San Juan de Dios Hospital's experience in Obstructive Sleep Apnea
DOI:
https://doi.org/10.51481/amc.v56i1.825Keywords:
obstructive sleep apnea, polysomnography, continuous positive airway pressureAbstract
Objectives: To identify the epidemiological characteristics of the patients studied in the San Juan de Dios Hospital, Costa Rica, from January 2005 to December 2011, under suspicion of having obstructive sleep apnea.
Methods: This is a retrospective and descriptive study, done between January 2005 and December 2011. Epidemiological information was taken from the medical records of the patients studied in the Pulmonary Medicine Department of the San Juan de Dios Hospital, under suspicion of suffering from obstructive sleep apnea.
Results: 182 records of patients were examined, showing that 88% of them suffered from obstructive sleep apnea. The disease appears predominantly in a minor to moderate level on females and in a severe level on males. The study exhibited that both age and body mass index, have a direct correlation with the possibility of obstructive sleep apnea (p < 0.01). The main comorbidities related to Obstructive Sleep Apnea are: hypertension (55.5%) and diabetes mellitus (40.3%), regardless of the severity of the disease. Patients with severe cases showed a higher value in the Epworth scale. No relevant relation was found between obstructive sleep apnea and chronic obstructive pulmonary disease, acute myocardial infarction, stroke and arrhythmia.
Conclusions: This is the first study done in Costa Rica related to obstructive sleep apnea. The Polysomnography proved to be an effective diagnosis method, and therefore, it should be implemented in other hospitals of the social security system, in order to determine the prevalence of the illness and provide the correct treatment with continuous positive airways pressure. The epidemiological results are similar to the ones described in the international literature with regard to risk factors and concomitant diseases.
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References
Eastwood PR, Malhotra A, Palmer LJ, Kezirian RL, Horner RL, Thurnheer R et al. Obstructive sleep apnoea: from pathogenesis to treatment. Current controversies and future directions. Respirology 2010; 15:587-95.
Eckert D, Malhotra A. Pathophysiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008;5:144-53.
Park J, Ramar K, Olson E. Updates on definition consequences and management of obstructive sleep apnea. Mayo Clin Proc. 2011; 86:549-55.
Sjösten N, Vahtera J, Solo P, Oksanen T, Saaresranta T, Virtanen M et al. Increased risk of lost work days prior to the diagnosis of sleep apnea. Chest 2009;136:130-36.
Bawden F, Oliveira C, Caramelli P. Impact of obstructive sleep apnea on cognitive performance. Arq Neuropsiquiatr 2011;69:585-89.
Weitzenblum E, Chaouat A, Kessler R, Canuet M. Overlap syndrome obstructive sleep apnea in patients with chronic obstructive pulmonary disease. Proc Am Thorac Soc. 2008;5:237-41.
Bakker J, Sharma B, Malhotra A. Obstructive sleep apnea. The elephant in the cardiovascular room. Chest 2012;141:580-81
Devin B. Sleep disorders and stroke. Semin Neurol 2006;26:11722.
Parish J, Somers V. Obstructive sleep apnea and cardiovascular disease. Mayo Clin Proc. 2004;79:1636-46.
Lo M, Brass S. Obstructive sleep apnea. Neurol Int 2011;3:60-7.
Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 2000;284:3015-20.
Schwartz A, Patil S, Laffan A, Polotsky V, Schneider H, Smith P. Obesity and obstructive sleep apnea pathogenic mechanisms and therapeutic approaches. Proc Am Thorac Soc. 2008; 15:185-92.
Fruhbeck G, Gomez-Ambrosi J, Muruzabal FJ, Burrell MA. The adipocyte: a model for integration of endocrine and metabolic signaling in energy metabolism regulation. Am J Physiol Endocrinol Metab 2001;280:E827-47.
Farney R, Walker B, Farney R, Snow, GL, Walker, JM. Equivalent model and prediction of severity of obstructive sleep apnea: relation to polysomnographic measurements of the apnea/ hypopnea index. J Clin Sleep Med 2011;7:459-65.
Tasali E, Ip M. Obstructive sleep apnea and metabolic syndrome alterations in glucose metabolism and inflammation. Proc Am Thorac Soc 2008;5:207-17.
Elmasry A, Lindberg E, Berne C, Janson C, Gislason T, Tageldin MA et al. Sleep-disordered breathing and glucose metabolism in hypertensive men: a population-based study. J Intern Med 2001; 249:153-61.
Golbin J, Somers V, Caples S. Obstructive sleep apnea, cardiovascular disease, and pulmonary hypertension. Proc Am Thorac Soc. 2008;5:200-206.
Young T, Peppard P, Palta M, H la M, Finn L, Morgan B, Shatrud. Population-base study of sleep disordered breathing as a risk factor for hypertension. Arch Intern Med 1997;157:1746-52.
Drager L, Polotsky V, Lorenzi-Filho G. Obstructive sleep apnea: an emerging factor for atherosclerosis. Chest 2011;140:534-42.
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