Obstructive sleep apnea in patients with chronic rhinosinusitis with nasal polyps: a cross-sectional study
| Autor: | L.M.S.F. Azevedo-Soster, Lucas Neves de Andrade Lemes, G.C.B. Lacerda, Maria Cecilia Lopes, Debora Petrungaro Migueis, L.C.S. Thuler, Maria Helena de Araújo-Melo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Polysomnography 03 medical and health sciences Young Adult 0302 clinical medicine Nasal Polyps Risk Factors Internal medicine medicine Humans Nasal polyps Aged Rhinitis Sleep Apnea Obstructive medicine.diagnostic_test Anthropometry business.industry Epworth Sleepiness Scale Sleep apnea Apnea General Medicine Middle Aged medicine.disease nervous system diseases respiratory tract diseases Obstructive sleep apnea Cross-Sectional Studies 030228 respiratory system Chronic Disease medicine.symptom business Body mass index 030217 neurology & neurosurgery Somnolence |
| Zdroj: | Sleep medicine. 64 |
| ISSN: | 1878-5506 |
| Popis: | Introduction Adults with chronic rhinosinusitis with nasal polyps (CRSwNP) often suffer from sleep disruption and sleep apnea. As the apneic profile of CRSwNP may differ from obstructive sleep apnea (OSA) classic patients without nasal polyps (NP), it may prove useful to define a new profile for OSA screening in these patients. The aim of the current study was to compare baseline characteristics and apneic profile of OSA patients with CRSwNP to OSA patients without NP. Materials and methods Thirty-one apneic patients with CRSwNP and 62 apneic cases without NP were included in our study. Both groups underwent nasal endoscopy, Epworth Sleepiness Scale (ESS) evaluation, and overnight polysomnography (PSG). We additionally accessed anthropometric characteristics such as snoring, tiredness, observed apnea, high blood pressure, body mass index (BMI), age, neck circumference, male gender, and OSA risk via the STOP-Bang questionnaire. Results Although the patients were matched according to age and gender, the median BMI and STOP-Bang score were significantly higher in patients with OSA than in those with OSA and CRSwNP. Notably, the median ESS showed low somnolence and a low median apnea-hypopnea index in patients with CRSwNP, despite the fact that the lowest median oxygen saturation was not significantly different between groups. Conclusions Anthropometric characteristics in individuals with apnea caused by CRSwNP were significantly different from those in individuals with typical. This finding will improve screening and treatment of apneic patients CRSwNP. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect