scholarly journals Patients at High Risk for Obstructive Sleep Apnea Are at Increased Risk for Atrial Fibrillation After Cardiac Surgery

2018 ◽  
Vol 126 (6) ◽  
pp. 2025-2031 ◽  
Author(s):  
Nika Karimi ◽  
Marta Kelava ◽  
Perin Kothari ◽  
Nicole M. Zimmerman ◽  
A. Marc Gillinov ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Obstructive Sleep Apnea ◽  
Cardiac Surgery ◽  
Sleep Apnea ◽  
High Risk ◽  
Obstructive Sleep ◽  
Increased Risk

397 Health Insurance Status in Subjects at High Risk for Obstructive Sleep Apnea

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A158-A158
Author(s):  
Adnan Abbasi ◽  
Sameepya Thatipelli
Keyword(s):  
Health Care ◽  
Obstructive Sleep Apnea ◽  
Health Insurance ◽  
Sleep Apnea ◽  
High Risk ◽  
Low Risk ◽  
Insurance Status ◽  
Health Insurance Status ◽  
Obstructive Sleep ◽  
Increased Risk

Abstract Introduction Undiagnosed obstructive sleep apnea (OSA) is a major public health problem. Undiagnosed OSA can result in decreased productivity due to absenteeism, increased risk of comorbidities (cardiovascular disease, diabetes, and depression), and increased motor vehicle as well as workplace accidents. Lack of health insurance coverage can lead to undiagnosed and therefore untreated OSA. The objective of this study is to evaluate health insurance status in subjects at high-risk for OSA. Methods This is a cross-sectional, population-based study of adults 18 years and older who participated in the 2017–2018 National Health and Nutrition Examination Survey (NHANES). A modified STOP-Bang score was used to calculate OSA risk. This score included all the variables from the standard STOP-Bang questionnaire, except neck circumference, since it was not reported in the NHANES survey. Subjects were divided into two groups: those at low-risk for OSA with a modified STOP-Bang score of ≤ 3 and those at high-risk for OSA with a modified STOP-Bang score of >4. Results A total of 4,847 adult subjects were included, which represented 223,385,241 of the U.S. non-institutionalized population. Using the modified STOP-Bang score cutoff of >4, 20.9% of the sample were classified as high-risk for OSA, while 79.1% were classified as low-risk for OSA. 90% of the high-risk OSA group and 85.1% of the low-risk OSA group reported having health insurance. Sociodemographic data will also be analyzed and included. Conclusion Approximately 10% of subjects who are at high-risk for OSA reported not having health insurance. This represents over 4.6 million Americans in the non-institutionalized population. Health insurance can improve access to health care. Timely diagnosis and treatment of OSA not only can reduce morbidity and mortality, but can also reduce health care costs. Support (if any) CDC for NHANES Data.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN RISIKO TINGGI OBSTRUCTIVE SLEEP APNEA PADA PASIEN FIBRILASI ATRIUM

2018 ◽  
Vol 35 (4) ◽  
Author(s):  
Nushrotul Lailiyya ◽  
Sobaryati Sobaryati ◽  
Novia Aiko ◽  
Chaerul Achmad
Keyword(s):  
Atrial Fibrillation ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Treatment Effectiveness ◽  
Neck Circumference ◽  
High Morbidity ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
The World

    FACTORS THAT INFLUENCE HIGH RISK FOR OBSTRUCTIVE SLEEP APNEA IN ATRIAL FIBRILLATION PATIENTSABSTRACTIntroduction: Atrial fibrillation (AF) is the most frequent cardiac arrhythmia in the world and associated with high morbidity and mortality. Obstructive sleep apnea (OSA) is strongly associated with AF and its prevalence is 32%-62%. Obstructive sleep apnea screening and its reduction are one approach to reduce the risk of and increasing the treatment effectiveness of AF.Aims: To determine factors that influence the high risk for OSA in AF patients.Methods: We performed a cross-sectional  analytical  and observational  study in AF patients at Hasan Sadikin Hospital, Salamun Hospital, and Ujung Berung Hospital, Bandung during period of November 2017 to January  2018. STOPBANG were used to screen OSA.Results: There were 100 subjects with age 62±12 years old, 43% male, 38% smoking, 14% obese, 16% had neck circumference ≥40cm, and majority had high risk of OSA (71%) and hypertension (74%). The factors that influence the high risk for OSA in the AF patients were hypertension, age, gender, neck circumference, and smoking.Discussion: Hypertension, age, gender, neck circumference, and smoking are related to the the high risk for OSA in AF patients.Keywords: Atrial fibrillation, obstructive sleep apnea, STOPBANGABSTRAKPendahuluan: Fibrilasi atrium (FA) merupakan gangguan irama jantung (aritmia) yang paling banyak ditemukan di dunia dan berkaitan dengan morbiditas dan mortalitas yang cukup tinggi. Obstructive sleep apnea (OSA) sangat berkaitan dengan FA dengan prevalensi 32%-62%. Skrining OSA dan berhasilnya terapi OSA pada pasien FA merupakan salah satu pendekatan untuk menurunkan risiko dan meningkatkan efektivitas tata laksana FA.Tujuan: Mengetahui faktor yang berhubungan dengan risiko tinggi OSA pada pasien FA.Metode: Penelitian analitik observasional dengan studi potong lintang pada pasien FA di Poliklinik Kardiologi RSUP Dr. Hasan Sadikin, RS Salamun, dan RS Ujung Berung, Bandung selama periode November 2017-Januari 2018. Skrining OSA menggunakan kuesioner STOPBANG.Hasil: Terdapat 100 orang subjek dengan rerata usia 62±12 tahun, 43% laki-laki, 38% merokok, 14% obesitas, 16% memiliki lingkar leher ≥40cm, serta mayoritas  berisiko tinggi OSA (71%) dan hipertensi (74%). Faktor-faktor yang memengaruhi risiko tinggi OSA penelitian secara berurutan adalah hipertensi, usia, jenis kelamin, lingkar leher, dan merokok.Diskusi: Hipertensi, usia, jenis kelamin, lingkar leher, dan merokok berpengaruh terhadap   risiko tinggi OSA pada pasien FA.Kata kunci: Fibrilasi atrium, obstructive sleep apnea, STOPBANG

The effect of obstructive sleep apnea on readmissions and atrial fibrillation after cardiac surgery

2019 ◽  
Vol 56 ◽  
pp. 17-23 ◽  
Author(s):  
T. Robert Feng ◽  
Robert S. White ◽  
Xiaoyue Ma ◽  
Gulce Askin ◽  
Kane O. Pryor
Keyword(s):  
Atrial Fibrillation ◽  
Obstructive Sleep Apnea ◽  
Cardiac Surgery ◽  
Sleep Apnea ◽  
Obstructive Sleep

scholarly journals The Prevalence of High Risk of Obstructive Sleep Apnea and its Association with Sociodemographic Factors among Adults in Taman Dato' Rashid Salleh, Indera Mahkota, Kuantan

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Rawahah Husna Ramli ◽  
Artika Hassan ◽  
Jamalludin Abd Rahman ◽  
Razman Mohd Rus ◽  
Hafizah Pasi ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
High Risk ◽  
Demographic Data ◽  
Adult Population ◽  
Neck Circumference ◽  
P Value ◽  
Berlin Questionnaire ◽  
Obstructive Sleep ◽  
Increased Risk

Introduction: Obstructive sleep apnea (OSA) is an insidious sleep breathing disorder, with cardinal manifestations of snoring, witnessed breathing pause during sleep and excessive daytime sleepiness. The aim of the study was to estimate the prevalence of OSA and its associated factors among adult population in Taman Dato’ Rashid Salleh, Kuantan. Materials and  method: A cross-sectional study was carried out among 157 participants who lived in Taman Dato’ Rashid Salleh from May 2018 to June 2018. Obstructive sleep apnea was quantified using the self-administered Malaynvalidated Berlin questionnaire which apart from the demographic data included three categories (10 questions) designed to elicit information regarding snoring (category 1), daytime somnolence (category 2) and the presence of obesity and/or hypertension (category 3). The respondents were considered as high risk of OSA if two or more categories were positive. Weight, height and neck circumference were measured by using Secca© weight scales, Secca© stadiometer and non-elastic plastic tape, respectively. Descriptive statistics was used to measure the prevalence, while chi-square test was used to explore the association of OSA and its background variables. Results: Out of 157 respondents, female and Malay were dominant with the 56.7% and 91.0 %, respectively. The mean age of the respondents was 36.7 (12.2) years old. The prevalence of high risk of OSA in was 18.5%. There was no association between gender, age, race, smoking and neck circumference with risk of OSA while Body Mass Index (BMI) and hypertension were significantly related to an increased risk for developing OSA (p-value < 0.001 and p=0.001, respectively).  Conclusions: Two in every 10 adults in Taman Dato’ Rashid Salleh, Kuantan were at high risk of OSA. It is recommended that appropriate health promotion should be targeted to this community to instill awareness and increase the level of understanding of the public on OSA.

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