Diagnostic evaluation of patients with obstructive sleep apnoea: Our experience
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 10, Issue 2
Abstract
Background: Sleep related disorders like insomnia, narcolepsy, restless leg syndrome, and sleep apneoa, lead to reduced quality of life and productivity as well as increased use of health care services. Obstructive sleep apnoea (OSA) is increasingly being recognized as an important health issue in adults. Aim: The aim of this study was to evaluate the high-risk patients of obstructive sleep apnoea with full night polysomnography. Materials and Methods: This prospective study was conducted by the department of Otorhinolaryngology and pulmonology, Shri Mata Vaishno Devi Narayana Superspeciality Hospital, Katra, Jammu during which a total of forty patients were considered on the basis of clinical suspicion of obstructive sleep disordered breathing. All the patients were thoroughly evaluated and diagnosed by using gold standard diagnostic tool of full night polysomnography. Results: In our study males were more common than females. Most of our patients were in the age group of 41-55years. Snoring, excessive day time sleepiness and disturbed sleep were the most common symptoms. Mean BMI was 33.25± 2.36 Kg/m2. The mean neck circumference was 35.2 ± 3.6 cm. Mean preoperative Epworth Sleepiness Scale was 14.0 ± 2.86. The Polysomnography AHI mean Score/hour had value of 50.25 ± 8.36. Conclusion: This study suggests that the external neck circumference and the degree of obesity determined through BMI measurement may be important predictors of sleep apneoa in adult. Also a strong statistically significant correlation was seen between the severity of OSAS on AHI scale and neck circumference, BMI and ESS.
Authors and Affiliations
Nitika Gupta, Abhinav Sharma, Rohan Gupta
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