睡眠图前评估可以预测阻塞性睡眠呼吸暂停,并与其严重程度相关

IF 1 Q4 RESPIRATORY SYSTEM
Hend M. Esmaeel, Hamdy A. Mohammadien, Abd-elbaset Saleh, Fatma Mohamed
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引用次数: 4

摘要

背景阻塞性睡眠呼吸暂停(OSA)越来越被认为是一种对健康有重大影响的疾病。金标准诊断测试——多导睡眠图(PSG)——的可用性有限,要求对疑似患者进行仔细的临床评估。这可以更好地选择患者进行确诊诊断测试。目的本研究旨在确定PSG前评估在预测阻塞性睡眠呼吸暂停中的重要性及其与疾病严重程度的关系。患者和方法共纳入170例患者。记录详细的人口统计学特征、人体测量和共病情况。对PSG结果进行相关性分析,并使用多变量分析来确定疾病的预测因素。结果58.8%的患者被诊断为OSA。OSA患者,尤其是严重亚组,年龄较大,主要为男性,目前或以前吸烟。重度OSA患者的平均BMI最高(41.99±8.92),平均颈围和腰围相同,重度OSA病人的平均BMI均显著较高。在多变量逻辑回归分析中,OSA的显著预测因素是年龄较大、男性、失业、患有高血压和扁桃体较大。结论患者人口统计学、人体测量特征和高血压等共病的存在是OSA的有力预测因素,有理由转诊进行诊断性睡眠研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prepolysomnography evaluation can predict obstructive sleep apnea and is correlated to its severity
Background Obstructive sleep apnea (OSA) is increasingly identified as a disease with major health consequences. The limited availability of the gold standard diagnostic test, polysomnography (PSG), mandates careful clinical evaluation of suspected patients. This can allow better patient selection for referral for confirmatory diagnostic test. Objective The study aimed at identifying the importance of pre-PSG evaluation in prediction of obstructive sleep apnea and its relation to disease severity. Patients and methods A total of 170 patients were included. Detailed demographic characteristics, anthropometric measures, and comorbid conditions were recorded. Correlation to PSG results was done, and multivariate analysis was used to identify predictors of disease. Results OSA was diagnosed in 58.8% of our studied patients. The patients with OSA and notably the severe subgroup were of older age, predominantly male, and current or ex-smoker. Mean BMI was highest in the patients with severe OSA (41.99±8.92) and same for mean neck and waist circumference, both were significantly higher in patients with severe OSA. In multivariate logistic regression analysis, significant predictive factors for OSA were older age, male sex, being nonemployed, having hypertension, and larger tonsillar size. Conclusion Patient demographics, anthropometric characteristics, and presence of comorbid conditions such as hypertension are strong predictors of having OSA and justify referral for diagnostic sleep study.
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来源期刊
Egyptian Journal of Bronchology
Egyptian Journal of Bronchology RESPIRATORY SYSTEM-
自引率
7.70%
发文量
56
审稿时长
9 weeks
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