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The European Sleep Apnea Database (ESADA) (also referred to with spelling European Sleep Apnoea Database and European Sleep Apnoea Cohort) is a collaboration between European sleep centres as part of the
European Cooperation in Science and Technology The European Cooperation in Science and Technology (COST Association) is running an EU-funded programme which enables researchers and innovators to set-up their own research networks in a wide range of scientific topics, called COST Actions. Whil ...
(COST) Action B 26. The main contractor of the project is the
Sahlgrenska Academy The Sahlgrenska University Hospital ( Swedish: ''Sahlgrenska Universitetssjukhuset'') is a hospital network associated with the Sahlgrenska Academy at the University of Gothenburg in Gothenburg, Sweden. With 17,000 employees the hospital is the l ...
at
Gothenburg University The University of Gothenburg ( sv, Göteborgs universitet) is a university in Sweden's second largest city, Gothenburg. Founded in 1891, the university is the third-oldest of the current Swedish universities and with 37,000 students and 6000 s ...
, Institute of Medicine, Department of Internal Medicine, and the co-ordinator is Jan Hedner, MD,
PhD PHD or PhD may refer to: * Doctor of Philosophy (PhD), an academic qualification Entertainment * '' PhD: Phantasy Degree'', a Korean comic series * ''Piled Higher and Deeper'', a web comic * Ph.D. (band), a 1980s British group ** Ph.D. (Ph.D. albu ...
, Professor of Sleep Medicine.Hedner 2011, pp. 635–642. The book ''Clinical Genomics: Practical Applications for Adult Patient Care'' said ESADA was an example initiatives which afford an "excellent opportunity" for future collaborative research into genetic aspects of
obstructive sleep apnea syndrome Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder and is characterized by recurrent episodes of complete or partial obstruction of the upper airway leading to reduced or absent breathing during sleep. These episo ...
(OSAS). Both the
European Respiratory Society The European Respiratory Society, or ERS, is a non-profit organization with offices in Lausanne, Brussels and Sheffield. It was founded in 1990 in the field of respiratory medicine. The organization was formed with the merger of the Societas Euro ...
and the European Sleep Research Society have noted the impact for research cooperative efforts of the database resource.


History


2006 – 2010

In 2006 the European Sleep Apnea Database (ESADA) began as an initiative between 27 European sleep study facilities to combine information and compile it into one shared resource.''ESRS Newsletter'' 2013Grote 2014 It was formed as part of the
European Cooperation in Science and Technology The European Cooperation in Science and Technology (COST Association) is running an EU-funded programme which enables researchers and innovators to set-up their own research networks in a wide range of scientific topics, called COST Actions. Whil ...
(COST) Action B 26.''Obesity, Fitness & Wellness Week'' 2011, p. 3. In addition to financial help from COST, the initiative received assistance from companies Philips Respironics and
ResMed ResMed Inc. is a San Diego, California-based medical equipment company. It primarily provides cloud-connectable medical devices for the treatment of sleep apnea (such as CPAP devices and masks), chronic obstructive pulmonary disease (COPD), and o ...
.Grote May 2012, pp. 10–11. The database storing the association's resource information is located in
Gothenburg Gothenburg (; abbreviated Gbg; sv, Göteborg ) is the second-largest city in Sweden, fifth-largest in the Nordic countries, and capital of the Västra Götaland County. It is situated by the Kattegat, on the west coast of Sweden, and has ...
,
Sweden Sweden, formally the Kingdom of Sweden,The United Nations Group of Experts on Geographical Names states that the country's formal name is the Kingdom of SwedenUNGEGN World Geographical Names, Sweden./ref> is a Nordic country located on ...
. The group's goal was twofold: to serve as a reference guide to those researching sleep disorders, and to compile information about how different caregivers treat patients with sleep apnea. 5,103 patients were tracked from March 2007 to August 2009. Data collected on these patients included symptoms experienced, medication, medical history, and sleep data, all inputted into an online format for further analysis. Database researchers reported on their methodology and results in 2010 to the
American Thoracic Society The American Thoracic Society (ATS) is a nonprofit organization focused on improving care for pulmonary diseases, critical illnesses and sleep-related breathing disorders. It was established in 1905 as the American Sanatorium Association, and ch ...
, on their observed findings regarding percentages of metabolic and cardiovascular changes related to patients with obstructive sleep apnea.Hedner 2010 The 2010 research resulted from collaboration between 22 study centres across 16 countries in Europe involving 27 researchers. The primary participants who presented to the American Thoracic Society included researchers from:
Sahlgrenska University Hospital The Sahlgrenska University Hospital ( Swedish: ''Sahlgrenska Universitetssjukhuset'') is a hospital network associated with the Sahlgrenska Academy at the University of Gothenburg in Gothenburg, Sweden. With 17,000 employees the hospital is the lar ...
,
Gothenburg Gothenburg (; abbreviated Gbg; sv, Göteborg ) is the second-largest city in Sweden, fifth-largest in the Nordic countries, and capital of the Västra Götaland County. It is situated by the Kattegat, on the west coast of Sweden, and has ...
,
Sweden Sweden, formally the Kingdom of Sweden,The United Nations Group of Experts on Geographical Names states that the country's formal name is the Kingdom of SwedenUNGEGN World Geographical Names, Sweden./ref> is a Nordic country located on ...
;
Technion – Israel Institute of Technology The Technion – Israel Institute of Technology ( he, הטכניון – מכון טכנולוגי לישראל) is a public research university located in Haifa, Israel. Established in 1912 under the dominion of the Ottoman Empire, the Technion ...
,
Haifa Haifa ( he, חֵיפָה ' ; ar, حَيْفَا ') is the third-largest city in Israel—after Jerusalem and Tel Aviv—with a population of in . The city of Haifa forms part of the Haifa metropolitan area, the third-most populous metropol ...
,
Israel Israel (; he, יִשְׂרָאֵל, ; ar, إِسْرَائِيل, ), officially the State of Israel ( he, מְדִינַת יִשְׂרָאֵל, label=none, translit=Medīnat Yīsrāʾēl; ), is a country in Western Asia. It is situated ...
; National TB & Lung Diseases Research Institute,
Warsaw Warsaw ( pl, Warszawa, ), officially the Capital City of Warsaw,, abbreviation: ''m.st. Warszawa'' is the capital and largest city of Poland. The metropolis stands on the River Vistula in east-central Poland, and its population is officia ...
,
Poland Poland, officially the Republic of Poland, is a country in Central Europe. It is divided into 16 administrative provinces called voivodeships, covering an area of . Poland has a population of over 38 million and is the fifth-most populous ...
; CNR Institute of Biomedicine and Molecular,
Palermo Palermo ( , ; scn, Palermu , locally also or ) is a city in southern Italy, the capital (political), capital of both the autonomous area, autonomous region of Sicily and the Metropolitan City of Palermo, the city's surrounding metropolitan ...
,
Italy Italy ( it, Italia ), officially the Italian Republic, ) or the Republic of Italy, is a country in Southern Europe. It is located in the middle of the Mediterranean Sea, and its territory largely coincides with the homonymous geographical re ...
; Instituto Auxologico Italiano, Ospedale San Luca,
Milan Milan ( , , Lombard: ; it, Milano ) is a city in northern Italy, capital of Lombardy, and the second-most populous city proper in Italy after Rome. The city proper has a population of about 1.4 million, while its metropolitan city h ...
,
Italy Italy ( it, Italia ), officially the Italian Republic, ) or the Republic of Italy, is a country in Southern Europe. It is located in the middle of the Mediterranean Sea, and its territory largely coincides with the homonymous geographical re ...
; and St. Vincent University Hospital,
Dublin Dublin (; , or ) is the capital and largest city of Republic of Ireland, Ireland. On a bay at the mouth of the River Liffey, it is in the Provinces of Ireland, province of Leinster, bordered on the south by the Dublin Mountains, a part of th ...
,
Ireland Ireland ( ; ga, Éire ; Ulster Scots dialect, Ulster-Scots: ) is an island in the Atlantic Ocean, North Atlantic Ocean, in Northwestern Europe, north-western Europe. It is separated from Great Britain to its east by the North Channel (Grea ...
. Their analysis was published in 2010 in the ''
American Journal of Respiratory and Critical Care Medicine The ''American Journal of Respiratory and Critical Care Medicine'' is a biweekly peer-reviewed medical journal published by the American Thoracic Society. It covers the pathophysiology and treatment of diseases that affect the respiratory system, a ...
''.


2011 – present

In 2011 there were 22 sleep disorder centres in
Europe Europe is a large peninsula conventionally considered a continent in its own right because of its great physical size and the weight of its history and traditions. Europe is also considered a Continent#Subcontinents, subcontinent of Eurasia ...
involved in the collaboration. The group published research in 2011 analyzing the percentage of patients with sleep apnea that have
obesity Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's we ...
. By 2012 the database maintained information on over 12,500 patients in Europe; it also contained
DNA sample Genetic testing, also known as DNA testing, is used to identify changes in DNA sequence or chromosome structure. Genetic testing can also include measuring the results of genetic changes, such as RNA analysis as an output of gene expression, or ...
s of 2,600 individuals. ESADA was represented in 2012 at the 21st annual meeting of the European Sleep Research Society in
Paris Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. S ...
,
France France (), officially the French Republic ( ), is a country primarily located in Western Europe. It also comprises of Overseas France, overseas regions and territories in the Americas and the Atlantic Ocean, Atlantic, Pacific Ocean, Pac ...
, and was one of four European Sleep Research Networks that held a session at the event.''ESRS Newsletter'' 2012, p. 8. Pierre Escourrou and Fadia Jilwan wrote a 2012 article for the ''
European Respiratory Journal The ''European Respiratory Journal'' is a monthly peer-review Peer review is the evaluation of work by one or more people with similar competencies as the producers of the work (peers). It functions as a form of self-regulation by qualified ...
'' after studying data from ESADA involving 8,228 total patients from 23 different facilities. They analyzed whether
polysomnography Polysomnography (PSG), a type of sleep study, is a multi-parameter study of sleep and a diagnostic tool in sleep medicine. The test result is called a polysomnogram, also abbreviated PSG. The name is derived from Greek and Latin roots: the Gree ...
was a good measure for
hypopnea Hypopnea is overly shallow breathing or an abnormally low respiratory rate. Hypopnea is defined by some to be less severe than apnea (the complete cessation of breathing), while other researchers have discovered hypopnea to have a "similar if n ...
and sleep apnea.Escourrou 2012 Researchers from the department of
pulmonary disease Respiratory diseases, or lung diseases, are pathological conditions affecting the organs and tissues that make gas exchange difficult in air-breathing animals. They include conditions of the respiratory tract including the trachea, bronchi, bron ...
s at
Turku University Hospital Turku University Hospital ( fi, Turun yliopistollinen keskussairaala, TYKS, sv, Åbo universitetscentralsjukhus, ÅUCS) is a hospital in Turku, Finland. General information The hospital serves as the central hospital for southwestern Finland. I ...
in
Turku Turku ( ; ; sv, Åbo, ) is a city and former capital on the southwest coast of Finland at the mouth of the Aura River, in the region of Finland Proper (''Varsinais-Suomi'') and the former Turku and Pori Province (''Turun ja Porin lääni''; ...
,
Finland Finland ( fi, Suomi ; sv, Finland ), officially the Republic of Finland (; ), is a Nordic country in Northern Europe. It shares land borders with Sweden to the northwest, Norway to the north, and Russia to the east, with the Gulf of B ...
compared variations between sleep centres in the ESADA database and published their findings in the ''European Respiratory Journal''.Saaresranta 2012 They looked at the traits of 5,103 patients from 22 centres. They reported on the average age of patients in the database, and the prevalence by region of performing sleep study with cardiorespiratory polygraphy. The database added a centre in
Hamburg, Germany (male), (female) en, Hamburger(s), Hamburgian(s) , timezone1 = Central (CET) , utc_offset1 = +1 , timezone1_DST = Central (CEST) , utc_offset1_DST = +2 , postal ...
in 2013 managed by
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
Holger Hein. The group's annual meeting in 2013 was held in
Edinburgh Edinburgh ( ; gd, Dùn Èideann ) is the capital city of Scotland and one of its 32 Council areas of Scotland, council areas. Historically part of the county of Midlothian (interchangeably Edinburghshire before 1921), it is located in Lothian ...
,
United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Europe, off the north-western coast of the continental mainland. It comprises England, Scotland, Wales and North ...
and was run by Renata Riha. By March 2013, there were approximately 13,000 total patients being studied in the program, with about 200 additional patients being added into the database each month. Analysis published by researchers from Italy and Sweden in September 2013 in the ''European Respiratory Journal'' analyzed if there was a correlation between
renal function Assessment of kidney function occurs in different ways, using the presence of symptoms and signs, as well as measurements using urine tests, blood tests, and medical imaging. Functions of a healthy kidney include maintaining a person's fluid ...
problems and obstructive sleep apnea.Marrone 2013 They analyzed data from 17 countries in Europe representing 24 sleep centres and 8,112 total patients. They tested whether patients of different types of demographics with other existing health problems had a change in probability of kidney function problems, if they concurrently had obstructive sleep apnea. In 2014, researchers released data studying 5,294 patients from the database compared prevalence of sleep apnea with increased
blood sugar Glycaemia, also known as blood sugar level, blood sugar concentration, or blood glucose level is the measure of glucose concentrated in the blood of humans or other animals. Approximately 4 grams of glucose, a simple sugar, is present in the blo ...
.''Healthcare Purchasing News'' 2014, p. 16. Their results were published in the ''European Respiratory Journal''.''Right Vision News'' 2014''Daily The Pak Banker'' 2014 They studied
glycated hemoglobin Glycated hemoglobin, also known as HbA1c, glycohemoglobin, hemoglobin A1c, A1C, is a form of hemoglobin (Hb) that is chemically linked to a sugar. Most monosaccharides, including glucose, galactose and fructose, spontaneously (i.e. non-enzymatic ...
levels in the patients and compared them with measured severity in sleep apnea. The researchers analyzed glycated hemoglobin levels among a class of individuals with less severe sleep apnea and those with a higher determined amount of sleep apnea problems. As of 20 March 2014 the database included information on a total of 15,956 patients. A 2014 article in the ''European Respiratory Journal'' drawing from the ESADA analyzed whether lack of adequate oxygen during a night's sleep was an indicator for
high blood pressure Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure usually does not cause symptoms. Long-term high bl ...
.Tkacova 2014, pp. 931–941


Reception

In the 2013 book ''Clinical Genomics: Practical Applications for Adult Patient Care'', ESADA is said to be an example of the kind of initiative which affords an "excellent opportunity" for future collaborative research into genetic aspects of
obstructive sleep apnea syndrome Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder and is characterized by recurrent episodes of complete or partial obstruction of the upper airway leading to reduced or absent breathing during sleep. These episo ...
(OSAS).Murray 2013, p. 586. Both the
European Respiratory Society The European Respiratory Society, or ERS, is a non-profit organization with offices in Lausanne, Brussels and Sheffield. It was founded in 1990 in the field of respiratory medicine. The organization was formed with the merger of the Societas Euro ...
and the European Sleep Research Society have noted the impact for research cooperative efforts of the database resource.


See also

*
Catathrenia Catathrenia or nocturnal groaning is a sleep-related breathing disorder, consisting of end-inspiratory apnea (breath holding) and expiratory groaning during sleep. The name originates from the Greek ''kata'' (below) and ''threnia'' (to lament), ...
*
Deviated septum Nasal septum deviation is a physical disorder of the nose, involving a displacement of the nasal septum. Some displacement is common, affecting 80% of people, mostly without their knowledge. Signs and symptoms The nasal septum is the bone and ...
*
Narcolepsy Narcolepsy is a long-term neurological disorder that involves a decreased ability to regulate sleep–wake cycles. Symptoms often include periods of excessive daytime sleepiness and brief involuntary sleep episodes. About 70% of those affec ...
*
Obesity hypoventilation syndrome Obesity hypoventilation syndrome (OHS) is a condition in which severely overweight people fail to breathe rapidly or deeply enough, resulting in low oxygen levels and high blood carbon dioxide (CO2) levels. The syndrome is often associated with ...
*
Congenital central hypoventilation syndrome Central hypoventilation syndrome (CHS) is a sleep-related breathing disorder that causes ineffective breathing, apnea, or respiratory arrest during sleep (and during wakefulness in severe cases). CHS can either be congenital (CCHS) or acquired ( ...
*
Sleep medicine Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and sleep disorder, disorders. From the middle of the 20th century, research has provided increasing knowledge and answered many ...
*
Sleep sex Sexsomnia, also known as sleep sex, is a distinct form of parasomnia, or an abnormal activity that occurs while an individual is asleep. Sexsomnia is characterized by an individual engaging in sexual acts while in non-rapid eye movement ( NREM) ...
*
Snoring Snoring is the vibration of respiratory structures and the resulting sound due to obstructed air movement during breathing while sleeping. The sound may be soft or loud and unpleasant. Snoring during sleep may be a sign, or first alarm, of obs ...


Notes


References

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Further reading

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External links

* {{authority control Sleep disorders University of Gothenburg Databases in Sweden Health informatics Science and technology in Europe Organizations established in 2006 Pulmonology and respiratory therapy organizations International medical associations of Europe