RT Journal Article
SR Electronic
T1 Use of clinical predictors on diagnosis of OSAS in patients with chronic obstructive pulmonary disease, asthma and cardiovascular diseases
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2272
VO 44
IS Suppl 58
A1 Hamdy Ali Mohammadien Mahmoud
A1 Suzan S. Salama
A1 Aza A. Mohammad
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P2272.abstract
AB Objective: The aim of this study was to identify predictors for the diagnosis of OSASin patients with COPD, asthma and CVD.Methods: This studyincluded 180 patients, 60 COPD, 60 asthmatics and 60 patients with CVD without previously diagnosed OSA. We evaluated a questionnaire on the clinical predictors of the obstructive sleep apnea syndrome (OSAS) and anthropometric, arterial blood gases &pul.F parameters.Results: The multivariable logistic regression revealedthat Snoring & nocturia are a predictors for high ESS more than 10 in cardiac patients, uncontrolled DM and hypertension only in asthmatic patients and uncontrolled hypertension among all patients. D.M, Uncontrolled DM, Nocturia, poor memory & hypertension in COPD, Headache & hypertension, uncontrolled hypertension in all patients, & nocturia, Uncontrolled DM, poor memory in asthmatic are a strong predictors for high risk Berlines and STOP Bang questionnaire. Nocturia is strong predictor for high risk ASA Checklist in all patients, headache in cardiac patients,while poor memory, hypertension and D.M. in COPD.BMI, neck & waist circumference cannot be used as a possible predictors in cardiac patients, while in asthmatics waist circumference can be used.PaO2 and SaO2% at 12 am can predict day time sleepiness in all patients. PaCO2, PaO2 and SaO2% at 12 am were a predictors of high risk of OSAS using STOP Bang, Berlines and ASA Checklist.FEV1 was a significant predictor of high OSAS risk using high ESS & ASA Checklist in COPD not in asthmatics.Conclusions: We found that many predictors along with the used questionnaires can be utilized to predict the probability of having OSAS.