Most relevant factors for sleep apnea. Analytical observational study in a sleep laboratory, Ibague, Colombia.
Factores de importancia al hablar de apnea del sueño. Estudio observacional analítico en un laboratorio de sueño, Ibagué, Colombia.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Ninguna publicación, nacional o extranjera, podrá reproducir ni traducir sus artículos ni sus resúmenes sin previa autorización escrita del editor; sin embargo los usuarios pueden descargar la información contenida en ella, pero deben darle atribución o reconocimiento de propiedad intelectual, deben usarlo tal como está, sin derivación alguna.
Background: Sleep apnea has been described as a sleep breathing disorder, which in recent years has been gaining importance being considered as a chronic pathology with a high burden of disease, its study will allow to fill the gaps in existing knowledge to achieve better prevention, diagnosis and treatment that impact on the quality of life of patients. Objective: To establish the association between sociodemographic and clinical factors in adult patients diagnosed with sleep apnea by polysomnography in sleep laboratory health prescriber institution (IPS) in city of Ibagué - Colombia. Methods: Analytical cross-sectional study where the relationship between sociodemographic and clinical variables and the outcome of sleep apnea was explored, by obtaining the p value of the Chi-square test of independence and Odds Ratio (OR) with subsequent adjustment by Mantel-Haenszel method (MH). Results: A sample of n=128 patients selected by simple randomized sampling was analyzed, of which 79.7% (n = 102) presented sleep apnea and 54.7% (n = 70) were women, the minimum age of the participants was 18 years and the maximum was 86 years with an average of 54.5 years, 53.9% (n = 69) had arterial hypertension and 42.2% (n = 54) had both overweight and obesity. It was found that participants older than 55 years presented sleep apnea more frequently than younger ones with an OR of 4.86 (95%CI: 1.72 - 13.73), the rest of the variables did not present statistically significant differences, and for the sample evaluated it was found that the Berlin questionnaire presented a sensitivity of 74.51% and a specificity of 38.46% for the diagnosis of sleep apnea compared to polysomnography. Conclusion: It is necessary to expand in future studies through longitudinal observations in order to establish a clear association regarding the protective and risk factors that are mostly related to sleep apnea.
Article visits 23 | PDF visits
Downloads
- Sateia MJ. International classification of sleep disorders-third edition highlights and modifications. Chest. 2014;146(5):1387–94.
- Henry Olivi R. Apnea del sueño: cuadro clínico y estudio diagnóstico. Rev Médica Clínica Las Condes [Internet]. 2013;24(3):359–73. Available from: http://dx.doi.org/10.1016/S0716-8640(13)70173-1
- Broadbent WH. Cheyne-Stokes respiration in cerebral hemorrhage. Lancet. 1877;3:307–9.
- Chaudhary BA, Speir WA. Sleep apnea syndromes. South Med J. 1976;75(1):39–45.
- Wellman A, Gottlieb daniel j., Redline S. Harrison Principios de medicina interna. In: Centro Editorial Rosarista. 21e ed. Mc Graw Hill; 2022.
- Hanly Ciara, Laing Austin, Arnold Alexander. Obstructive Sleep Apnea (OSA): Pathogenesis and Clinical Findings | Calgary Guide [Internet]. The Calgary Guide to understanding disease. 2022 [cited 2023 Mar 8]. Available from: https://calgaryguide.ucalgary.ca/obstructive-sleep-apnea-pathogenesis-and-clinical-findings/
- Mediano O, González Mangado N, Montserrat JM, Alonso-Álvarez ML, Almendros I, Alonso-Fernández A, et al. [Translated article] International consensus document on obstructive sleep apnea. Arch Bronconeumol. 2022;58(1):T52–68.
- La DES, Cheyne RDE. Los Síndromes De Apnea Central. 2005;17(2):100–3.
- Ginter G, Badr MS. Central sleep apnea. In: Handbook of Clinical Neurology [Internet]. StatPearls Publishing; 2022 [cited 2022 May 12]. p. 93–103. Available from: https://www.ncbi.nlm.nih.gov/books/NBK578199/
- Kimoff RJ, Marta K, Sushmita P. Murray & Nadel’s Textbook of Respiratory Medicine (Obstructive Sleep Apnea). Elsevier Inc.; 2022. 1654–1669 p.
- Armengol S, Bernal C, García R. Polisomnografía, poligrafía, oximetría. Requisitos e interpretación de resultados. Man diagnóstico y Ter en Neumol. 2012;(12):195–210.
- Novo-Olivas C, Guitiérrez L, Bribiesca J. Mapeo Electroencefalográfico y Neurofeedback. In 2010. p. 371–412.
- Ogna A, Tobback N, Andries D, Preisig M, Vollenweider P, Waeber G, et al. Prevalence and clinical significance of respiratory effort-related arousals in the general population. J Clin Sleep Med. 2018;14(8):1339–45.
- Kumagai H, Sawatari H, Kiyohara Y, Kanoh A, Asada K, Kawaguchi K, et al. Nocturnal hypoxemia is related to morning negative affectivity in untreated patients with severe obstructive sleep apnea. Sci Rep [Internet]. 2022;12(1):21262. Available from: https://doi.org/10.1038/s41598-022-25842-7
- Levi-Valensi P, Weitzenblum E, Rida Z, Aubry P, Braghiroli A, Donner C, et al. Erratum: Sleep-related oxygen desaturation and daytime pulmonary haemodynamics in COPD patients. Eur Respir J. 1992;5(5):301–7.
- Hidalgo-Martínez P, Lobelo R. Global, latin-american and colombian epidemiology and mortality by obstructive sleep apnea-hypopnea syndrome (OSAHS). Rev Fac Med. 2017;65(1):S17–20.
- Ishikawa O, Oks M. Central Sleep Apnea. Clin Geriatr Med [Internet]. 2021;37(3):469–81. Available from: https://doi.org/10.1016/j.cger.2021.04.009
- Yurgaky S. JM, Bastidas A, A. J, Montaña JA, Arredondo G. AM. Más allá del molesto ronquido: síndrome de apnea obstructiva del sueño y su peligrosa asociación con el síndrome metabólico. Rev Med. 2011;19(1):37.
- Nimrod S. Barashi, Rafael E. Ruiz, Lisseth Marín, Paula Ruiz, Sandra Amado, Álvaro J. Ruiz PH. Sindrome de apnea/hipopnea obstructiva del sueño y su asociacion con las enfermedades cardivasculares. Rev Colomb Cardiol. 2015;22(2).
- Gonzalez L, Castaño J, Herrera V, Jimenez A, Lentijo P, Sierra A, et al. Relacion entre HTA y SAHOS y sus factores de riesgo asociados, en poblacion hipertensa de un centro medico. Cali (Colombia). Arch Med. 2008;
- Salazar-Arenas J, Amado-Garzon S, Ruiz-Gaviria R, Ruiz-Morales A, Ruiz-Severiche L, Hidalgo-Martinez P. Síndrome de apnea/hipopnea obstructiva del sueño y su asociación con las arritmias cardíacas. Una revisión narrativa de la literatura. Rev Colomb Cardiol. 2019;26(2):93–8.
- Londoño-Palacio N, Machado C. Obstructive sleep apnea-hypopnea syndrome and respiratory diseases. Rev Fac Med. 2017;65(1):S77–80.
- Marcelo Miranda C, Rodrigo O. Kuljiš A. Trastornos del sueño en las enfermedades neurodegenerativas. Rev Médica Clínica Las Condes [Internet]. 2013;24(3):452–62. Available from: http://dx.doi.org/10.1016/S0716-8640(13)70181-0
- Johns M. About the ESS – Epworth Sleepiness Scale [Internet]. The Epworth Sleepiness Scale. 1990 [cited 2022 May 19]. Available from: https://epworthsleepinessscale.com/about-the-ess/
- Chica-Urzola HL, Escobar-Córdoba F, Eslava-Schmalbach J. Validación de la escala de somnolencia de Epworth. Rev Salud Publica. 2007;9(4):558–67.
- Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire To Identify Patients at Risk for the Sleep Apnea Syndrome. Ann Intern Med. 1999;131(7):485–91.
- Polanía-Dussan IG, Escobar-Córdoba F, Eslava-Schmalbach J, Netzer NC. Colombian validation of the Berlin questionnaire | Validación colombiana del cuestionario de Berlín. Rev Fac Med. 2013;61(3):231–8.
- Saldías P. F, Leiva R. I, Salinas R. G, Stuardo T. L. Estudios de prevalencia del síndrome de apneas obstructivas del sueño en la población adulta. Rev Chil enfermedades Respir. 2021;37(4):303–16.
- Departamento Administrativo Nacional de Estadistica DANE. Encuesta Nacional de Consumo de Sustancias [Internet]. Vol. 3, Ministerio de Justícia, Gobierno de Colombia. 2019. p. 1–34. Available from: https://www.dane.gov.co/files/investigaciones/boletines/encspa/bt-encspa-2019.pdf
- González S, Sarmiento OL, Lozano Ó, Ramírez A, Grijalba C. Niveles de actividad física de la población colombiana: Desigualdades por sexo y condición socioeconómica. Biomedica. 2014;34(3):447–59.
- Hou H, Zhao Y, Yu W, Dong H, Xue X, Ding J, et al. Association of obstructive sleep apnea with hypertension: A systematic review and meta-analysis. J Glob Health [Internet]. 2018 [cited 2023 Mar 24];8(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825975/
- Dacal Quintas R, Tumbeiro Novoa M, Alves Pérez MT, Santalla Martínez ML, Acuña Fernández A, Marcos Velázquez P. Síndrome de apnea-hipopnea del sueño en pacientes normopeso: características y comparación con pacientes con sobrepeso y obesidad. Arch Bronconeumol. 2013;49(12):513–7.
- Peñafiel FS, Poniachik JG, López AC, Monasterio JU, Patiño OD. Accuracy of sleep questionnaires for obstructive sleep apnea syndrome screening. Rev Med Chil [Internet]. 2018 Dec 1 [cited 2023 Mar 27];146(10):1123–34. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001123&lng=en&nrm=iso&tlng=en
- Cancino Q. V, Rivera T. E, Cancino Q. V, Rivera T. E. Symptoms during sleep among patients with obstructive sleep apnea. Rev Med Chil [Internet]. 2018 Apr 1 [cited 2023 Mar 27];146(4):470–8. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400470&lng=en&nrm=iso&tlng=en
Information
Journal history
Keywords
Directories and indexes
Support + Info Here
