Prevalence and characteristics of Positional OSA, a retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34631/sporl.1065 |
Resumo: | Objectives: To compare the prevalence of Positional Obstructive Sleep Apnea (P-OSA) based on different definitions and to identify the main factors independently associated with P-OSA and exclusive POSA (Pe-OSA). Study Design: Retrospective study. Material and Methods: Analysis of the type 3 polysomnography (PSG) recordings of adult patients performed between 2020 and 2021 at the Otorhinolaryngology Department of Hospital Garcia de Orta. P-OSA was defined by APOC criteria and Pe-OSA was defined as APOC I. Results: 245 PSG were evaluated, with a mean age of 57 years and 64.9% of male patients. The prevalence of P-OSA was 55.5%, 38% of whom had Pe-OSA. Patients with P-OSA were younger (OR=0.971), slept mostly in the supine position (OR=1.031), had lower Body Mass Index (BMI) (OR=0.882), Apnea/Hypopnea Index (AHI), oxygen desaturation index (OR=0.964), mean desaturation drop, and shorter snoring time (p<0.05). The most significant predictors of Pe-OSA were a lower oxygen desaturation index (OR=0.879) and longer time in the supine position (OR=1.031). Conclusions: Patients with P-OSA and Pe-OSA are younger, less obese and have less severe conditions, being respectively candidates for improvement or resolution of their disease using positioners. |
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Prevalence and characteristics of Positional OSA, a retrospective studyPrevalência e características de SAOS Posicional, um estudo retrospetivoSíndrome de Apneia Obstrutiva do SonoSAOSPosicionalObstructive sleep apneaOSAPositionalObjectives: To compare the prevalence of Positional Obstructive Sleep Apnea (P-OSA) based on different definitions and to identify the main factors independently associated with P-OSA and exclusive POSA (Pe-OSA). Study Design: Retrospective study. Material and Methods: Analysis of the type 3 polysomnography (PSG) recordings of adult patients performed between 2020 and 2021 at the Otorhinolaryngology Department of Hospital Garcia de Orta. P-OSA was defined by APOC criteria and Pe-OSA was defined as APOC I. Results: 245 PSG were evaluated, with a mean age of 57 years and 64.9% of male patients. The prevalence of P-OSA was 55.5%, 38% of whom had Pe-OSA. Patients with P-OSA were younger (OR=0.971), slept mostly in the supine position (OR=1.031), had lower Body Mass Index (BMI) (OR=0.882), Apnea/Hypopnea Index (AHI), oxygen desaturation index (OR=0.964), mean desaturation drop, and shorter snoring time (p<0.05). The most significant predictors of Pe-OSA were a lower oxygen desaturation index (OR=0.879) and longer time in the supine position (OR=1.031). Conclusions: Patients with P-OSA and Pe-OSA are younger, less obese and have less severe conditions, being respectively candidates for improvement or resolution of their disease using positioners.Objetivos: Comparar a prevalência de SAOS Posicional (SAOS-P) com base em diferentes definições e identificar os principais fatores independentemente associados com SAOS-P e SAOS-P exclusiva (SAOS-Pe). Desenho do Estudo: Estudo retrospetivo. Material e Métodos: Análise do registo de polissonografia (PSG) tipo 3 de doentes adultos realizadas entre 2020 e 2021 no Serviço de Otorrinolaringologia do Hospital Garcia de Orta. Definiu-se SAOS-P pelos critérios de APOC e a SAOS-Pe foi definida como APOC I. Resultados: Foram avaliadas 245 PSG, onde se verificou uma idade média de 57 anos e 64,9% de doentes do género masculino. A prevalência de SAOS-P foi de 55,5%, 38% dos quais apresentava SAOS-Pe. Os doentes com SAOS-P eram mais novos (OR=0,971), dormiram maioritariamente em posição supina (OR=1,031), tinham menor Índice de Massa Corporal (IMC) (OR=0,882), Índice de Apneia/Hipopneia (IAH), índice de dessaturação de oxigénio (OR=0,964), média da queda de dessaturação, e menor tempo de roncopatia (p<0,05). Os fatores preditores de SAOS-Pe mais significativos foram um menor índice de dessaturação de oxigénio (OR=0,879) e maior tempo em posição supina (OR=1,031). Conclusões: Os doentes com SAOS-P e SAOS-Pe são mais novos, menos obesos e apresentam quadros menos graves, sendo respetivamente candidatos a melhoria ou resolução da sua doença com recurso a posicionadores.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2023-03-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.1065https://doi.org/10.34631/sporl.1065Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 1 (2023): March; 31-38Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 1 (2023): Março; 31-38Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 1 (2023): Março; 31-382184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://journalsporl.com/index.php/sporl/article/view/2006https://journalsporl.com/index.php/sporl/article/view/2006/9https://journalsporl.com/index.php/sporl/article/view/2006/10Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessSão Pedro, RicardoFerreira, FilipaSantos, CláudiaTeixeira, HenriqueRosa, HelenaSantos, MárioAntunes, Luís2023-11-09T12:00:31Zoai:journalsporl.com:article/2006Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:10:07.841467Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Prevalence and characteristics of Positional OSA, a retrospective study Prevalência e características de SAOS Posicional, um estudo retrospetivo |
title |
Prevalence and characteristics of Positional OSA, a retrospective study |
spellingShingle |
Prevalence and characteristics of Positional OSA, a retrospective study São Pedro, Ricardo Síndrome de Apneia Obstrutiva do Sono SAOS Posicional Obstructive sleep apnea OSA Positional |
title_short |
Prevalence and characteristics of Positional OSA, a retrospective study |
title_full |
Prevalence and characteristics of Positional OSA, a retrospective study |
title_fullStr |
Prevalence and characteristics of Positional OSA, a retrospective study |
title_full_unstemmed |
Prevalence and characteristics of Positional OSA, a retrospective study |
title_sort |
Prevalence and characteristics of Positional OSA, a retrospective study |
author |
São Pedro, Ricardo |
author_facet |
São Pedro, Ricardo Ferreira, Filipa Santos, Cláudia Teixeira, Henrique Rosa, Helena Santos, Mário Antunes, Luís |
author_role |
author |
author2 |
Ferreira, Filipa Santos, Cláudia Teixeira, Henrique Rosa, Helena Santos, Mário Antunes, Luís |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
São Pedro, Ricardo Ferreira, Filipa Santos, Cláudia Teixeira, Henrique Rosa, Helena Santos, Mário Antunes, Luís |
dc.subject.por.fl_str_mv |
Síndrome de Apneia Obstrutiva do Sono SAOS Posicional Obstructive sleep apnea OSA Positional |
topic |
Síndrome de Apneia Obstrutiva do Sono SAOS Posicional Obstructive sleep apnea OSA Positional |
description |
Objectives: To compare the prevalence of Positional Obstructive Sleep Apnea (P-OSA) based on different definitions and to identify the main factors independently associated with P-OSA and exclusive POSA (Pe-OSA). Study Design: Retrospective study. Material and Methods: Analysis of the type 3 polysomnography (PSG) recordings of adult patients performed between 2020 and 2021 at the Otorhinolaryngology Department of Hospital Garcia de Orta. P-OSA was defined by APOC criteria and Pe-OSA was defined as APOC I. Results: 245 PSG were evaluated, with a mean age of 57 years and 64.9% of male patients. The prevalence of P-OSA was 55.5%, 38% of whom had Pe-OSA. Patients with P-OSA were younger (OR=0.971), slept mostly in the supine position (OR=1.031), had lower Body Mass Index (BMI) (OR=0.882), Apnea/Hypopnea Index (AHI), oxygen desaturation index (OR=0.964), mean desaturation drop, and shorter snoring time (p<0.05). The most significant predictors of Pe-OSA were a lower oxygen desaturation index (OR=0.879) and longer time in the supine position (OR=1.031). Conclusions: Patients with P-OSA and Pe-OSA are younger, less obese and have less severe conditions, being respectively candidates for improvement or resolution of their disease using positioners. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-16 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34631/sporl.1065 https://doi.org/10.34631/sporl.1065 |
url |
https://doi.org/10.34631/sporl.1065 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://journalsporl.com/index.php/sporl/article/view/2006 https://journalsporl.com/index.php/sporl/article/view/2006/9 https://journalsporl.com/index.php/sporl/article/view/2006/10 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
dc.source.none.fl_str_mv |
Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 1 (2023): March; 31-38 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 1 (2023): Março; 31-38 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 1 (2023): Março; 31-38 2184-6499 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799134655696338944 |