scholarly journals S24 A comparison of pulse transit time between subjects with obstructive sleep apnoea syndrome, nocturnal inspiratory flow limitation and the absence of significant sleep disordered breathing

Thorax ◽  
2016 ◽  
Vol 71 (Suppl 3) ◽  
pp. A15.2-A16
Author(s):  
B Chakrabarti ◽  
S Emegbo ◽  
S Craig ◽  
N Duffy ◽  
JF O’Reilly

2015 ◽  
Vol 21 (1) ◽  
pp. 3 ◽  
Author(s):  
B O Adeniyi ◽  
O S Ilesanmi ◽  
A M Adebayo ◽  
A O Kareem ◽  
O A Junaid ◽  
...  

<p><strong>Background</strong>. Obstructive sleep apnoea syndrome (OSAS) is associated with increased morbidity and mortality. However, there are few studies from Nigeria that have evaluated the prevalence of OSAS in medical outpatient clinics.</p><p><strong>Objective</strong>. To determine the degree of the risk of OSAS among patients attending the medical outpatient clinic of the Federal Medical Centre, Owo, South-West Nigeria.</p><p><strong>Methods</strong>. A cross-sectional survey was conducted among 208 medical outpatients using the Berlin questionnaire and the Epworth sleepiness scale (ESS).</p><p><strong>Results</strong>. The mean (standard deviation) age of participants was 53.8 (16.5) years, 110 (52.9%) were female, and 73.1% of participants had a high likelihood of sleep-disordered breathing (HSDB). Subjects with a high body mass index (BMI) were more likely to have sleep -disordered breathing when compared with those with a normal BMI (26 (96.3%) v. 7 (29.2%), p&lt;0.001). The respondents with multiple primary morbidities were about 24 times more likely to have HSDB compared with respondents with a single morbidity (p=0.009). The odds of having HSDB was 16 times greater in those with hypertension compared with patients with asthma (odds ratio 16, 95% confidence interval 3 - 83, p=0.001). The Berlin questionnaire and the ESS were useful screening tools in the Nigerian setting.</p><p><strong>Conclusion.</strong> In resource-poor settings in Africa, where there is an emphasis on screening and treating diseases of poverty, patients with medical conditions such as high BMI and hypertension should be screened for OSAS.</p>





1998 ◽  
Vol 23 (2) ◽  
pp. 190-191
Author(s):  
Van Der Meulen ◽  
Van Steenwijk ◽  
Oei-Lim ◽  
Bakker


2005 ◽  
Vol 113 (S 1) ◽  
Author(s):  
IA Harsch ◽  
H Wallaschofski ◽  
C Koebnick ◽  
S Pour Schahin ◽  
T Lohmann


2014 ◽  
Vol 23 (3) ◽  
pp. 291-299 ◽  
Author(s):  
Giovanni Tarantino ◽  
Vincenzo Citro ◽  
Carmine Finelli

Non-alcoholic fatty liver disease (NAFLD) and obstructive sleep apnoea syndrome (OSAS) are common conditions, frequently encountered in patients with obesity and/or metabolic syndrome. NAFLD and OSAS are complex diseases that involve an interaction of several intertwined factors. Several lines of evidence lend credence to an immune system derangement in these patients, i.e. the low grade chronic inflammation status, reckoned to be the most important factor in causing and maintaining these two illnesses. Furthermore, it is emphasized the main role of spleen involvement, as a novel mechanism. In this review the contribution of the visceral adiposity in both NAFLD and OSAS is stressed as well as the role of intermittent hypoxia. Finally, a post on the prevention of systemic inflammation is made.Abbreviations: ALT: alanine aminotransferase; BMI: body mass index; CCR2: chemokine (C-C motif) receptor 2; CRP: C-reactive protein; CPAP: continuous positive airway pressure; FFA: free fatty acid; IGF-I: insulin-like growth factor; IR: insulin resistance; IL-6: interleukin-6; IH: intermittent hypoxia; IKK-β: IκB kinase β; LPS: lipopolysaccharide; MCP-1: monocyte chemoattractant protein-1; NAFLD: non-alcoholic fatty liver disease; NASH: nonalcoholic steatohepatitis; NEFA: non-esterified fatty acid; NF-κB: nuclear factor-κB; OSAS: obstructive sleep apnoea syndrome; PAI-1: plasminogen activator inhibitor-1; ROS: reactive oxygen species; TNF-α: tumor necrosis factor-α; T2D: type 2 diabetes.



2021 ◽  
Vol 11 (4) ◽  
pp. 1440 ◽  
Author(s):  
Vera Panzarella ◽  
Giovanna Giuliana ◽  
Paola Spinuzza ◽  
Gaetano La Mantia ◽  
Laura Maniscalco ◽  
...  

Obstructive sleep apnoea syndrome (OSAS) is the most severe condition on the spectrum of sleep-related breathing disorders (SRBDs). The Paediatric Sleep Questionnaire (PSQ) is one of the most used and validated screening tools, but it lacks the comprehensive assessment of some determinants of OSAS, specifically anamnestic assessment and sleep quality. This study aims to assess the accuracy of some specific items added to the original PSQ, particularly related to the patient’s anamnestic history and to the quality of sleep, for the screening of OSAS in a paediatric population living in Sicily (Italy). Fifteen specific items, divided into “anamnestic” and “related to sleep quality” were added to the original PSQ. The whole questionnaire was administered via a digital form to the parents of children at 4 schools (age range: 3–13 years). For each item, sensitivity and specificity, positive and negative predictive values, and positive and negative likelihood ratios were calculated. The highest sensitivity (80.0, 95% CI: 28.4; 99.5), in combination with the highest specificity (61.1, 95% CI: 35.7; 82.7), was found for the Item 32 (“assumption of bizarre or abnormal positions during sleep”). This item was found statistically significant for predicting the occurrence of OSAS in children (p-value ≤0.003). The study demonstrates the accuracy of specific items related to sleep quality disturbance for the preliminary assessment of the disease. Although these results should be validated on a larger sample of subjects, they suggest that including the factors discriminating sleep quality could further increase the efficiency and accuracy of PSQ.



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