scholarly journals Obstructive sleep apnea syndrome: is it different in women?

2016 ◽  
Vol 11 (3) ◽  
pp. 243-246
Author(s):  
Camelia C. DIACONU ◽  
◽  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Clinical Manifestations ◽  
Current Data ◽  
Medical Community ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
Respiratory Sleep Disorders

Traditionally, obstructive sleep apnea syndrome (OSAS) was regarded by the medical community as a men’s disease. Current data shows indeed that the prevalence of OSAS is higher among men than women. However, in postmenopausal women the prevalence of OSAS is high. Differences between men and women in the prevalence of OSAS drop as age increases, mainly as a result of a marked increase in the prevalence and severity of respiratory sleep disorders in women after menopause. There are some differences regarding the clinical manifestations of OSAS in women and men. Also, it seems that women with moderate OSAS are more susceptible to cardiovascular consequences of OSAS compared with men, having a higher degree of endothelial dysfunction. Gender differences in the response to different therapeutic strategies for OSAS are still not known with certainty.

Postoperative monitoring of children with obstructive sleep apnea syndrome

2014 ◽  
Vol 155 (18) ◽  
pp. 703-707 ◽  
Author(s):  
Pálma Benedek ◽  
Gabriella Kiss ◽  
Eszter Csábi ◽  
Gábor Katona
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Preoperative Evaluation ◽  
Sleep Apnea Syndrome ◽  
Study Patient ◽  
Severe Obstructive Sleep Apnea ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Apnea Syndrome

Introduction: Treatment of pediatric obstructive sleep apnea syndrome is surgical. The incidence of postoperative respiratory complications in this population is 5–25%. Aim: The aim of the authors was to present the preoperative evaluation and monitoring procedure elaborated in Heim Pál Children Hospital, Budapest. Method: 142 patients were involved in the study. Patient history was obtained and physical examination was performed in all cases. Thereafter, polysomnography was carried out, the severity of the obstructive sleep apnea syndrome was determined, and the patients underwent tonsilloadenotomy. Results: 45 patients with mild, 50 patients with moderate and 47 patients with severe obstructive sleep apnea syndrome were diagnosed. There was no complication in patients with mild disease, while complications were observed in 6 patients in the moderate group and 24 patients in the severe group (desaturation, apnea, stridor, stop breathing) (p<0.000). In patients with severe obstructive sleep apnea syndrome, no significant difference was noted in preoperative apnoea-hypapnea index (p = 0.23) and in nadir oxygen saturation values (p = 0.73) between patients with and without complication. Conclusions: Patients with severe obstructive sleep apnea syndrome should be treated in hospital where pediatric intensive care unit is available. Orv. Hetil., 2014, 155(18), 703–707.

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