The prevalence of high risk of obstructive sleep apnea in patients with psoriasis.

IF 2 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2025-04-15 DOI:10.1007/s11325-025-03318-y

Tanchanok Supajarupan, Wish Banhiran, Chanisada Wongpraparut, Leena Chularojanamontri, Narumol Silpa-Archa, Navarat Kasemsuk

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引用次数: 0

Abstract

Purpose: To determine the prevalence of high-risk OSA among people diagnosed with psoriasis and to investigate relationships between the risk of OSA and the characteristics of psoriasis.

Methods: This cross-sectional study was conducted after the approval of the review board during February 2023 and February 2024. Inclusion criteria were psoriasis patients aged ≥ 18 years who visited the dermatologic clinic, Siriraj Hospital, Thailand. Demographic data, anthropometric measurements, underlying conditions, types of psoriasis, Psoriasis Area and Severity Index scores, disease duration, percentage of body surface area involvement, Epworth Sleepiness Scale (ESS), and STOP-Bang questionnaire were collected. Patients who were unable to answer these questionnaires were excluded.

Results: Of the 200 participants (106 men, 94 women), 108 patients (54%) were identified as high-risk for OSA; of them, 70 were men (64.8%) and 38 were women (35.2%). Within this group, statistically significant differences were observed in male (p < 0.001), age (p = 0.02), and the presence of hypertension, diabetes, and dyslipidemia. Both BMI and an ESS score > 10 were also significantly elevated in the high-risk group (p < 0.05). However, no significant correlations were detected between various characteristics of psoriasis and the risk of OSA. Only male sex [adjusted odd ratios (OR) = 3.51], HT (OR = 2.87), and an ESS score > 10 (OR = 4.13), showed statistically significant associations with an increased risk of OSA (p < 0.05).

Conclusion: Psoriasis patients had a higher prevalence of high-risk OSA compared to the general Thai population. This underscores the importance of screening individuals with psoriasis, particularly those exhibiting concurrent HT, male sex, and EDS, for OSA.

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银屑病患者阻塞性睡眠呼吸暂停的高危患病率。

目的：了解银屑病高危OSA的患病率，探讨OSA风险与银屑病特征之间的关系。方法：经审查委员会批准，于2023年2月至2024年2月进行横断面研究。纳入标准为泰国Siriraj医院皮肤科门诊就诊的年龄≥18岁的牛皮癣患者。收集人口统计学资料、人体测量、基础条件、牛皮癣类型、牛皮癣面积和严重程度指数评分、疾病持续时间、体表受累百分比、Epworth嗜睡量表（ESS）和STOP-Bang问卷。不能回答这些问卷的患者被排除在外。结果：在200名参与者中（106名男性，94名女性），108名患者（54%）被确定为OSA高危患者；其中，男性70人（64.8%），女性38人（35.2%）。在该组中，男性的差异有统计学意义(p 10在高危组中也显著升高（p 10 (OR = 4.13)），与OSA风险增加有统计学意义(p结论：银屑病患者与泰国一般人群相比，具有更高的高危OSA患病率。这强调了对银屑病患者进行OSA筛查的重要性，特别是那些同时出现HT、男性和EDS的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.