Effectiveness of non-operative treatment of obstructive sleep apnea. Review of the scientific literature : (priimta spausdinimui)
Objectives: To asses the effectivnes of Continuous positive airway pressure (CPAP) and Mandibular andvancement devices as treatment for obstructive sleep apnea by using Apnea-hypopnea index (AHI). Material and methods: PubMed, Cochrane Library, Wiley Online Library and Science Direct scientific literature databases were reviewed. The quality of the studies was assessed using the Cochrane Rob 2 tool. Change in OSA was assessed by the Apnea-Hypopnoea Index (AHI). Qualitative statistical comparison of data was performed, p < 0,05. Results: 5 publications were selected for the systematic literature review, 367 patients were included, the study period was from 6 weeks to 10 years. Reduction in AHI: from baseline after CPAP treatment (n=3), from baseline after MAD treatment (n=3). Conclusions: MAD and CPAP both reduce AHI, but CPAP treatment proves to be more effective.