Estimated Prevalence of Obstructive Sleep Apnea–Hypopnea Syndrome After Cervical Cord Injury
Autor: | Pierre Mayer, François Bellemare, Jehan H. Dagher, Bernard E. Leduc, Yves Lepage |
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Rok vydání: | 2007 |
Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Polysomnography Physical Therapy Sports Therapy and Rehabilitation Sleep medicine Body Mass Index Internal medicine Prevalence medicine Humans Obesity Spinal cord injury Tetraplegia Spinal Cord Injuries Aged Sleep Apnea Obstructive medicine.diagnostic_test business.industry Rehabilitation Odds ratio Middle Aged medicine.disease Obstructive sleep apnea Cross-Sectional Studies Logistic Models Cervical Vertebrae Physical therapy Female business Hypopnea |
Zdroj: | Archives of Physical Medicine and Rehabilitation. 88:333-337 |
ISSN: | 0003-9993 |
DOI: | 10.1016/j.apmr.2006.12.025 |
Popis: | Leduc BE, Dagher JH, Mayer P, Bellemare F, Lepage Y. Estimated prevalence of obstructive sleep apnea–hypopnea syndrome after cervical cord injury. Objectives To estimate the prevalence of obstructive sleep apnea–hypopnea syndrome (OSAHS) in patients with cervical cord injury and to identify predictive factors. Design Cross-sectional study. Setting Rehabilitation center. Participants Forty-one adults with cervical cord injury of more than 6 months in duration. Interventions Medical history, physical exam, and full in home overnight polysomnography were undertaken. Data were collected on characteristics of spinal cord injury, current medication, sleeping habits, daytime sleepiness, body mass index (BMI), and neck circumference. Main Outcome Measure Presence or absence of OSAHS as defined by the American Academy of Sleep Medicine criteria (1999). Results Twenty-two (53%) patients (95% confidence interval [CI], 38.4%–68.9%) had OSAHS. Daytime sleepiness (odds ratio [OR], 41.1; 95% CI, 2.3–739.7; P =.02), BMI of 30kg/m 2 or higher (OR=17.2; 95% CI, 1.4–206.4; P =.03), and 3 or more awakenings during sleep (OR=34; 95% CI, 1.6–744.8; P =.03) were the best predictive factors of OSAHS obtained by a forward stepwise multiple logistic regression. Conclusions The estimated prevalence of OSAHS is high after cervical cord injury. OSAHS should be suspected, especially in patients with daytime sleepiness, obesity, and frequent awakenings during sleep. |
Databáze: | OpenAIRE |
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