{"title":"Mortality rate in obstructive sleep apnea and in obesity hypoventilation syndrome","authors":"Tuomas Itäluoma, Hanna-Riikka Kreivi, A. Bachour","doi":"10.1183/23120541.SLEEPANDBREATHING-2019.P23","DOIUrl":"https://doi.org/10.1183/23120541.SLEEPANDBREATHING-2019.P23","url":null,"abstract":"Introduction: The prevalence of obesity is continuously increasing worldwidely which increases the incidence of obesity hypoventilation syndrome (OHS) and its consequent mortality. Methods: We reviewed all OHS patients treated at our hospital between the years 2005-2016 for their therapy mode, and incidence of mortality. The control group consisted of randomly selected patients with obstructive sleep apnea (OSA) treated during the same period. Results: A total of 208 OHS patients and 236 OSA patients were studied. OHS patients were significantly older, heavier and percentage of women was higher than OSA patients, mean ± SD (56 ± 10 vs 52 ± 11 years; body mass index 46 ± 8 vs 32 ± 7 kg/m2; percentage of women 41 vs., 24 %) respectively. The mortality rate was significantly higher in OHS compared to OSA [x2 (1, n = 442) = 6.464, P = .008].\u0000 Conclusions: The mortality rate of obesity hypoventilation syndrome is significantly higher than that of obstructive sleep apnea. This implies attention to an early detection and treatment.","PeriodicalId":103744,"journal":{"name":"Obesity Hypoventilation Syndrome, Central Sleep Apnoea and Neurologic Diseases","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115702347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obesity Hypoventilation Syndrome and Haematocrit levels: predictor for mortality?","authors":"N. Arish, R. Riha","doi":"10.1183/23120541.SLEEPANDBREATHING-2019.P22","DOIUrl":"https://doi.org/10.1183/23120541.SLEEPANDBREATHING-2019.P22","url":null,"abstract":"Background: The connection between obstructive sleep apnea and secondary erythrocytosis is controversial. We hypothesized that there could be a higher prevalence of erythrocytosis in patients with Obesity hypoventilation syndrome due to persistent hypoxemia. Methods: We undertook a retrospective, cross-sectional review of OHS patients forming part of an established cohort of “Non -invasive ventilation “patients at the Department of Sleep Medicine at the Royal Infirmary Medical Centre, Edinburgh (2004-2017). We obtained the relevant clinical data from patient9s records. Results: The cohort comprised 74 OHS patients. Overall there were 44 men (59.5 %) and 30 women (40.5%). The mean age at diagnosis was 54 yrs. (25-75 SD 10). The mean Haematocrit level for the group overall was 0.44, in men the mean Hct was 0.45 and 0.41 in women. Eleven patients had erythrocytosis (14.9%), seven were men and 4 were women. Thirteen patients (17.5%) died during follow- up (2004-2017). There was a statistically significant increase in risk of death in patients with higher and lower haematocrit levels compared to OHS patients with normal haematocrit. Conclusions: To our knowledge, this is the first study showing increased prevalence of erythrocytosis in OHS patients. We found a “U” shape correlation with mortality according to haematocrit levels.","PeriodicalId":103744,"journal":{"name":"Obesity Hypoventilation Syndrome, Central Sleep Apnoea and Neurologic Diseases","volume":"103 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114001558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}