Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study

Abstract Introduction Obstructive sleep apnea (OSA) is characterized by partial or complete recurrent upper airway obstruction during sleep. OSA brings many adverse consequences, such as hypertension, obesity, diabetes mellitus, cardiac and encephalic alterations, behavioral, among othe...

Full description

Bibliographic Details
Main Authors: José Antonio Pinto, Davi Knoll Ribeiro, Andre Freitas da Silva Cavallini, Caue Duarte, Gabriel Santos Freitas
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2016-03-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1579546
_version_ 1819057188670275584
author José Antonio Pinto
Davi Knoll Ribeiro
Andre Freitas da Silva Cavallini
Caue Duarte
Gabriel Santos Freitas
author_facet José Antonio Pinto
Davi Knoll Ribeiro
Andre Freitas da Silva Cavallini
Caue Duarte
Gabriel Santos Freitas
author_sort José Antonio Pinto
collection DOAJ
description Abstract Introduction Obstructive sleep apnea (OSA) is characterized by partial or complete recurrent upper airway obstruction during sleep. OSA brings many adverse consequences, such as hypertension, obesity, diabetes mellitus, cardiac and encephalic alterations, behavioral, among others, resulting in a significant source of public health care by generating a high financial and social impact. The importance of this assessment proves to be useful, because the incidence of patients with comorbidities associated with AOS has been increasing consistently and presents significant influence in natural disease history. Objective The objective of this study is to assess major comorbidities associated with obstructive sleep apnea (OSA) and prevalence in a group of patients diagnosed clinically and polysomnographically with OSA. Methods This is a retrospective study of 100 charts from patients previously diagnosed with OSA in our service between October 2010 and January 2013. Results We evaluated 100 patients with OSA (84 men and 16 women) with a mean age of 50.05 years (range 19–75 years). The prevalence of comorbidities were hypertension (39%), obesity (34%), depression (19%), gastroesophageal reflux disease (GERD) (18%), diabetes mellitus (15%), hypercholesterolemia (10%), asthma (4%), and no comorbidities (33%). Comorbidities occurred in 56.2% patients diagnosed with mild OSA, 67.6% with moderate OSA, and 70% of patients with severe OSA. Conclusion According to the current literature data and the values obtained in our paper, we can correlate through expressive values obesity with OSA and their apnea hypopnea index (AHI) values. However, despite significant prevalence of OSA with other comorbidities, our study could not render expressive significance values able to justify their correlations.
first_indexed 2024-12-21T13:35:20Z
format Article
id doaj.art-923843f8bfef45ce8677ef9f34189b0a
institution Directory Open Access Journal
issn 1809-9777
1809-4864
language English
last_indexed 2024-12-21T13:35:20Z
publishDate 2016-03-01
publisher Thieme Revinter Publicações Ltda.
record_format Article
series International Archives of Otorhinolaryngology
spelling doaj.art-923843f8bfef45ce8677ef9f34189b0a2022-12-21T19:02:11ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642016-03-01200214515010.1055/s-0036-1579546Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective StudyJosé Antonio Pinto0Davi Knoll Ribeiro1Andre Freitas da Silva Cavallini2Caue Duarte3Gabriel Santos Freitas4Department of Otolaryngology, Nucleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo, São Paulo, SP, BrazilDepartment of Otolaryngology, Nucleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo, São Paulo, SP, BrazilDepartment of Otolaryngology, Nucleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo, São Paulo, SP, BrazilDepartment of Otolaryngology, Nucleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo, São Paulo, SP, BrazilDepartment of Otolaryngology, Nucleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo, São Paulo, SP, BrazilAbstract Introduction Obstructive sleep apnea (OSA) is characterized by partial or complete recurrent upper airway obstruction during sleep. OSA brings many adverse consequences, such as hypertension, obesity, diabetes mellitus, cardiac and encephalic alterations, behavioral, among others, resulting in a significant source of public health care by generating a high financial and social impact. The importance of this assessment proves to be useful, because the incidence of patients with comorbidities associated with AOS has been increasing consistently and presents significant influence in natural disease history. Objective The objective of this study is to assess major comorbidities associated with obstructive sleep apnea (OSA) and prevalence in a group of patients diagnosed clinically and polysomnographically with OSA. Methods This is a retrospective study of 100 charts from patients previously diagnosed with OSA in our service between October 2010 and January 2013. Results We evaluated 100 patients with OSA (84 men and 16 women) with a mean age of 50.05 years (range 19–75 years). The prevalence of comorbidities were hypertension (39%), obesity (34%), depression (19%), gastroesophageal reflux disease (GERD) (18%), diabetes mellitus (15%), hypercholesterolemia (10%), asthma (4%), and no comorbidities (33%). Comorbidities occurred in 56.2% patients diagnosed with mild OSA, 67.6% with moderate OSA, and 70% of patients with severe OSA. Conclusion According to the current literature data and the values obtained in our paper, we can correlate through expressive values obesity with OSA and their apnea hypopnea index (AHI) values. However, despite significant prevalence of OSA with other comorbidities, our study could not render expressive significance values able to justify their correlations.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1579546apneacomorbiditypolysomnographysleep
spellingShingle José Antonio Pinto
Davi Knoll Ribeiro
Andre Freitas da Silva Cavallini
Caue Duarte
Gabriel Santos Freitas
Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study
International Archives of Otorhinolaryngology
apnea
comorbidity
polysomnography
sleep
title Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study
title_full Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study
title_fullStr Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study
title_full_unstemmed Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study
title_short Comorbidities Associated with Obstructive Sleep Apnea: a Retrospective Study
title_sort comorbidities associated with obstructive sleep apnea a retrospective study
topic apnea
comorbidity
polysomnography
sleep
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1579546
work_keys_str_mv AT joseantoniopinto comorbiditiesassociatedwithobstructivesleepapneaaretrospectivestudy
AT daviknollribeiro comorbiditiesassociatedwithobstructivesleepapneaaretrospectivestudy
AT andrefreitasdasilvacavallini comorbiditiesassociatedwithobstructivesleepapneaaretrospectivestudy
AT caueduarte comorbiditiesassociatedwithobstructivesleepapneaaretrospectivestudy
AT gabrielsantosfreitas comorbiditiesassociatedwithobstructivesleepapneaaretrospectivestudy