Neck Grasp as a Predictor of Sleep Apnea

NCT ID: NCT02474823

Last Updated: 2017-01-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2016-07-31

Brief Summary

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A previous pilot study on the use of self neck grasp, ESAP (Easy Sleep Apnea Predictor), showed a positive maneuver (unable to wrap hands completely around neck) to be 100% predictive of sleep apnea in a sleep clinic population. The investigators now would like to compare ESAP to other tests used to diagnose and screen for Sleep Apnea in type 2 diabetics. The tests will included Home Sleep Testing, sleep questionnaires Berlin and STOP-BANG and polysomnogram (PSG). Patients with type 2 diabetes in the Bassett Endocrine Clinic who are scheduled for a routine evaluation will be recruited to undergo; a Home Sleep Test along with two sleep questionnaires PSG. The screen test wil be compared to the results of the gold standard diagnostic test the PSG for their predictive value os OSA in the type 2 diabetic population.

Detailed Description

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The goal is to evaluate the ESAP study (simple neck grasp) as a predictor of Obstructive Sleep Apnea (OSA) in combination with, and in comparison to; Home Sleep Test ( HST), Berlin Sleep Questionnaire and STOP-BANG questionnaire. All predictors are being evaluated against the gold standard test, the polysomnogram (PSG).

OSA is the common disorder affecting 3-7% of the adult population. It has many negative health consequences such as; cardiovascular disease, diabetes, motor vehicle accidents and depression. Data from both epidemiological and clinical studies suggest that OSA is also independently associated with alterations in glucose metabolism and places patients at an increased risk of the development of type 2 diabetes It is often missed in a busy practice. This simple diagnostic tool may help us in identifying the patient at an earlier stage, thus also helping to prevent further complications in diabetic patients.

Participants will undergo 3 study visits/procedures:

Visit 1: Participants will be consented for the study, undergo the ESAP test, complete the Berlin Sleep Questionnaire \& STOP-BANG questionnaire, and provide medical history/demographic information.

Visit 2: Participants will undergo a PSG at the Bassett Sleep Lab.. Visit 3: The morning the PSG is completed, participants will be given the HST recorder and instructed in its use in order to complete the HST. Participants can then drop off the HST recorder at any Bassett Clinic and it will be returned to the Sleep Lab in Cooperstown.

The ESAP test, Berlin Sleep Questionnaire, and the STOP-BANG Questionnaire will be administered by a study coordinator, research nurse, and/or research assistant. The PSG and the HST will be read and evaluated by independent evaluators/physicians. These physicians will not have access to the ESAP or the questionnaire results prior to the evaluation of the PSG or HST.

If a participant has any test (except the ESAP test alone) that is indicative or suspicious for OSA, a study physician will review these results and advise them of any further follow up recommendations.

Conditions

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Obstructive Sleep Apnea Type 2 Diabetes

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Sleep Apnea assessment

all participants are in the same arm \& undergo the same assessments: PSG, HST, ESAP

Group Type OTHER

polysomnogram

Intervention Type OTHER

all participants will undergo PSG for assessment of OSA

home sleep test

Intervention Type OTHER

all participants will undergo HST for assessment of OSA

Easy Sleep Apnea Predictor

Intervention Type OTHER

all participants will undergo ESAP for assessment of OSA

Interventions

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polysomnogram

all participants will undergo PSG for assessment of OSA

Intervention Type OTHER

home sleep test

all participants will undergo HST for assessment of OSA

Intervention Type OTHER

Easy Sleep Apnea Predictor

all participants will undergo ESAP for assessment of OSA

Intervention Type OTHER

Other Intervention Names

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PSG HST ESAP , self neck grasp

Eligibility Criteria

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Inclusion Criteria

* 18 - 70 years old regardless of gender
* Confirmed diagnosis of Type 2 diabetes

Exclusion Criteria

* Unstable Heart failure
* COPD
* Neuromuscular disease
* Mental disorders which would interfere with following directions
* Persons who are already diagnosed with OSA or persons who have been using CPAP or BiPAP
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bassett Healthcare

OTHER

Sponsor Role lead

Responsible Party

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Lee Edmonds, MD

attending physician - Pulmonology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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lee edmonds, MD

Role: PRINCIPAL_INVESTIGATOR

Bassett Healthcare

Locations

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Bassett Healthcare Network

Cooperstown, New York, United States

Site Status

Countries

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United States

References

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Edmonds PJ, Gunasekaran K, Edmonds LC. Neck Grasp Predicts Obstructive Sleep Apnea in Type 2 Diabetes Mellitus. Sleep Disord. 2019 Jul 1;2019:3184382. doi: 10.1155/2019/3184382. eCollection 2019.

Reference Type DERIVED
PMID: 31355009 (View on PubMed)

Other Identifiers

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2012

Identifier Type: -

Identifier Source: org_study_id

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