Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan Africa
INTRODUCTION: The impact of Obstructive sleep apnea (OSA) in worsening outcomes is profound, especially in the presence of comorbid conditions. This study aimed to describe the proportion of patients at a high risk of OSA in our practice setting. METHODS: The STOP BANG questionnaire and the Epworth...
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| Format: | Article |
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The Pan African Medical Journal
2014-04-01
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| Series: | The Pan African Medical Journal |
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https://www.panafrican-med-journal.com/content/article/17/302/pdf/302.pdf
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| author | Obianuju Beatrice Ozoh Njideka Ulunma Okubadejo Ayesha Omolara Akinkugbe Oluwadamilola Omolara Ojo Chinyere Nkiru Asoegwu Casmir Amadi Ifedayo Odeniyi Amam Chinyere Mbakwem |
| author_facet | Obianuju Beatrice Ozoh Njideka Ulunma Okubadejo Ayesha Omolara Akinkugbe Oluwadamilola Omolara Ojo Chinyere Nkiru Asoegwu Casmir Amadi Ifedayo Odeniyi Amam Chinyere Mbakwem |
| author_sort | Obianuju Beatrice Ozoh |
| collection | DOAJ |
| description | INTRODUCTION: The impact of Obstructive sleep apnea (OSA) in worsening outcomes is profound, especially in the presence of comorbid conditions. This study aimed to describe the proportion of patients at a high risk of OSA in our practice setting. METHODS: The STOP BANG questionnaire and the Epworth Sleepiness scale were used to assess for OSA risk and excessive daytime sleepiness respectively. Hospitalized patients and out-patients were recruited. Intergroup differences in continuous variables were compared using the analysis of variance. The proportion of patients with high risk of OSA and excessive daytime sleepiness was presented as frequencies and group differences compared with the Pearson Ç02 test. Independent risk predictors for OSA were assessed in multivariate logistic regression analysis. RESULTS: A total of 1100 patients (53.4% females) participated in the study. Three hundred and ninety nine (36.3%) had a high risk of OSA, and 268 (24.4%) had excessive daytime sleepiness. Of the participants with high OSA risk, 138 (34.6%) had excessive daytime sleepiness compared to 130 (18.5%) of those with low OSA risk (p=0.0001). Age above 65 years, excessive daytime sleepiness, abdominal adiposity, resistant hypertension and high overall cardiovascular risk were independent determinants of a high OSA risk. The magnitude of risk associated with these independent predictors of high risk (Odds ratio) was highest for persons aged above 65 years, those with excessive day time sleepiness, and presence of abdominal adiposity. CONCLUSION: A significant proportion of patients attending our tertiary care center are at high risk of OSA. |
| first_indexed | 2024-12-10T17:36:16Z |
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| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-10T17:36:16Z |
| publishDate | 2014-04-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-25b43f70a4074478b1eb21af1b565d252022-12-22T01:39:31ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882014-04-011730210.11604/pamj.2014.17.302.28982898Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan AfricaObianuju Beatrice Ozoh0Njideka Ulunma Okubadejo1Ayesha Omolara Akinkugbe2Oluwadamilola Omolara Ojo3Chinyere Nkiru Asoegwu4Casmir Amadi5Ifedayo Odeniyi6Amam Chinyere Mbakwem7 Departments of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos State, Nigeria Departments of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos State, Nigeria Departments of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos State, Nigeria Departments of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos State, Nigeria Departments Surgery, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos State, Nigeria Departments of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos State, Nigeria Departments of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos State, Nigeria Departments of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos State, Nigeria INTRODUCTION: The impact of Obstructive sleep apnea (OSA) in worsening outcomes is profound, especially in the presence of comorbid conditions. This study aimed to describe the proportion of patients at a high risk of OSA in our practice setting. METHODS: The STOP BANG questionnaire and the Epworth Sleepiness scale were used to assess for OSA risk and excessive daytime sleepiness respectively. Hospitalized patients and out-patients were recruited. Intergroup differences in continuous variables were compared using the analysis of variance. The proportion of patients with high risk of OSA and excessive daytime sleepiness was presented as frequencies and group differences compared with the Pearson Ç02 test. Independent risk predictors for OSA were assessed in multivariate logistic regression analysis. RESULTS: A total of 1100 patients (53.4% females) participated in the study. Three hundred and ninety nine (36.3%) had a high risk of OSA, and 268 (24.4%) had excessive daytime sleepiness. Of the participants with high OSA risk, 138 (34.6%) had excessive daytime sleepiness compared to 130 (18.5%) of those with low OSA risk (p=0.0001). Age above 65 years, excessive daytime sleepiness, abdominal adiposity, resistant hypertension and high overall cardiovascular risk were independent determinants of a high OSA risk. The magnitude of risk associated with these independent predictors of high risk (Odds ratio) was highest for persons aged above 65 years, those with excessive day time sleepiness, and presence of abdominal adiposity. CONCLUSION: A significant proportion of patients attending our tertiary care center are at high risk of OSA. https://www.panafrican-med-journal.com/content/article/17/302/pdf/302.pdf obstructive sleep apneaexcessive day time sleepinesstertiary hospitalnigeria |
| spellingShingle | Obianuju Beatrice Ozoh Njideka Ulunma Okubadejo Ayesha Omolara Akinkugbe Oluwadamilola Omolara Ojo Chinyere Nkiru Asoegwu Casmir Amadi Ifedayo Odeniyi Amam Chinyere Mbakwem Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan Africa The Pan African Medical Journal obstructive sleep apnea excessive day time sleepiness tertiary hospital nigeria |
| title | Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan Africa |
| title_full | Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan Africa |
| title_fullStr | Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan Africa |
| title_full_unstemmed | Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan Africa |
| title_short | Prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in Sub-Saharan Africa |
| title_sort | prospective assessment of the risk of obstructive sleep apnea in patients attending a tertiary health facility in sub saharan africa |
| topic | obstructive sleep apnea excessive day time sleepiness tertiary hospital nigeria |
| url |
https://www.panafrican-med-journal.com/content/article/17/302/pdf/302.pdf
|
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