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Sharples L, Glover M, Clutterbuck-James A, et al. Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea–hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure. Southampton (UK): NIHR Journals Library; 2014 Oct. (Health Technology Assessment, No. 18.67.)
Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea–hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure.
Show detailsSerious adverse events
AE | Dates | Treatment receiving at the time | Classification |
---|---|---|---|
Sick sinus syndrome and atrial flutter | 25 September 2011–28 September 2011 | No treatment | Possibly related to OSA |
Hypoglycaemia | 13 October 2011–13 October 2011 | No treatment | Possibly related to OSA |
Complete heart block | 3 November 2011–4 November 2011 | bMAD | Possibly related to OSA or MAD |
Non-specific chest pain | 11 February 2012–17 February 2012 | bMAD | Possibly related to OSA or MAD |
Specific minor adverse events in each category
Adverse event | Adverse events category | Number of events |
---|---|---|
Achy legs | (1) General adverse events | 4 |
Acid reflux | (1) General adverse events | 2 |
Angina | (1) General adverse events | 2 |
Asthma | (1) General adverse events | 2 |
Asthma episode | (1) General adverse events | 1 |
Bronchitis | (1) General adverse events | 2 |
Cellulitis | (1) General adverse events | 1 |
Chest (6) infection | (1) General adverse events | 8 |
Chest (6) infection/pleuracy | (1) General adverse events | 2 |
Concussion | (1) General adverse events | 1 |
Cramp | (1) General adverse events | 3 |
Cramp (legs) | (1) General adverse events | 3 |
DVT | (1) General adverse events | 3 |
Depression (re-occurring) | (1) General adverse events | 1 |
Diarrhoea | (1) General adverse events | 2 |
Diarrhoea and vomiting | (1) General adverse events | 3 |
Dislocated shoulder | (1) General adverse events | 1 |
Extreme tiredness [viral (6) infection?] | (1) General adverse events | 1 |
Fluid on lungs | (1) General adverse events | 1 |
Fractured wrist | (1) General adverse events | 1 |
Gout | (1) General adverse events | 1 |
Hay fever | (1) General adverse events | 2 |
Hay fever symptoms | (1) General adverse events | 1 |
Head trauma | (1) General adverse events | 1 |
Headache | (1) General adverse events | 27 |
Headache (migraine?) | (1) General adverse events | 1 |
Headaches | (1) General adverse events | 4 |
Hernia operation | (1) General adverse events | 1 |
Hysterectomy | (1) General adverse events | 1 |
Indigestion | (1) General adverse events | 3 |
Infected finger | (1) General adverse events | 4 |
Knee (6) infection | (1) General adverse events | 2 |
Leg pain | (1) General adverse events | 5 |
Nasal polyps | (1) General adverse events | 3 |
Nasal congestion due to polyps | (1) General adverse events | 1 |
Nasal (6) Infection | (1) General adverse events | 1 |
Nausea | (1) General adverse events | 2 |
Neck pain | (1) General adverse events | 2 |
Operation – adenoma (parathyroid) | (1) General adverse events | 1 |
Oral thrush | (1) General adverse events | 1 |
Pacemaker fitted | (1) General adverse events | 1 |
Panic attacks | (1) General adverse events | 1 |
Period pain | (1) General adverse events | 1 |
Shoulder pain | (1) General adverse events | 5 |
Shoulder pain (frozen shoulder) | (1) General adverse events | 1 |
Sore ribs | (1) General adverse events | 3 |
Sore wrist/hand | (1) General adverse events | 1 |
Stomach eramps | (1) General adverse events | 1 |
Stomach ache | (1) General adverse events | 1 |
Stomach ache/nausea | (1) General adverse events | 1 |
Stomach bug | (1) General adverse events | 5 |
Surgery to remove nasal polyps | (1) General adverse events | 1 |
Torn ligaments (in knee) | (1) General adverse events | 2 |
Unwell (exhaustion) | (1) General adverse events | 1 |
Upset stomach | (1) General adverse events | 1 |
Vomiting | (1) General adverse events | 1 |
Wheezing | (1) General adverse events | 1 |
Whiplash | (1) General adverse events | 1 |
Worsening tinnitus | (1) General adverse events | 1 |
Bad taste in mouth | (2) Dryness/Bad taste/Numbness | 3 |
Dry lips | (2) Dryness/Bad taste/Numbness | 14 |
Dry mouth | (2) Dryness/Bad taste/Numbness | 65 |
Dry throat | (2) Dryness/Bad taste/Numbness | 3 |
Dry mouth/throat | (2) Dryness/Bad taste/Numbness | 1 |
Numb lips | (2) Dryness/Bad taste/Numbness | 3 |
Bit lip | (3) Discomfort/Mouth problems | 1 |
Blisters on lip | (3) Discomfort/Mouth problems | 1 |
Blood on device | (3) Discomfort/Mouth problems | 1 |
Broken tooth | (3) Discomfort/Mouth problems | 3 |
Broken tooth crown | (3) Discomfort/Mouth problems | 2 |
Burnt mouth | (3) Discomfort/Mouth problems | 2 |
Change in bite | (3) Discomfort/Mouth problems | 10 |
Change in bite/malocclusion | (3) Discomfort/Mouth problems | 1 |
Clicky jaw | (3) Discomfort/Mouth problems | 2 |
Cold sores | (3) Discomfort/Mouth problems | 1 |
Dental bridge problems | (3) Discomfort/Mouth problems | 1 |
Face/jaw ache | (3) Discomfort/Mouth problems | 1 |
Gum discomfort | (3) Discomfort/Mouth problems | 75 |
Gum sores | (3) Discomfort/Mouth problems | 1 |
Infected milk tooth extraction | (3) Discomfort/Mouth problems | 1 |
Jaw discomfort | (3) Discomfort/Mouth problems | 78 |
Jaw stiffness | (3) Discomfort/Mouth problems | 19 |
Jaw discomfort – left | (3) Discomfort/Mouth problems | 1 |
Jaw discomfort – right | (3) Discomfort/Mouth problems | 1 |
Jaw stiffness (change in bite) | (3) Discomfort/Mouth problems | 1 |
Lip discomfort | (3) Discomfort/Mouth problems | 3 |
Loose tooth | (3) Discomfort/Mouth problems | 2 |
Loose crowns and bridges | (3) Discomfort/Mouth problems | 1 |
Loose teeth | (3) Discomfort/Mouth problems | 2 |
Loose tooth | (3) Discomfort/Mouth problems | 2 |
Malocclusion (tooth moving forward) | (3) Discomfort/Mouth problems | 1 |
Mouth discomfort | (3) Discomfort/Mouth problems | 19 |
Mouth ulcer | (3) Discomfort/Mouth problems | 16 |
Receding gums | (3) Discomfort/Mouth problems | 3 |
Sensitive teeth | (3) Discomfort/Mouth problems | 1 |
Sore throat (due to not wearing device) | (3) Discomfort/Mouth problems | 1 |
Sore upper left palate. | (3) Discomfort/Mouth problems | 1 |
Sore upper right palate. | (3) Discomfort/Mouth problems | 1 |
Teeth moved forward (front top 2) | (3) Discomfort/Mouth problems | 1 |
Tongue discomfort | (3) Discomfort/Mouth problems | 8 |
Tongue ulcer | (3) Discomfort/Mouth problems | 1 |
Tooth discomfort | (3) Discomfort/Mouth problems | 128 |
Tooth discomfort (from clenching teeth) | (3) Discomfort/Mouth problems | 4 |
Tooth discomfort (front crown only) | (3) Discomfort/Mouth problems | 1 |
Tooth discomfort (next to abscessed tooth) | (3) Discomfort/Mouth problems | 2 |
Tooth crown – permanent | (3) Discomfort/Mouth problems | 1 |
Tooth crown – temporary | (3) Discomfort/Mouth problems | 1 |
Tooth crown replacement | (3) Discomfort/Mouth problems | 1 |
Tooth removal | (3) Discomfort/Mouth problems | 1 |
Veneer detachment | (3) Discomfort/Mouth problems | 1 |
Wound healing post wisdom tooth removal | (3) Discomfort/Mouth problems | 1 |
Bleeding gums | (3) Discomfort/Mouth problems | 18 |
Choking | (4) Excessive salivation and choking | 2 |
Choking (due to excessive salivation) | (4) Excessive salivation and choking | 1 |
Excessive Salivation | (4) Excessive salivation and choking | 83 |
Gagging | (4) Excessive salivation and choking | 5 |
Blocked nose | (5) Cold related | 14 |
Cold/sore throat | (5) Cold related | 1 |
Chest and sinus (6) infection | (5) Cold related | 1 |
Common cold | (5) Cold related | 39 |
Cough | (5) Cold related | 13 |
Cough and congestion | (5) Cold related | 2 |
Flu | (5) Cold related | 3 |
Head cold | (5) Cold related | 1 |
Nasal congestion | (5) Cold related | 4 |
Sinus (6) infection | (5) Cold related | 1 |
Sore throat | (5) Cold related | 8 |
Sore throat (and cough) | (5) Cold related | 2 |
Sore nostrils | (5) Cold related | 1 |
Sore throat and ears | (5) Cold related | 1 |
Sore throat and nose | (5) Cold related | 1 |
Throat and upper and lower chest (6) Infection | (5) Cold related | 1 |
Tonsillitis | (5) Cold related | 1 |
Viral (6) infection | (5) Cold related | 2 |
Viral nasal (6) infection | (5) Cold related | 1 |
Infected wisdom tooth | (6) Infection | 3 |
Infected milk tooth | (6) Infection | 1 |
Tooth abscess | (6) Infection | 2 |
Tooth (6) infection | (6) Infection | 2 |
Minor adverse events (classified by an independent sleep physician)
Type of AE | No treatment (n = 78) | SP1 (n = 81) | SP2 (n = 78) | bMAD (n = 77) | Total |
---|---|---|---|---|---|
Possibly related to OSA | 3 (3) | 1 (1) | 3 (3) | 1 (1) | 8 (5) |
Probably related to MAD | 22 (16) | 179 (66) | 143 (59) | 184 (75) | 528 (85) |
Possibly related to OSA or MAD | 29 (18) | 50 (34) | 55 (35) | 40 (27) | 174 (54) |
Probably unrelated | 26 (21) | 37 (24) | 41 (30) | 37 (27) | 141 (59) |
Total | 80 (45) | 267 (73) | 242 (68) | 262 (76) | 851 (86) |
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