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Síndrome de apnea-hipopnea durante el sueño en pacientes con insuficiencia respiratoria crónica grave. / Síndrome de apnea-hipopnea durante el sueño en pacientes con insuficiencia respiratoria crónica grave. / Obstructive sleep apnea-hypopnea syndrome in patients with severe chronic respiratory insufficiency.
Med Clin (Barc); 148(10): 449-452, 2017 May 23.
Artículo en Inglés, Español | MEDLINE | ID: mdl-28238333
ABSTRACT

INTRODUCTION AND OBJECTIVE:

Although sleep disordered breathing is common in patients with a severe chronic respiratory insufficiency (SCRI), there is few information on its prevalence. Our aim was to describe the prevalence and characteristics of the obstructive sleep apnea-hypopnea syndrome (OSAHS) in these patients.

MATERIAL AND METHODS:

Prospective and observational study carried out on patients with a SCRI included in a waiting list for a lung transplantation and who had undergone a standard polysomnography.

RESULTS:

A total of 105 patients were examined, of which 85 met the study's inclusion criteria. The prevalence of the OSAHS was 24.7%, with 19% of cases being severe. The most common underlying respiratory condition was COPD (62%). The OSAHS was linked to the male gender (P=.002), weight (P=.013), BMI (P=.034) and neck circumference (P=.01). Although most patients experienced symptoms suggestive of an OSAHS, the average score obtained in the Epworth Sleepiness Scale was low.

CONCLUSIONS:

We observed a high prevalence of OSAHS in patients with a SCRI but without clinical data suggestive of its diagnosis; hence, we believe that sleep studies should be carried out in these patients given the low pre-test clinical suspicion of the disease.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Insuficiencia Respiratoria / Apnea Obstructiva del Sueño Aspecto clínico: Etiología Límite: Adulto / Anciano / Femenino / Humanos / Masculino / Media edad Idioma: Inglés / Español Revista: Med Clin (Barc) Año: 2017 Tipo del documento: Artículo