OPPORTUNITIES FOR EARLY OUTPATIENT DIAGNOSTICS OF OBSTRUCTIVE SLEEP DISORDERED BREATHING
Aim. To evaluate the prevalence of possible obstructive respiratory disorder during sleep in outpatients by the data from computed monitoring pulse oxymetry (CPO) and questionnaires.Material and methods. To the open one stage non-randomized comparative study, 175 patients included: 37,1% males, 62,9...
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«SILICEA-POLIGRAF» LLC
2018-06-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/793 |
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| author | V. N. Larina T. N. Mironova E. M. Elfimova T. A. Alekseeva I. V. Starostin V. P. Sidorova A. Yu. Litvin |
| author_facet | V. N. Larina T. N. Mironova E. M. Elfimova T. A. Alekseeva I. V. Starostin V. P. Sidorova A. Yu. Litvin |
| author_sort | V. N. Larina |
| collection | DOAJ |
| description | Aim. To evaluate the prevalence of possible obstructive respiratory disorder during sleep in outpatients by the data from computed monitoring pulse oxymetry (CPO) and questionnaires.Material and methods. To the open one stage non-randomized comparative study, 175 patients included: 37,1% males, 62,9% females, age 55,1±11,1 y.o., visiting a clinician office at outpatient facility. Sleep disordered breathing of obstructive origin was diagnosed with a survey, modified Stradling questionnaire and CPO; and excessive daytime sleepiness — with Epworth score. For confirmation of obstructive sleep apnea (OSA), a bifunctional monitoring was performed (BM) with further comparison of the data with CPO results.Results. Chronic hypoxemia at night by CPO was found in 71,4% patients, and probability of OSA moderate and severe — in 42,8% patients. By the modified Stradling, OSA was predicted in 57,7%, by Epworth, the daytime sleepiness was found in 11,4%. Mild OSA in BM was found in 8,9%, moderate — 14,7%, severe — 20,6%. The data from CPO matched with BM in 80% patients. Sensitivity of CPO for nocturnal hypoxemia of various severity was 92,4%, specificity — 76,4%; sensitivity of the Stradling questionnaire — 88,9%, specificity — 88,2%. Sensitivity of Epworth score — 27,8%, specificity — 82,4%.Conclusion. Chronic nocturnal hypoxemia was found in 71,4%, and probability of moderate and severe OSA — in 42,8% in outpatients with internal diseases profile. CPO and Stradling questionnaire can be applied as diagnostic instruments for OSA at outpatient stage. |
| format | Article |
| id | doaj-art-8a76c764f43446d69fb1d092b2e41da1 |
| institution | Kabale University |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2018-06-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-8a76c764f43446d69fb1d092b2e41da12025-08-20T03:35:47Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252018-06-01173384510.15829/1728-8800-2018-3-38-45568OPPORTUNITIES FOR EARLY OUTPATIENT DIAGNOSTICS OF OBSTRUCTIVE SLEEP DISORDERED BREATHINGV. N. Larina0T. N. Mironova1E. M. Elfimova2T. A. Alekseeva3I. V. Starostin4V. P. Sidorova5A. Yu. Litvin6N. I. Pirogov Russian National Research Medical University (RNRMU) of the Ministry of HealthN. I. Pirogov Russian National Research Medical University (RNRMU) of the Ministry of HealthNational Medical Research Center of Cardiology of the Ministry of HealthNational Medical Research Center of Cardiology of the Ministry of HealthLLC “Three Generations Clinic”Diagnostic Clinical Center № 1 of MoscowN. I. Pirogov Russian National Research Medical University (RNRMU) of the Ministry of Health; National Medical Research Center of Cardiology of the Ministry of HealthAim. To evaluate the prevalence of possible obstructive respiratory disorder during sleep in outpatients by the data from computed monitoring pulse oxymetry (CPO) and questionnaires.Material and methods. To the open one stage non-randomized comparative study, 175 patients included: 37,1% males, 62,9% females, age 55,1±11,1 y.o., visiting a clinician office at outpatient facility. Sleep disordered breathing of obstructive origin was diagnosed with a survey, modified Stradling questionnaire and CPO; and excessive daytime sleepiness — with Epworth score. For confirmation of obstructive sleep apnea (OSA), a bifunctional monitoring was performed (BM) with further comparison of the data with CPO results.Results. Chronic hypoxemia at night by CPO was found in 71,4% patients, and probability of OSA moderate and severe — in 42,8% patients. By the modified Stradling, OSA was predicted in 57,7%, by Epworth, the daytime sleepiness was found in 11,4%. Mild OSA in BM was found in 8,9%, moderate — 14,7%, severe — 20,6%. The data from CPO matched with BM in 80% patients. Sensitivity of CPO for nocturnal hypoxemia of various severity was 92,4%, specificity — 76,4%; sensitivity of the Stradling questionnaire — 88,9%, specificity — 88,2%. Sensitivity of Epworth score — 27,8%, specificity — 82,4%.Conclusion. Chronic nocturnal hypoxemia was found in 71,4%, and probability of moderate and severe OSA — in 42,8% in outpatients with internal diseases profile. CPO and Stradling questionnaire can be applied as diagnostic instruments for OSA at outpatient stage.https://cardiovascular.elpub.ru/jour/article/view/793nocturnal hypoxemiacomputed pulse oximetrybifunctional monitoringsleep disordered breathing |
| spellingShingle | V. N. Larina T. N. Mironova E. M. Elfimova T. A. Alekseeva I. V. Starostin V. P. Sidorova A. Yu. Litvin OPPORTUNITIES FOR EARLY OUTPATIENT DIAGNOSTICS OF OBSTRUCTIVE SLEEP DISORDERED BREATHING Кардиоваскулярная терапия и профилактика nocturnal hypoxemia computed pulse oximetry bifunctional monitoring sleep disordered breathing |
| title | OPPORTUNITIES FOR EARLY OUTPATIENT DIAGNOSTICS OF OBSTRUCTIVE SLEEP DISORDERED BREATHING |
| title_full | OPPORTUNITIES FOR EARLY OUTPATIENT DIAGNOSTICS OF OBSTRUCTIVE SLEEP DISORDERED BREATHING |
| title_fullStr | OPPORTUNITIES FOR EARLY OUTPATIENT DIAGNOSTICS OF OBSTRUCTIVE SLEEP DISORDERED BREATHING |
| title_full_unstemmed | OPPORTUNITIES FOR EARLY OUTPATIENT DIAGNOSTICS OF OBSTRUCTIVE SLEEP DISORDERED BREATHING |
| title_short | OPPORTUNITIES FOR EARLY OUTPATIENT DIAGNOSTICS OF OBSTRUCTIVE SLEEP DISORDERED BREATHING |
| title_sort | opportunities for early outpatient diagnostics of obstructive sleep disordered breathing |
| topic | nocturnal hypoxemia computed pulse oximetry bifunctional monitoring sleep disordered breathing |
| url | https://cardiovascular.elpub.ru/jour/article/view/793 |
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