Study of sleep – Related breathing disorders in patients admitted to respiratory intensive care unit

作者: Mahmoud Ibrahim Mahmoud , Tamer Said Morsi , Heba Said Gharraf , Dina Mohamed ElHady

DOI: 10.1016/J.EJCDT.2015.08.020

关键词:

摘要: Abstract Objectives The purpose of this study was to assess the prevalence SRBDs in acutely ill patients admitted respiratory ICU. Patients and methods enrolled 72 All were subjected full clinical examination, Epworth Sleepiness score, arterial blood gases analysis apnea score calculation. According latter, divided into group I: without clinically suspected II: with SRBDs. II polysomnography. Results Group I included 21 while 51 patients. BMI, neck circumference waist/hip ratio significantly higher II. Hypertension commonest comorbidity Type failure cause ICU admission both groups mortality rate within 28 days that followed compared This latter had a later on. polysomnography suffered from OSAHS, 82% them showed associated sleep hypoventilation (SHV) elevated bicarbonate level. More than half SHV fulfilled criteria obesity syndrome. AHI significant direct correlation circumference, systolic pressure, snoring index T85%; inverse PaO 2 , minimal saturation as well average saturation. Conclusion In patients, are common coexistent findings every physician should systematically search for them. is main Quality very disturbed. Most have concomitant SHVS mostly due OHS. Important comorbidities coexist SRBDs; influence each other be identified managed properly wellbeing patient. BiPAP therapy cardinal mode ventilation used

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