The role of overnight pulse-oximetry in recognition of obstructive sleep apnea syndrome in morbidly obese and non obese patients.
作者： Stefan Dumitrache-Rujinski , George Calcaianu , Dragos Zaharia , Claudia Lucia Toma , Miron Bogdan
DOI:
关键词: Pediatrics 、 Sleep apnea 、 Obstructive sleep apnea 、 Morbidly obese 、 Apnea–hypopnea index 、 Non obese 、 Anesthesia 、 Group B 、 Arithmetic mean 、 Overnight pulse oximetry 、 Medicine
摘要: ABSTRACT Material and methods: We prospectively evaluated 199 individuals with high pre-test clinical suspicion of OSAS. Of these, 123 patients were morbidly obese (Group A) 76 non-obese B). performed six channel cardio-respiratory polygraphy assessed the correlation between Desaturation Index (DI) Apnea Hypopnea (AHI) for both groups. Results: In group A: 116 (94.3%) diagnosed OSAS (AHI>5/hour); mean age: 59.4±10.9 years; BMI: 44.8±4.9 kg/m2. The DI was 47.2±27.6/hour AHI: 46.5±27.6/hour. Mean average SaO2 88.5±6.3 %. B, 65 (85.52%) SAS; 51.2 ± 12.7 27.24±2.2 kg/m2.The 23.12 18.35/hour 28.8 18.5/hour. 93.7±2.07 %. A significant positive (correlation index rA = 0.863 rB= 0.877) found AHI in groups (p<0.001). Conclusion: Assessment by nocturnal pulse-oximetry maintains its utility as a screening method suspicion, despite fact that basal saturation to be lower A.
参考文章(14)
Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine, None, Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults Journal of Clinical Sleep Medicine. ,vol. 05, pp. 263- 276 ,(2009) , 10.5664/JCSM.27497
Miron Alexandru Bogdan, Alina Croitoru, Stefan Dumitrache-Rujinski, Therapeutical approach in severe exacerbation of COPD associating obstructive sleep apnoea and obesity Pneumologia (Bucharest, Romania). ,vol. 61, pp. 117- 119 ,(2012)
E. Lindberg, Chapter 4 : Epidemiology of OSA European Respiratory Society Journals. ,vol. 50, pp. 51- 68 ,(2010) , 10.1183/1025448X.00025909
Susan D. Ross, Iris A. Sheinhait, Katherine J. Harrison, Marion Kvasz, Janet E. Connelly, Steven A. Shea, I. Elaine Allen, Systematic Review and Meta-analysis of the Literature Regarding the Diagnosis of Sleep Apnea Sleep. ,vol. 23, pp. 1- 4 ,(2000) , 10.1093/SLEEP/23.4.1F
Cristina Ambrogio, Xazmin Lowman, Ming Kuo, Joshua Malo, Anil R. Prasad, Sairam Parthasarathy, Sleep and non-invasive ventilation in patients with chronic respiratory insufficiency Intensive Care Medicine. ,vol. 35, pp. 306- 313 ,(2009) , 10.1007/S00134-008-1276-4
Daniel Álvarez, Roberto Hornero, María García, Félix del Campo, Carlos Zamarrón, Improving diagnostic ability of blood oxygen saturation from overnight pulse oximetry in obstructive sleep apnea detection by means of central tendency measure. Artificial Intelligence in Medicine. ,vol. 41, pp. 13- 24 ,(2007) , 10.1016/J.ARTMED.2007.06.002
Apoor S. Gami, Gregg Pressman, Sean M. Caples, Ravi Kanagala, Joseph J. Gard, Diane E. Davison, Joseph F. Malouf, Naser M. Ammash, Paul A. Friedman, Virend K. Somers, Association of Atrial Fibrillation and Obstructive Sleep Apnea Circulation. ,vol. 110, pp. 364- 367 ,(2004) , 10.1161/01.CIR.0000136587.68725.8E
Charles F. P. George, Sleep apnea, alertness, and motor vehicle crashes. American Journal of Respiratory and Critical Care Medicine. ,vol. 176, pp. 954- 956 ,(2007) , 10.1164/RCCM.200605-629PP
J-P Baguet, G Barone-Rochette, J-L Pépin, Hypertension and obstructive sleep apnoea syndrome: current perspectives. Journal of Human Hypertension. ,vol. 23, pp. 431- 443 ,(2009) , 10.1038/JHH.2008.147
P. Jennum, R. L. Riha, Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing European Respiratory Journal. ,vol. 33, pp. 907- 914 ,(2009) , 10.1183/09031936.00180108