OSA with intertitial lung diseases
| Autor: | Sema Saraç, Özgür Bilgin Topçuoğlu, Cansel Atinkaya, Ali Metin Görgüner, Özlem Oruç, Cüneyt Saltürk, Murat Kavas, Meral Uluköylü, Gulgun Cetintas, Sibel Arınç |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Lung medicine.diagnostic_test business.industry Incidence (epidemiology) Epworth Sleepiness Scale Interstitial lung disease Polysomnography respiratory system medicine.disease respiratory tract diseases Pulmonary function testing Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system DLCO Internal medicine medicine Physical therapy 030212 general & internal medicine business |
| Zdroj: | 4.2 Sleep and Control of Breathing. |
| Popis: | INTRODUCTION: The incidence of obstructive sleep apnea (OSA) in interstitial lung disease (ILD) has been reported at different frequencies in several studies. The aims of our study were to evaluate the frequency of OSA in ILD and to analyze the relationship between polysomnography (PSG) findings and pulmonary function, , parenchymal involve-ment, and Epworth Sleepiness Scale (ESS) scores. METHODS: ILD patients with parenchymal involvement were evaluated. All of the patients had pulmonary function tests (PFT ), chest X-ray, PSG, ESS scoring, and 6-minutes walking test(6MWT). RESULTS: We enrolled 52 patients to the study but study was completed with 47patients. 21 of 47 (44,6 % )were female and 26 of 47 (55,4 %) were male. 16 patients had the diagnosis of interstitial pulmonary fibrosis(IPF ),31 patients had other interstisial lung diseases (ILD). 82,9 % (n=39 )of participants had OSA. 10 of 39 had positional OSA and 6 had sleep related hypoxemia diagnosis.7 Patients had mild,8 had moderate and 8 had severe OSA of the remainers most of whom were in the moderate or severe group. Elapsing time of Spo2 below 89% during sleep was coherent to pulmonary involvement with diffuse radiological extensiveness. (p=0,03 ). 20 of 39 ILD patients having OSA had DLCO OSA was determined significantly higher in all ILD but especially in IPF patients (p=0,006 ) who had male predominance (p=0,04 )and older age (p=0,01 ) CONCLUSION: OSA is prevalent in patients with IPF. Formal sleep evaluation and polysomnography should be considered by primary care physicians in all patients with IPF. |
| Databáze: | OpenAIRE |
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