessment and tests its validity, feasibility, and application in a hospital-based pilot sample. Study design and methods: The study comprised of two parts. Part i: Development of a mobile application “OSA-Risk Assessment Tool” using automated questionnaires. Part ii: A pilot study to screen OSA-risk in 200 patients (100 adults,100 children) from the orthodontic OPD of a Govt. Dental Hospital, using the mobile application. Internal validation by manual and mobile-based methods was done on 30 random patients. Non-parametric tests assessed the statistical differences between OSA-risk and nonOSA-risk variables. Results: The prevalence of OSA-risk was 21.4% in adults and 8% in children. In adults, OSA-risk showed significantly greater neck circumference (p = 0.0001), waist circumference(p = 0.001), body mass index(p = 0.008), daytime sleepiness, headache, and mouth breathing(p = 0.0001). In children, OSA-risk is associated with a dry mouth on awakening, daytime sleepiness, and mouth breathing, and nocturnal enuresis. The low OSA-risk patients were suggested standardized preventive management counseling and orthodontic interventions while medium to high-risk underwent sleep-specialist referrals. Conclusions: This study supports the feasibility and usability of the mobile application ''OSA-risk assessment tool'' in a hospital setup. This cost-effective tool can be advocated for self-evaluation, early detection, and awareness in pandemic times. The future upgraded versions may include preventive modules and real-time coordination with the nearest sleep clinics and specialists.http://www.sciencedirect.com/science/article/pii/S2212426821001330Obstructive sleep apneaOSAmHealthMobile applicationQuestionnaireTechnological innovations |
| spellingShingle | Priyanka Kapoor Aman Chowdhry Poonam Sengar Abhishek Mehta Development, testing, and feasibility of a customized mobile application for obstructive sleep apnea (OSA) risk assessment: A hospital-based pilot study Journal of Oral Biology and Craniofacial Research Obstructive sleep apnea OSA mHealth Mobile application Questionnaire Technological innovations |
| title | Development, testing, and feasibility of a customized mobile application for obstructive sleep apnea (OSA) risk assessment: A hospital-based pilot study |
| title_full | Development, testing, and feasibility of a customized mobile application for obstructive sleep apnea (OSA) risk assessment: A hospital-based pilot study |
| title_fullStr | Development, testing, and feasibility of a customized mobile application for obstructive sleep apnea (OSA) risk assessment: A hospital-based pilot study |
| title_full_unstemmed | Development, testing, and feasibility of a customized mobile application for obstructive sleep apnea (OSA) risk assessment: A hospital-based pilot study |
| title_short | Development, testing, and feasibility of a customized mobile application for obstructive sleep apnea (OSA) risk assessment: A hospital-based pilot study |
| title_sort | development testing and feasibility of a customized mobile application for obstructive sleep apnea osa risk assessment a hospital based pilot study |
| topic | Obstructive sleep apnea OSA mHealth Mobile application Questionnaire Technological innovations |
| url | http://www.sciencedirect.com/science/article/pii/S2212426821001330 |
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