Assessment of the Impact of Different Diagnostic Definitions on REM-related Obstructive Sleep Apnea: Board versus Restricted?

Journal Title: Journal of Turkish Sleep Medicine - Year 2020, Vol 7, Issue 3

Abstract

Objective: To evaluate the differences in demographic and polysomnographic (PSG) features between the board and restricted definitions of rapid eye movement (REM)-related obstructive sleep apnea (OSA), and whether different diagnostic criteria lead to different clinical classifications and treatment approaches. Materials and Methods: A total of 1096 patient files were screened for REM-related OSA. Patients with REM-related OSA were included in the study and classified into two groups according to the board and restricted definition of REM-related OSA. Demographic and PSG features and treatment approaches were compared between both groups. Results: This study Included a total of 154 patients: 33 (21.4%) were classified as restricted REM-related and 121 (78.6%) as board REM-related OSA. There were no differences between the two groups in terms of age (p=0.061), sex (p=0.274), Body Mass index (p=0.055), and co-morbidities (p=0.299). Significant differences were observed between the groups with regard to Epworth Sleepiness scale (p=0.033). The total Apne-hipopne index (AHI), AHIREM, and AHINREM in the board REM-related OSA group were significantly higher than those in the restricted REM-related OSA group (p<0.001). Treatment with only lifestyle interventions was recommended to fifty-one (35.1%) patients, whereas positive airway passage therapy was recommended to 100 (64.9%) patients. Forty-one (26.6%) patients refused PAP titration. Lifestyle interventions only were recommended more commonly to patients with restricted REM-related OSA than to those with board REM-related OSA (p=0.004). Conclusion: The restricted definition of REM-related OSA yields milder but sleepy patients compared with the board definition. Particular attention should be given to sleepy patients with milder REM-related OSA with regard to the treatment options. Not only lifestyle interventions, but also PAP therapy should be considered in the treatment of patients who are sleepier.

Authors and Affiliations

Burcu Oktay Arslan, Özlem Yalnız, Zeynep Zeren Uçar Hoşgör

Keywords

Related Articles

Evaluation of the Relationship Between the Use of Portable Electronic Devices and Sleep in Students Six-Twelve Years of Age

Objective: This study investigated the relationship between the use of portable electronic devices (PED) and sleep in students aged 6-12 years. Materials and Methods: The study was a cross-sectional online survey involv...

Daytime Sleepiness and Related Risk Factors in High School Students

Objective: This study aims to determine the relationship between certain risk factors and the daytime sleepiness of high school students. Materials and Methods: This is a descriptive-relational study, which was conducte...

The Relationship Between Restless Legs Syndrome and Cardiovascular Risk Factors

Objective: Restless Legs syndrome (RLS) is one of the common sleep disorders in the community. There are many studies on the relationship between sleep disorders and diabetes, hypertension, hyperlipidemia, obesity, and m...

Effects of Combined Profiles Derived from Sleep Quality and Disorders on Non-suicidal Self-injury (NSSI) Behaviors

Objective: The current study aims to evaluate the effects of combined profiles derived from sleep quality and disorders on non-suicidal selfinjury (NSSI). Materials and Methods: The statistical population of this cross-...

The Effect of Stress Perceived by Adults Due to the COVID-19 Pandemic on Their Sleep Quality

Objective: Coronavirus disease-2019 (COVID-19) causes stress, anxiety, depression and sleep disturbance as well as common physical health problems. This study aimed to determine the effect of stress perceived by adults d...

Download PDF file
  • EP ID EP688922
  • DOI 10.4274/jtsm.galenos.2020.70894
  • Views 156
  • Downloads 0

How To Cite

Burcu Oktay Arslan, Özlem Yalnız, Zeynep Zeren Uçar Hoşgör (2020). Assessment of the Impact of Different Diagnostic Definitions on REM-related Obstructive Sleep Apnea: Board versus Restricted?. Journal of Turkish Sleep Medicine, 7(3), -. https://europub.co.uk/articles/-A-688922