| Talks： |
Sleep Apnea Management for Co-Morbid Insomnia and Sleep Apnea
針對失眠與睡眠呼吸中止共病症之睡眠呼吸中止處置 |
| Name： |
| 黃志宇（Chih-Yu Huang） |
| Position： |
| Medical doctor |
| Affiliation： |
Division of Pulmonary, Critical Care, and Sleep Medicine, Chang Gung Memorial Hospital, Keelung
Taiwan Society of Internal Medicine
Taiwan Society of Pulmonary and Critical Care Medicine
Taiwan Society of Sleep Medicine
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| Email： |
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| Photo： |
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| Research Interests： |
Sleep apnea research
Critical care medicine
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| Selected Publications： |
1. Chung-Chieh Yu, Chih-Yu Huang, Wei-Ke Kuo, Chung-Yao Chen*. Continuous positive airway pressure improves nocturnal polyuria in ischemic stroke patients with obstructive sleep apnea. Clinical interventions in aging. 2019; 14: 241-247.
2. Chih-Yu Huang, Chung-Chieh Yu*. Different diagnostic criteria for periodic leg movements in patients with obstructive sleep apnea after continuous positive airway pressure titration. Neuropsychiatric disease and treatment. 2019; 15: 2129-2136.
3. Wei-Ke Kuo, Chung-Ching Hua, Chung-Chieh Yu, Yu-Chih Liu, Chih-Yu Huang*. The cancer control status and APACHE II score are prognostic factors for critically ill patients with cancer and sepsis. Journal of the Formosan Medical Association 2020; 1119: 276-281.
4. Wei-Ke Kuo, Chih-Yu Huang, Chung-Chieh Yu, Chung-Ching Hua. Totally Implanted Port May Be an Alternative to Centrally Inserted Central Catheter for Measurement of Central Venous Pressure. Journal of Healthcare Engineering 2020, doi.org/10.1155/2020/9180856.
5. Chung-Chieh Yu , Chih-Yu Huang, Chung-Ching Hua , Huang-Pin Wu . High-flow nasal cannula compared with continuous positive airway pressure in the treatment of obstructive sleep apnea. Sleep Breath. 2021 Jun 18. doi: 10.1007/s11325-021-02413-0.
6. Hung-Yu Huang, Chih-Yu Huang, Li-Fu Li. Prolonged Mechanical Ventilation: Outcomes and Management. J Clin Med. 2022 Apr 27; 11(9): 2451.
7. Chih-Yu Huang, Chung-Chieh Yu, Huang-Pin Wu, Chien-Ming Chu, Ping-Chi Liu, Li-Fu Li1. Predictors of severity and mortality in hospitalized patients with COVID-19 in northeastern Taiwan. Pulmonary and Critical Care Medicine. 2022: 7; 1-6.
8. Chih-Yu Huang, Shao-Yun Wu, Chung-Chieh Yu, Chien-Ming Chu. Sleep disturbance and depressive tendency in bed partners of patients with obstructive sleep apnea. Neurology Asia. 2023; 28(2): 367-375.
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| Abstract： |
Insomnia and obstructive sleep apnea (OSA) commonly co-occur. Approximately 30-50% of patients with OSA report clinically significant insomnia symptoms, and 30-40% of patients with chronic insomnia fulfil diagnostic criteria for OSA. Compared to either insomnia or OSA alone, co-morbid insomnia and sleep apnea (COMISA) is associated with greater morbidity for patients, complex diagnostic decisions for clinicians, and reduced response to otherwise effective treatment approaches.
Innovations in the assessment of COMISA have used profile analyses or dimensional approaches to examine symptom clusters or symptom severity that could be particularly useful in the assessment of COMISA. Recent randomized controlled trials have provided important evidence about the safety and effectiveness of a concomitant treatment approach to COMISA using cognitive-behavioral therapy for insomnia (CBT-I) with positive airway pressure (PAP). Furthermore, patient-centered considerations that integrate patient characteristics, treatment preferences, and accessibility to treatment in the context of COMISA are discussed as opportunities to improve patient care. Based on these recent advances and clinical perspectives, a model for using multidisciplinary, patient-centered care is recommended to optimize the clinical management of patients with COMISA.
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| 2024年會： |
10/12 16:50 Sleep Apnea Management for Co-Morbid Insomnia and Sleep Apnea
針對失眠與睡眠呼吸中止共病症之睡眠呼吸中止處置 [會議室1]
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