폐쇄성 수면무호흡증 환자의 과도한 주간졸음의 예측인자
Excessive Daytime Sleepiness in Patients with Obstructive Sleep Apnea
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Excessive daytime sleepiness (EDS) is a well-recognized consequence of obstructive sleep apnea. EDS is considered an important health problem leading to impaired concentration, accidents, and poor quality of life. The aim of this study is to evaluate EDS and know the correalation between EDS and polysomnographic findings. 150 patients who visited our sleep clinic for snoring or sleep apnea were studied. Among them, 93 patients were included who had no history of previous diagnosis and treatment of OSA (Obstructive sleep apnea) and whose AHI (Apnea-Hypopnea Index) was more than 5 checked on polysomnography (PSG) had newly diagnosed as OSA. They completed sleep questionnaires and overnight PSG. The association between EDS and other data from PSG and demographic data were further assessed by correalation analysis. There were 93 patients comprising 75(80.1)% males and 18(19.9)% females. Their mean age was 44±1.4years, and co-morbidity index was 0.2±0.5. EDS was demonstrated in 34(36.6%). The EDS correlated poorly with PSG variables, demographic data, and comorbidity. To assess the EDS appropriately, further studies including follow up PSG would be needed.
Abstract
Excessive daytime sleepiness (EDS) is a well-recognized consequence of obstructive sleep apnea. EDS is considered an important health problem leading to impaired concentration, accidents, and poor quality of life. The aim of this study is to evaluate EDS and know the correalation between EDS and polysomnographic findings. 150 patients who visited our sleep clinic for snoring or sleep apnea were studied. Among them, 93 patients were included who had no history of previous diagnosis and treatment of OSA (Obstructive sleep apnea) and whose AHI (Apnea-Hypopnea Index) was more than 5 checked on polysomnography (PSG) had newly diagnosed as OSA. They completed sleep questionnaires and overnight PSG. The association between EDS and other data from PSG and demographic data were further assessed by correalation analysis. There were 93 patients comprising 75(80.1)% males and 18(19.9)% females. Their mean age was 44±1.4years, and co-morbidity index was 0.2±0.5. EDS was demonstrated in 34(36.6%). The EDS correlated poorly with PSG variables, demographic data, and comorbidity. To assess the EDS appropriately, further studies including follow up PSG would be needed.
참고문헌 (20)
- American Academy of Sleep Medicine, "The international classification of sleep disorders, revised: diagnostic and coding manual", American Academy of Sleep Medicine, ~ (2001)
- Redline S, "Recognition and consequences of obstructive sleep apnea hyponea syndrome", Clin Chest Med, 19, pp.1~19 (1998)
- Bassiri AG, "Principles and Practice of Sleep Medicine", pp.869~878 (2000), Saunders
- Strollo PJ Jr, "Obstructive sleep apnea", N Engl J Med, 334, pp.99~104 (1996)
- Schafer H, "Sleep-related myocardial ischemia and sleep structure in patients with obstructive sleep apnea and coronary heart disease", Chest, 111, pp.387~393 (1997)
- Findley LJ, "Automobile accidents involving patients with obstructive sleep apnea", Am Rev Respir Dis, 138, pp.337~340 (1988)
- Stoohs RA, "Sleep and sleep-disordered breathing in commercial long-haul truck drivers", Chest, 107(5), pp.1275~1282 (1995)
- National commission on Sleep disorders Research, "Wake up America:a national sleep alert", Department of Health and Human services, ~ (1992)
- 심은정, "습관적 코골이를 가지고 있는 환자들에서 주간졸리움의 빈도 및 관련 인자", 대한신경과학회지, 25(4), pp.488~493 (2007), 대한신경과학회
- Charlson ME, "A new method of classifying prognostic comorbidity in longitudinal studies: development and validation", J Chronic Dis, 40, pp.373~383 (1987)
- American Sleep Disorders Association Atlas Task Force, "EEG arousals: scoring rules and examples", Sleep, 15, pp.173~184 (1992)
- Wise MS, "Objective measures of sleepiness and wakefulness:application to the real world?", J Clin Neurophysiol, 23(1), pp.39~49 (2006)
- McNicholas WT, "Obstructive sleep apnoea syndrome:Translating science to clinical practice", Respirology, 11, pp.136~144 (2006)
- Johns MW, "Rethinking the assessment of sleepiness", Sleep Med Rev, 2, pp.3~15 (1998)
- Thorpy MJ, "The clinical use of multiple sleep latency test. The standards of practice committee of the American Sleep Disorders Association", Sleep, 15, pp.268~276 (1992)
- Johns MW, "Sensitivity and specificity of the multiple sleep latency test (MSLT), the maintenance of wakefulness test and the Epworth sleepiness scale: Failure of the MSLT as a glod standard", J Slppe Res, 9, pp.5~11 (2000)
- Johns MW, "Reliability and factor analysis of the Epworth Sleepiness scale", Sleep, 15, pp.276~281 (1992)
- Johns MW, "Reply", J Sleep Res, 9, pp.399~401 (2000)
- U. Seneviratne, "Excessive daytime sleepiness in obstructive sleep apnea: prevalence", severity, and predictors Sleep Med, 5, pp.339~343 (2004)
- Stenowsky CJ, "Nightly variability of sleep-disordered breathing measured over 3 nights", Otolaryngol Head and Neck Surg, 131, pp.837~843 (2004)