Clinical profile of patients suspected of sleep apnea
Introduction: Obstructive Sleep Apnea Syndrome is a disease with a growing prevalence worldwide that significantly affects quality of life and increases cardiovascular morbidity and mortality. Objectives: To describe symptoms, comorbidities and anthropometry of patients who were clinically evaluated...
Guardado en:
| Autores principales: | , , |
|---|---|
| Formato: | Artículo revista |
| Lenguaje: | Español |
| Publicado: |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/25531 |
| Aporte de: |
| id |
I10-R327-article-25531 |
|---|---|
| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
sleep apnea obstructive signs and symptoms multivariate analysis apnea obstructiva del sueño signos y síntomas análisis multivariante apneia obstrutiva do sono signos e sintomas análise multivariada |
| spellingShingle |
sleep apnea obstructive signs and symptoms multivariate analysis apnea obstructiva del sueño signos y síntomas análisis multivariante apneia obstrutiva do sono signos e sintomas análise multivariada Rojas Mendiola, Ramiro Horacio Smurra, Marcela Khoury, Marina Clinical profile of patients suspected of sleep apnea |
| topic_facet |
sleep apnea obstructive signs and symptoms multivariate analysis apnea obstructiva del sueño signos y síntomas análisis multivariante apneia obstrutiva do sono signos e sintomas análise multivariada |
| author |
Rojas Mendiola, Ramiro Horacio Smurra, Marcela Khoury, Marina |
| author_facet |
Rojas Mendiola, Ramiro Horacio Smurra, Marcela Khoury, Marina |
| author_sort |
Rojas Mendiola, Ramiro Horacio |
| title |
Clinical profile of patients suspected of sleep apnea |
| title_short |
Clinical profile of patients suspected of sleep apnea |
| title_full |
Clinical profile of patients suspected of sleep apnea |
| title_fullStr |
Clinical profile of patients suspected of sleep apnea |
| title_full_unstemmed |
Clinical profile of patients suspected of sleep apnea |
| title_sort |
clinical profile of patients suspected of sleep apnea |
| description |
Introduction: Obstructive Sleep Apnea Syndrome is a disease with a growing prevalence worldwide that significantly affects quality of life and increases cardiovascular morbidity and mortality.
Objectives: To describe symptoms, comorbidities and anthropometry of patients who were clinically evaluated and underwent sleep studies to identify variables associated with a Respiratory Disturbance Index (RDI) equal or greater than 15.
Material and methods: We reviewed data from a self-administered questionary, anthropometry, comorbidities and sleep studies of patients who consulted for the first time at a sleep medicine practice from June 2012 through May 2016.
Results: Among 366 patients included we found 47.5% with a RDI>30, 21.9% with a RDI 15 – 29.9, 22.1% with a RDI 5 – 14.9 and 8.5% with a RDI<5. A multivariate model was built using RDI≥15 as the dependent variable. It showed that snoring more than 3 nights per week (OR 2.89, 95%CI 1.66 – 5.05), BMI ≥ 35 Kg/m2 (OR 2.53, 95%CI 1.35 – 4.72), witnessed apneas almost every night or every night (OR 1.95, 95%CI 1.09 – 3.49), male sex (OR 1.81, 95%CI 1.10 – 2.97) and the presence of high blood pressure (OR 1.67, 95%CI 1.02 – 2.74) were the most significant clinical factors.
Conclusions: In our sample, the most significant predictors of a RDI >15 were: snoring more than 3 nights per week, BMI ≥ 35 Kg/m2, witnessed apneas almost every night or every night, male sex and the presence of high blood pressure. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/25531 |
| work_keys_str_mv |
AT rojasmendiolaramirohoracio clinicalprofileofpatientssuspectedofsleepapnea AT smurramarcela clinicalprofileofpatientssuspectedofsleepapnea AT khourymarina clinicalprofileofpatientssuspectedofsleepapnea AT rojasmendiolaramirohoracio perfilclinicodepacientesconsospechadeapneasdelsueno AT smurramarcela perfilclinicodepacientesconsospechadeapneasdelsueno AT khourymarina perfilclinicodepacientesconsospechadeapneasdelsueno AT rojasmendiolaramirohoracio perfilclinicodepacientescomsuspeitadeapneiadosono AT smurramarcela perfilclinicodepacientescomsuspeitadeapneiadosono AT khourymarina perfilclinicodepacientescomsuspeitadeapneiadosono |
| first_indexed |
2024-09-03T21:00:45Z |
| last_indexed |
2024-09-03T21:00:45Z |
| _version_ |
1809210142301880320 |
| spelling |
I10-R327-article-255312024-08-27T18:25:51Z Clinical profile of patients suspected of sleep apnea Perfil clínico de pacientes con sospecha de apneas del sueño Perfil clínico de pacientes com suspeita de apneia do sono Rojas Mendiola, Ramiro Horacio Smurra, Marcela Khoury, Marina sleep apnea obstructive signs and symptoms multivariate analysis apnea obstructiva del sueño signos y síntomas análisis multivariante apneia obstrutiva do sono signos e sintomas análise multivariada Introduction: Obstructive Sleep Apnea Syndrome is a disease with a growing prevalence worldwide that significantly affects quality of life and increases cardiovascular morbidity and mortality. Objectives: To describe symptoms, comorbidities and anthropometry of patients who were clinically evaluated and underwent sleep studies to identify variables associated with a Respiratory Disturbance Index (RDI) equal or greater than 15. Material and methods: We reviewed data from a self-administered questionary, anthropometry, comorbidities and sleep studies of patients who consulted for the first time at a sleep medicine practice from June 2012 through May 2016. Results: Among 366 patients included we found 47.5% with a RDI>30, 21.9% with a RDI 15 – 29.9, 22.1% with a RDI 5 – 14.9 and 8.5% with a RDI<5. A multivariate model was built using RDI≥15 as the dependent variable. It showed that snoring more than 3 nights per week (OR 2.89, 95%CI 1.66 – 5.05), BMI ≥ 35 Kg/m2 (OR 2.53, 95%CI 1.35 – 4.72), witnessed apneas almost every night or every night (OR 1.95, 95%CI 1.09 – 3.49), male sex (OR 1.81, 95%CI 1.10 – 2.97) and the presence of high blood pressure (OR 1.67, 95%CI 1.02 – 2.74) were the most significant clinical factors. Conclusions: In our sample, the most significant predictors of a RDI >15 were: snoring more than 3 nights per week, BMI ≥ 35 Kg/m2, witnessed apneas almost every night or every night, male sex and the presence of high blood pressure. Introducción: El sindrome de Apneas Hipopneas Obstructivas del sueño (SAHOS) es una patología con una prevalencia en aumento que produce un impacto significativo en la calidad de vida y en la morbimortalidad, fundamentalmente cardiovascular. Objetivos: Describir síntomas, comorbilidades y medidas antropométricas de pacientes evaluados clínicamente y sometidos a estudios de sueño para identificar variables que se asocian a un Índice de Perturbación Respiratoria (IPR) mayor o igual a 15. Material y métodos: Se revisaron cuestionarios autoadministrados, antropometría, comorbilidades y estudios de sueño de los pacientes que consultaron por primera vez en el consultorio de patología respiratoria del sueño entre junio de 2012 y mayo de 2016. Resultados: Entre los 366 pacientes incluidos se encontró 47.5% con IPR>30, 21,9% con IPR 15–29.9, 22,1% con IPR 5–14.9 y 8.5% con IPR<5. El modelo multivariado usando el IPR≥15 como variable dependiente demostró que una frecuencia de ronquido mayor a 3 noches por semana (OR 2.89, 95%IC 1.66 – 5.05), el IMC≥35 Kg/m2 (OR 2.53, 95%IC 1.35 – 4.72), apneas presenciadas todas o casi todas las noches (OR 1.95, 95%IC 1.09 – 3.49), el sexo masculino (OR 1.81, 95%IC 1.10 – 2.97) y la presencia de hipertensión arterial (OR 1.67, 95%IC 1.02 – 2.74) fueron los factores clínicos más significativos. Conclusiones: En nuestra muestra, los predictores más significativos de la presencia de un IPR≥15 fueron: una frecuencia de ronquido mayor a 3 noches por semana, el IMC≥35 Kg/m2, apneas presenciadas todas o casi todas las noches, el sexo masculino y la presencia de hipertensión. Introdução: A síndrome da Apneia/Hipopneia Obstrutiva do Sono (SAHOS) é uma patologia com prevalência crescente que produz um impacto significativo na qualidade de vida e na morbimortalidade, principalmente cardiovascular.Objetivos: Descrever sintomas, comorbidades e medidas antropométricas de pacientes avaliados clinicamente e submetidos a estudos do sono para identificar variáveis associadas a um Índice de Distúrbios Respiratórios (IDR) maior ou igual a 15.Material e métodos: Foram revisados questionários autoadministrados, antropometria, comorbidades e estudos do sono de pacientes consultados no consultório de patologia respiratória do sono entre junho de 2012 e maio de 2016.Resultados: Entre os 366 pacientes incluídos, 47,5% foram encontrados com IDR> 30, 21,9% com IDR 15 a 29,9, 22,1% com IDR 5 a 14,9 e 8,5% com IDR <5. O modelo multivariado, utilizando a IDR≥15 como variável dependente, mostrou que uma frequência de ronco superior a 3 noites por semana (OR 2,89, IC 95% 1,66 - 5,05), IMC≥35 Kg / m2 (OR 2,53, IC 95% 1,35 - 4,72), apnéias testemunharam quase todas as noites (OR 1,95, IC 95% 1,09 - 3,49), sexo masculino (OR 1,81, IC 95% 1,10 - 2,97) e presença de hipertensão arterial (OR 1,67, 95% IC 1,02 - 2,74) foram os fatores clínicos mais significativos.Conclusões: Em nossa amostra, os preditores mais significativos da presença de um IPR≥15 foram: frequência de ronco superior a 3 noites por semana, IMC≥35 Kg / m2, apnéia testemunhada durante quase todas as noites, sexo masculino e presença de hipertensão. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-08-23 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/25531 10.31053/1853.0605.v78.n3.25531 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 3 (2021); 228-235 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 3 (2021); 228-235 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 3 (2021); 228-235 1853-0605 0014-6722 10.31053/1853.0605.v78.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/25531/34755 https://revistas.unc.edu.ar/index.php/med/article/view/25531/34772 Derechos de autor 2021 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |