1
|
Cremonini F, Zucchini L, Pellitteri F, Palone M, Lombardo L. Obstructive Sleep Apnea in Developmental Age: 22-Item Pediatric Sleep Questionnaire for an Observational Descriptive Investigation. Children (Basel) 2023; 10:1265. [PMID: 37508762 PMCID: PMC10377798 DOI: 10.3390/children10071265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 07/13/2023] [Accepted: 07/13/2023] [Indexed: 07/30/2023]
Abstract
The aim of this paper is to perform an observational descriptive study of the Obstructive Sleep Apnea Syndrome (OSAS) in a population of children by evaluating the prevalence and role of sex and age variables. The 22-item Pediatric Sleep Questionnaire (PSQ) was administered to parents of children aged 3 to 12 years. The questionnaire is a very simple tool since it allows for the indication of patients with possible OSAS diagnosis through a cut-off of 0.33. The anonymous diagnostic questionnaire, available in digital format, was administered to the population under study by a link or QR code. Only the questionnaires completed in all their parts were recorded and analyzed. Eight hundred and thirty-two questionnaires were collected. One hundred and fifty-four subjects obtained a PSQ score > 0.33 and the prevalence of OSAS was 18.51%. The Chi-square test showed a statistically significant association between the PSQ score > 0.33 and male sex. The higher prevalence of subjects with a value of PSQ > 0.33 (n = 277) are aged 3-4-5 years, followed by the 6-7-8 range in the group with PSQ score > 0.33, p < 0.05. The prevalence of OSAS was 18.51% in children aged 3 to 12 years. The variables male biological sex and the age group 3-8 year were statistically significant for subjects with OSAS diagnosis. This study underlines the use of the 22-item Pediatric Sleep Questionnaire as a first screening tool to identify children at risk of OSAS.
Collapse
Affiliation(s)
- Francesca Cremonini
- Postgraduate School of Orthodontics, University of Ferrara, 44121 Ferrara, Italy
| | - Ludovica Zucchini
- Postgraduate School of Orthodontics, University of Ferrara, 44121 Ferrara, Italy
| | - Federica Pellitteri
- Postgraduate School of Orthodontics, University of Ferrara, 44121 Ferrara, Italy
| | - Mario Palone
- Postgraduate School of Orthodontics, University of Ferrara, 44121 Ferrara, Italy
| | - Luca Lombardo
- Postgraduate School of Orthodontics, University of Ferrara, 44121 Ferrara, Italy
| |
Collapse
|
2
|
Munteanu I, Marc M, Gheorghevici C, Diaconu GA, Feraru N, Sion D, Nemes RM, Mahler B. Sleep Quality Aspects in Post-COVID-19 Patients. J Pers Med 2023; 13:1125. [PMID: 37511738 PMCID: PMC10381792 DOI: 10.3390/jpm13071125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 07/07/2023] [Accepted: 07/09/2023] [Indexed: 07/30/2023] Open
Abstract
In this observational cohort study, sleep quality in post-COVID-19 patients was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. This study aimed to examine aspects of sleep quality in patients who have undergone SARS-CoV-2 infection and if there is a pattern of progression or regression over time (6 months). We also observed and analyzed the results in order to identify any possible links between the severity of COVID-19 and sleep quality as measured by the PSQI questionnaire. The study group consisted of 65 adult patients with confirmed SARS-CoV-2 infection who were referred to a pulmonologist for evaluation. Sleep quality was impacted at a high rate in post-COVID-19 patients, quantified by a PSQI score ≥5. Out of 65 patients, 51% of them had scores greater than or equal to 5. Sleep was subjectively reported as unsatisfactory predominantly in mild and moderate COVID-19 patients. According to the PSQI score and a 6-month follow-up, many patients presented persistency in poor sleep quality. Investigation and individualized treatment of sleep disorders in post-COVID-19 patients should be part of the routine pneumological control, as improvement in sleep quality has an impact not only on the health but also on the psychological state of patients. Educating patients about the importance of sleep and sleep quality impairment should be a primary concern.
Collapse
Affiliation(s)
- Ioana Munteanu
- Faculty of Medicine, Titu Maiorescu University, 040441 Bucharest, Romania
- "Marius Nasta" Institute of Pneumophtisyiology, 050159 Bucharest, Romania
| | - Monica Marc
- Department of Pneumology, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | | | | | - Nicolae Feraru
- "Marius Nasta" Institute of Pneumophtisyiology, 050159 Bucharest, Romania
| | - Dragos Sion
- "Marius Nasta" Institute of Pneumophtisyiology, 050159 Bucharest, Romania
| | - Roxana Maria Nemes
- Faculty of Medicine, Titu Maiorescu University, 040441 Bucharest, Romania
- "Marius Nasta" Institute of Pneumophtisyiology, 050159 Bucharest, Romania
| | - Beatrice Mahler
- "Marius Nasta" Institute of Pneumophtisyiology, 050159 Bucharest, Romania
| |
Collapse
|
3
|
Borsini EE, Blanco M, Ernst G, Salvado A, Bledel I, Nigro CA. Contribution of pulse oximetry in relation to respiratory flow events in a home-based approach aimed at diagnosing obstructive sleep apnea. Sleep Sci 2021; 14:77-81. [PMID: 34104342 PMCID: PMC8157782 DOI: 10.5935/1984-0063.20200042] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Objective To compare pulse oximetry with manual analysis against all signals of respiratory polygraphy. Material and Methods This retrospective study estimated sensitivity (S), specificity (Sp) and positive/negative likelihood ratio (LR+/-) of the oxygen desaturation index (ODI-test) and apnea-hypopnea index (AHI-reference). Results 3854 patients (61.5% men) were included. Age, BMI, Epworth sleepiness scale and AHI were: 55 years (44-65), 30.9kg/m2 (27-36), 7 points (4-11), and 14 events/hour (6-25), respectively. 18% showed an AHI <5 events/hour, 34% = 5 and <15, 27% = or > 15 and < 30, and 31% > 30. The S, Sp, and LR+/- of ODI for AHI = 5 events/hour was 93%, 92%, 12 and 0.08 with an accuracy of 93%. For AHI = 15 events/hour, the values were: S 94%, Sp 94%, LR+ 15 and LR- 0.06 and 94% accuracy (r(2) Spearman: 0.92). Conclusion In a population at a high risk for OSA, home-based pulse oximetry had a diagnostic accuracy > 90% when is compared against all respiratory signals obtained from simplified home sleep testing.
Collapse
Affiliation(s)
| | - Magali Blanco
- Hospital Británico de Buenos Aires, Sleep - Buenos Aires - Capital Federal - Argentina
| | - Glenda Ernst
- Hospital Británico de Buenos Aires, Sleep - Buenos Aires - Capital Federal - Argentina
| | - Alejandro Salvado
- Hospital Británico de Buenos Aires, Sleep - Buenos Aires - Capital Federal - Argentina
| | - Ignacio Bledel
- Hospital Alemán de Buenos Aires, Sleep - Buenos Aires - Capital Federal - Argentina
| | - Carlos Alberto Nigro
- Hospital Alemán de Buenos Aires, Sleep - Buenos Aires - Capital Federal - Argentina
| |
Collapse
|
4
|
Deokar K, Meshram S, Chawla G, Kunjir N, Meshram C, Abrol N, Gaikwad P. Obstructive sleep apnea, intermittent hypoxemia and prothrombotic biomarkers. Sleep Sci 2021; 13:230-234. [PMID: 33564369 PMCID: PMC7856672 DOI: 10.5935/1984-0063.20190147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objective To study the serum levels of fibrinogen and d-dimer in patients with obstructive sleep apnea (OSA) and its correlation with apnea hypopnea index (AHI), oxygen desaturation index (ODI), minimal oxygen saturation and arousal index. Methods It was a case control study in which 23 cases of OSA and 23 controls were enrolled. Morning fasting serum fibrinogen and d-dimer were measured in cases of OSA and controls. Results Serum fibrinogen levels among OSA patients (268.47±53.11mg/dl) were elevated as compared to the levels in controls (221.52±65.84mg/dl) (p<0.05). Serum fibrinogen co-related positively with AHI (r=0.6381, p=0.0011) and ODI (r=0.7434, p=0.0000), negatively with minimal oxygen saturation (r=-0.4461, p=0.0329). There was no statistically significant correlation of fibrinogen with arousal index (r=0.2697, p=0.2133). There was no statistically significant difference between mean fasting d-dimer level in cases (0.12mg/L, 0.06±0.18mg/L) and controls (0.12mg/L, 0.02±0.22mg/L) (p=0.8926). Conclusions The observation of elevated fibrinogen levels with the increasing severity of OSA and hypoxemic events makes OSA one of the important risk factor for cardiovascular disorders.
Collapse
Affiliation(s)
- Kunal Deokar
- Government medical college, Pulmonary Medicine - Nagpur - Maharashtra - India
| | - Sushant Meshram
- Government medical college, Pulmonary Medicine - Nagpur - Maharashtra - India
| | - Gopal Chawla
- All India Institute of Medical Sciences, Pulmonary Medicine and Sleep Disorders - New Delhi - Delhi - India
| | - Nana Kunjir
- Government medical college, Pulmonary Medicine - Nagpur - Maharashtra - India
| | - Chetna Meshram
- Government medical college, Pharmacology - Nagpur - Maharashtra - India
| | - Nupur Abrol
- All India Institute of Medical Sciences, Anaesthesia - Delhi - Delhi - India
| | - Priyanka Gaikwad
- Bhaktivedanta hospital, Paediatrics - Mumbai - Maharashtra - India
| |
Collapse
|
5
|
Paixão TM, Teixeira LR, Cozendey-Silva EN, Siqueira CEG. Nocturnal awakenings of Brazilian immigrants in Massachusetts. Sleep Sci 2021; 14:39-46. [PMID: 34104336 PMCID: PMC8157785 DOI: 10.5935/1984-0063.20200040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 07/20/2020] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE The purpose of this study was to assess the relationship between the quantity of jobs and nocturnal awakenings of Brazilians living in Massachusetts. MATERIAL AND METHODS We sampled of 48 documented Brazilians around the age of 45.5 years old. 52.1% of them were women. Data gathering occurred for three weeks, using the Pittsburgh Sleep Quality Index. Participants also wore wrist actigraph and filled sleep/wake diary for a week. RESULTS The sleep quality of immigrants with one job (mean=8.58, SD=4.16) is better when compared to immigrants with 2-3 jobs (mean=12.7, SD=3.57) according to the PSQI scores. Immigrants with 2-3 jobs reported dissatisfaction on three components of the scale: sleep duration, sleep efficiency and sleep quality. DISCUSSION There is a positive relationship between the quantity of jobs and nocturnal awakenings and between nocturnal awakenings and complaints related to sleep apnea among Brazilians in Massachusetts. The assessment of systemic morbidities associated with sleep pattern changes should be considered in future research.
Collapse
Affiliation(s)
- Talita Monsores Paixão
- Oswaldo Cruz Foundation, National School of Public Health Sergio Arouca - Rio de Janeiro - RJ - Brazil
| | - Liliane Reis Teixeira
- Oswaldo Cruz Foundation, National School of Public Health Sergio Arouca - Rio de Janeiro - RJ - Brazil
| | | | | |
Collapse
|
6
|
Park HK, Paick SH, Kim HG, Park DH, Cho JH, Hong SC, Choi WS. Nocturia Improvement With Surgical Correction of Sleep Apnea. Int Neurourol J 2016; 20:329-34. [PMID: 28043111 DOI: 10.5213/inj.1632624.312] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Accepted: 07/25/2016] [Indexed: 11/08/2022] Open
Abstract
Purpose To evaluate changes in nocturia after surgical correction of obstructive sleep apnea (OSA). Methods A total of 66 patients were included in the present study. All had been diagnosed with OSA syndrome by polysomnography and underwent uvulopalatopharyngoplasty (UPPP). Preoperative and postoperative lower urinary tract symptoms (LUTS), quality of life (QoL), and nocturia episodes were evaluated using the International Prostate Symptom Score (IPSS) and overactive bladder symptom score (OABSS) questionnaires. Three months postoperatively, telephone interviews were performed to determine the success of surgery, current LUTS, and nocturia episodes. Patients were divided into surgical success and failure groups. Surgical success was defined as snoring decrease more than 50% based on the patient’s subjective judgment. Results The response rate was 56% and success rate was 73%. In all patients, nocturia episodes significantly decreased from 1.7±1.1 to 0.8±1.2 (P=0.002). Mean IPSS score, OABSS score, and QoL scores were also significantly improved. The success group showed a significant decrease in nocturia episodes, and total IPSS, OABSS, and QoL scores. However, the failure group did not show significant changes in all parameters. Conclusions OSA correction improved nocturia as well as other LUTS. These improvements were not observed in the failure group. This study shows that OSA is a cause of nocturia and that other LUTS and nocturia can be improved by surgical correction of OSA.
Collapse
|
7
|
Lee YC, Eun YG, Shin SY, Kim SW. Prevalence of snoring and high risk of obstructive sleep apnea syndrome in young male soldiers in Korea. J Korean Med Sci 2013; 28:1373-7. [PMID: 24015045 PMCID: PMC3763114 DOI: 10.3346/jkms.2013.28.9.1373] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2012] [Accepted: 07/03/2013] [Indexed: 11/25/2022] Open
Abstract
There are little information on prevalence of obstructive sleep apnea syndrome (OSAS) and clinical features in the young military population. The purpose of this study was to estimate the prevalence of snoring and high risk of OSAS in young male soldiers in Korea and to identify the risk factors of OSAS. A total of 665 participants (aged 20-23 yr) who visited the Armed Forces Ildong Hospital for regular physical examination were enrolled. All participants completed the Berlin Questionnaire and underwent a physical examination. The participants with high risk for OSAS completed portable sleep monitoring. The prevalence of snoring and high risk of OSAS in young male soldiers in Korea was 13.5% and 8.1%, respectively. The prevalence of high arched palate, tongue indentation, long uvula, large tonsil and retrognathia was significantly higher in the high risk OSAS group. High arched palate, long uvula or low lying soft palate, tonsil size III or IV, Epworth Sleepiness Scale score > 10 and obesity (BMI > 27 kg/m(2)) were found to independently predict OSAS. For early identification and treatment of young soldiers with OSAS in a military environment, a precise screening by questionnaire and physical examination is needed.
Collapse
Affiliation(s)
- Young Chan Lee
- Department of Otolaryngology-Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea
| | - Young Gyu Eun
- Department of Otolaryngology-Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea
| | - Seung Youp Shin
- Department of Otolaryngology-Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea
| | - Sung Wan Kim
- Department of Otolaryngology-Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea
| |
Collapse
|
8
|
Amra B, Golshan M, Fietze I, Penzel T, Welte T. Correlation between chronic obstructive pulmonary disease and obstructive sleep apnea syndrome in a general population in Iran. J Res Med Sci 2011; 16:885-9. [PMID: 22279455 PMCID: PMC3263100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/27/2011] [Accepted: 05/20/2011] [Indexed: 11/27/2022]
Abstract
BACKGROUND The aim of this study was to evaluate epidemiological relationship between chronic obstructive pulmonary disease and sleep apnea syndrome in a sample of Persian population. METHODS As a part of a population-based cross-sectional study, 3900 randomly selected individuals aged 15 years or older were invited to take part in the survey; 3770 individuals (96.6%) agreed to fill out the respiratory and sleep questionnaire. Those subjects suspected to have either chronic obstructive pulmonary disease and/or obstructive sleep apnea underwent spirometry and polysomnography test if indicated. Spirometric measurements were performed on 420 invited responders. Polysomnography measurements were performed on 25 of the responders. RESULTS Prevalence rates for sleep apnea, chronic obstructive pulmonary disease and current asthma were 4.98%, 5.7% and 3.1%, respectively. Logistic regression showed independent associations between sleep apnea and chronic obstructive pulmonary disease. There was no significant independent association between sleep apnea symptoms and current asthma and wheeze ever. CONCLUSIONS These observations indicated relationship between chronic obstructive pulmonary disease and obstructive sleep apnea. These observations indicated the necessity of further studies to explain the possible common pathogenic mechanisms involved in two disease entities.
Collapse
Affiliation(s)
- Babak Amra
- Professor of Medicine, Pulmonary Unit, Department of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammad Golshan
- Professor of Medicine, Managing Director of Bamdad Respiratory Research Center, Isfahan, Iran
| | - Ingo Fietze
- Professor of Medicine, Charité - Universitätsmedizin Berlin, Dept. of Cardiology and Pulmonogy, Center of Sleep Medicine, Luisenstr, 13a, D-10117 Berlin, Germany
| | - Thomas Penzel
- Center of Sleep Medicine, Charité - Universitätsmedizin Berlin, Charitéplatz 1, DE-10117 Berlin (Germany)
| | - Tobias Welte
- Professor of Medicine, Medizinische Hochschule, Hannover, Germany
| |
Collapse
|
9
|
Abstract
The relationship between sleep apnea syndrome (SAS) and posture during sleep has been noted and the beneficial effect of an optimal posture on sleep apnea has been empirically indicated. We investigated this effect in a group of subjects that included obese patients and found that the apnea-hypopnea index (AHI) may be normalized in the lateral position, even among patients severely affected with apnea. Among those with intermediate or lower AHI values, sleeping in a lateral position markedly improved the symptoms, with AHI even approaching the normal range in many patients. A tendency was noted for AHI to rise regardless of posture but in proportion to the increase in body mass index (BMI). In other words, the improvement due to changes in posture became increasingly insignificant with increase in BMI.
Collapse
|