Talk:Upper airway resistance syndrome

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Ksoltesz. Peer reviewers: C.q20n.17, Acosaj1.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 12:08, 17 January 2022 (UTC)

Hypotension or hypertension?

Both are mentioned, however it seems unlikely to me that UARS could cause both. It is more likely a mistake done by a previous user. So, which one is it, hypotension or hypertension? Hypertension seems more likely to me, but I am not a doctor nor a sleep specialist. If both can happen, then it needs to be specified and clarified. — Preceding unsigned comment added by Sam113101 (talk • contribs) 04:11, 23 June 2015 (UTC)

WHAT

WHAT IS THE ICD-9 CODE FOR UARS?!

I have seen ICD-9 327.20 used for UARS —Preceding unsigned comment added by Aedyn (talk • contribs) 13:51, 12 October 2007 (UTC)

There isn't an ICD-9 code for UARS because this syndrome is not generally accepted as a medical condition. (That is, patients who are told they have UARS probably have some other disease, not that they're perfectly healthy.) WhatamIdoing (talk) 03:32, 13 December 2007 (UTC)

Is there a question of its existence?

I know I've read several times that there is debate as to the existence of UARS, but I've seen no evidence of this debate. I searched PubMed for "UARS" and, while I'm too sleepy to look through all 122 results, I found nothing in the first 60 that seeks to dispute the existence of the syndrome. So it would seem that a vast majority of people who've looked into the subject are in agreement that it does indeed exist. I suppose I could slap a "citation needed" onto it, but I'd be no happier about the statement even if someone linked it to some news article somewhere that mentions there being questions about its existence. I know people say there are questions about its existence. What I don't know is who is questioning its existence. It doesn't seem to be sleep researchers. -- Philip Jacob Smith (talk) 08:53, 25 September 2011 (UTC)

"Whether untreated UARS develops into obstructive sleep apnea is unknown."

It's also unknown whether untreated sleep apnea develops into UARS. ...and it's unknown whether either develops into every psychiatric illness known to man. (It seems likely to me.) However, I'm not sure such questions should be in the article simply because someone may ask them. This question in particular seems to imply that UARS is a less-serious condition which isn't yet known to develop into a more-serious condition. After all, since when does any more-serious condition develop into a less-serious condition? It wouldn't be a serious condition if the expected result of untreated patients was something less serious. Thus, for someone to suggest that UARS develops into OSAS is to suggest that UARS is no more serious, and likely less serious, than OSAS.

However, UARS isn't a less-serious condition:

http://www.ncbi.nlm.nih.gov/pubmed/19410510 -- "Patients with UARS presented worse psychomotor performance on most test metrics than patients with OSAS."
http://www.ncbi.nlm.nih.gov/pubmed/17644425 -- "Patients with UARS were most impaired in terms of their daily functioning and perception of sleep quality."

Also, it doesn't seem to develop into OSAS:

http://www.ncbi.nlm.nih.gov/pubmed/16473570 -- "The polysomnography results at follow-up [4.5 years after initial polysomnography] showed that 5 subjects [out of 94] had AHI compatible with Obstructive Sleep Apnea Syndrome (OSAS) but overall, respiratory disturbance index had no significant change."

Five out of 94 is nothing considering expected randomness in the measurement. You could get that kind of change if the two polysomnography tests were performed on consecutive nights. Also, considering that the study examined only UARS patients, who previous had AHI scores of less than 5, random changes can only be expected to cause AHI < 5 subjects to become AHI > 5 subjects, as there were no AHI > 5 subjects present to become AHI < 5 subjects in order to provide balance. ...and having an AHI compatible with OSAS isn't the same thing as having OSAS. Thus, as the study concludes, the change isn't significant.

Thus there doesn't seem to be any reason to conclude that UARS may evolve into OSAS nor does there appear to be any truth to the implied statement that UARS is less severe than OSAS. -- Philip Jacob Smith (talk) 09:53, 25 September 2011 (UTC)

Plans for Editing

Over the next few weeks, I will be editing this page to provide a more thorough and detailed article on UARS for my physiology semester project. My plans for edits include: finding sources for information lacking citations and adding more information about signs and symptoms, etiology and pathophysiology, different populations affected, diagnosis using polysomnography, and options for treatment.

Some of the sources I plan to use are listed below:

De Godoy, Luciana B.M.; Palombini, Luciana O.; Guilleminault, Christian; Poyares, Dalva; Tufik, Sergio; Togeiro, Sonia M. (2015). “Treatment of upper airway resistance syndrome in adults: Where do we stand?”. Sleep Science: 42-48 - via Elsevier.

Kushida, Clete A., ed. (2009). Handbook of Sleep Disorders (Second ed.). New York: Inform Healthcare. pp. 339-347.

Cuelbras, Antonio (1996). Clinical Handbook of Sleep Disorders. New York: Butterworth-Heinemann. pp. 207.

Shneerson, John M., ed. (2005). Sleep Medicine (Second ed.). New York: Blackwell Publishing. pp. 229-237.

Feedback and suggestions are appreciated. Thanks! --Ksoltesz (talk) 02:00, 15 February 2017 (UTC)ksoltesz

Go for it! Rah! Rah! Rah! It seems since not much is public knowledge about this, I don't exactly know what to say, except everything is potentially helpful. After all is said and done, if you can't figure out how to add something at the end of your assignment, please also feel free to add that extraneous information to the talk page for other people to build upon; after all, if you've done the work and research, why not preserve it all? One thing I'm particularly interested in, is Alpha-Delta Sleep which is an supposedly an effect of or symptom of UARS. However, most of which I've read about A-D Sleep is also tied to fibromyalgia. Centerone (talk) 02:11, 3 March 2017 (UTC)