Coincidence of obstructive sleep apnea syndrome and systemic diseases in geriatric patients

Yıl 2020, Cilt: 4 Sayı: 3, 247 - 253, 29.10.2020

Mehmet Akdağ , Aslı Bostancı Murat Turhan Oktay Dinç

https://doi.org/10.30565/medalanya.736684

Öz

Aim: To evaluate the coincidence of obstructive sleep apnea syndrome (OSAS) and systemic diseases in elderly patients presenting to our sleep disorders center.

Patients and Methods: Ninety-seven patients with ages older than 65 years, who had at least one of snoring, witnessed apnea, and excessive daytime sleepiness symptoms, and whose systemic diseases were under evaluation, were included in the study. The patients were divided into 4 groups according to their apnea-hypopnea indexes (AHI) and body mass index (BMI) values. The association of BMI and the polysomnography parameters such as AHI, arousal index, lowest oxygen saturation and mean oxygen desaturation in patients with and without systemic illnesses ,were evaluated.

Results: Seventy-one (73.2%) of the patients comprised the group with systemic illnesses, and 26 (26.80%) patients comprised the group without systemic illnesses. AHI value was found to be higher in patients with systemic diseases compared to patients without systemic illnesses, and this was statistically significant (p<0.05). A statistically significant association was found between the presence of systemic diseases and OSAS and increased BMI (BMI>25) (p<0.05). A statistically significant association was not detected between the arousal index, lowest oxygen saturation, mean oxygen saturation, and presence of systemic illness. No difference in the rates of presence of systemic illnesses was found among male and female patients.

Conclusion: Patients in the geriatric age group with increased BMI and OSAS should be evaluated for the presence of systemic illnesses.

Anahtar Kelimeler

Obstructive sleep apnea syndrome, systemic diseases, geriatrics

Destekleyen Kurum

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Proje Numarası

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Geriatrik Hastalarda Obstruktif Uyku Apne Sendromu Ve Sistemik Hastalık Birlikteliği

Öz

Amaç: Uyku bozuklukları merkezimize başvuran yaşlı hastalardaki obstruktif uyku apne sendromu (OSAS) ile sistemik hastalık birlikteliğini ve bunlarla ilişkili parametreleri araştırmaktır

Hastalar ve Yöntem: Horlama, tanıklı apne, gündüz aşırı uyku hali semptomlarından en az birinden şikayeti olan ve sistemik hastalıkları araştırılan 65 yaş üstü 97 hasta çalışmaya alındı. Hastalar apne hipopne indeksi (AHİ) ve vücut kitle indeksi (VKİ) değerlerine göre 4'er gruba ayrıldı. Sistemik hastalığı olan ve olmayan hastalarda VKİ ile polisomnografi parametrelerinden AHİ, arousal indeksi, en düşük oksijen saturasyonu ve ortalama oksijen desaturasyonu arasındaki ilişki incelenmiştir.

Bulgular: Hastaların 71’i (%73.2) sistemik hastalığı olanlar, 26’sı (%26.80) sistemik hastalığı olmayanlar grubunu oluşturmuştur. Sistemik hastalığı olanlarda, sistemik hastalığı olmayanlara göre AHİ değeri daha yüksek saptanmış olup istatiksel olarak anlamlı saptanmıştır(p<0.05). Sistemik hastalık varlığı ile OSAS ve artmış VKİ (VKİ>25) arasında istatiksel olarak anlamlı birliktelik saptanmıştır(p<0.05). Arousal indeksi, en düşük oksijen saturasyonu ,ortalama oksijen desaturasyonu ile sistemik hastalık varlığı arasında istatiksel anlamlı bir birliktelik saptanmamıştır. Kadın ve erkek hastalar arasında sistemik hastalık görülmesi açısından fark saptanmamıştır.

Sonuç: Artmış VKİ ve OSAS’ı olan geriatrik yaş gurubundaki hastalar sistemik hastalık varlığı açısından değerlendirilmelidir.

Anahtar Kelimeler

Obstruktif uyku apne sendromu, sistemik hastalık, geriatri

Proje Numarası

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Kaynakça

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