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The Role Of Lung Volume In The Pathogenesis And Treatment Of Obstructive Sleep Apnea.
Funder
National Health and Medical Research Council
Funding Amount
$337,691.00
Summary
Obstructive sleep apnea (OSA) is a common disorder of repetitive upper airway collapse during sleep. Reducing the volume of air in the lungs increases airway collapsibility. Lung volume is therefore likely important in OSA but has not been investigated thoroughly. Also, whether raising lung volume during sleep can be used to treat OSA is unknown. The aim of this grant is therefore to investigate the role, and therapeutic potential, of lung volume in OSA.
Multimodel Phenotyping To Predict Oral Appliance Treatment Outcome In Obstructive Sleep Apnoea
Funder
National Health and Medical Research Council
Funding Amount
$525,777.00
Summary
Obstructive sleep apnoea is a common sleep-related breathing disorder. Oral appliances worn during sleep to gently hold the lower jaw in a forward position are a novel treatment modality often appealing to patients. Currently use is limited as there is no means to determine if patients will be treated successfully. There is a need for simple, clinical methods to predict which patients are best suited to this new treatment approach and this project will address this by developing such a method.
Novel Therapeutic Phenotyping For Sleep Apnoea - A Paradoxical Role For Sedatives
Funder
National Health and Medical Research Council
Funding Amount
$639,168.00
Summary
Sleeping pill (sedative) use has risen dramatically. Sedatives may worsen a common breathing condition called obstructive sleep apnoea (OSA). Accordingly, their use has been discouraged in OSA. However, recent studies indicate that certain sedatives may actually reduce OSA severity in some patients. By studying the effects of common sedatives on OSA and breathing, this proposal aims to explain these apparent paradoxical responses and ultimately provide a new treatment approach for OSA.
Obstructive Sleep Apnoea Phenotypes And Treatment In Quadriplegia
Funder
National Health and Medical Research Council
Funding Amount
$599,635.00
Summary
Losing function in your arms and legs after an injury (quadriplegia) is a catastrophic event. Quadriplegia also results in obstructive sleep apnoea; a condition where the throat closes repeatedly while asleep causing sleepiness, poor concentration and cardiovascular diseases like stroke. Despite most people with quadriplegia having this disease, the cause is unknown. This project will thoroughly investigate obstructive sleep apnoea causes in people with quadriplegia and test a possible treatment
Clarifying The Pathogenic Role Of Arousal-hyperventilation In Obstructive And Central Sleep Apnoea: Testing Fundamental Pathophysiological Mechanisms And A Strategic New Treatment
Funder
National Health and Medical Research Council
Funding Amount
$414,717.00
Summary
This project is designed to understand the mechanisms underpinning much more stable breathing during deep sleep in obstructive sleep apnoea (OSA). A newly developed analytical technique will be used to examine breathing effort changes across sleep, and interactions with respiratory-induced awakenings in OSA patients. In addition, a new treatment designed to stabilise breathing will be tested and refined towards a new treatment option for OSA and for central sleep apnoea.
Central, Reflex And Mechanical Factors In The Control Of Human Breathing Muscles.
Funder
National Health and Medical Research Council
Funding Amount
$497,968.00
Summary
We will study the neural output to human inspiratory muscles and how it is related to mechanical effectiveness for breathing and then how this relationship can change with respiratory disorders such as chronic obstructive pulmonary disease and obstructive sleep apnoea. We will also examine the spinal reflex connections of human breathing muscles in people with spinal cord injury. This work promises new understanding of the basic control of respiration and how it changes with disease.
Clinical Outcomes, Safety And Incremental Cost Effectiveness Of Multi-level Airway Surgery In Patients With Moderate-severe Obstructive Sleep Apnea (OSA) Who Have Failed Medical Management
Funder
National Health and Medical Research Council
Funding Amount
$652,794.00
Summary
Obstructive sleep apnoea (OSA) is a serious medical disorder with a high public health cost. OSA can be effectively treated but poor treatment compliance is a major clinical problem. As a consequence many OSA patients remain untreated, with significant implications for their long term health. New effective and safe therapies are needed. We believe that we will demonstrate a relatively straightforward, safe and effective surgical procedure for OSA after primary treatments fail. This will lead to ....Obstructive sleep apnoea (OSA) is a serious medical disorder with a high public health cost. OSA can be effectively treated but poor treatment compliance is a major clinical problem. As a consequence many OSA patients remain untreated, with significant implications for their long term health. New effective and safe therapies are needed. We believe that we will demonstrate a relatively straightforward, safe and effective surgical procedure for OSA after primary treatments fail. This will lead to improved patient outcomes.Read moreRead less
Treating Insomnia Co-morbid With Obstructive Sleep Apnoea: A Randomized Controlled Clinical Effectiveness Trial.
Funder
National Health and Medical Research Council
Funding Amount
$600,869.00
Summary
Obstructive Sleep Apnoea (OSA) is a common but serious sleep disorder. Continuous positive airways pressure (CPAP) therapy can be very effective in treating OSA. We have found that many patients with OSA also suffer from insomnia, and this can make it hard for them to begin CPAP therapy and hard for them to stick to it. This trial will examine the effect of treating insomnia concurrently with CPAP, with the expectation that overall treatment outcomes will improve.
Continuous Positive Airway Pressure For Obstructive Sleep Apnoea In Quadriplegia: A Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$307,677.00
Summary
Each year in Australia 260 people sustain a SCI, with over half losing full function in their arms and legs (quadriplegia). In addition to the primary disability, there is a very high rate of Obstructive Sleep Apnoea (OSA). This project is a multi-national randomized controlled trial to treat OSA in acute injury with a nasal mask during sleep. The study will determine if we can help people live better after injury by improving sleep, quality of life, memory and attention.
The Interaction Between Obstructive Sleep Apnea And Cardiovascular Risk Factors On Cardiovascular Disease
Funder
National Health and Medical Research Council
Funding Amount
$1,263,050.00
Summary
Cardiovascular (CV) disease and obstructive sleep apnoea (OSA) are common causes of morbidity and mortality. OSA is an independent risk factor for CV disease but little is known about which patients with OSA are likely to develop CV disease, and the interaction between OSA and other CV risk factors. We seek to better understand this interaction by exploring which of 4,100 well characterised patients in the West Australian Sleep Health Study (WASHS) 2005-2010 have developed CV disease.