Apresentação clínica de pacientes obesos com diagnóstico polissonográfico de apnéia obstrutiva do sono

Gregório, Paloma Baiardi; Athanazio, Rodrigo Abensur; Bitencourt, Almir Galvão Vieira; Neves, Flávia Baroni; Daltro, Carla; Alves, Erivaldo; Hora, Francisco

doi:10.1590/s0004-27302007000700007

Cited by 5 publications

(5 citation statements)

References 24 publications

(22 reference statements)

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“…Other study identified mild sleep disturbance in 21.9% of obese patients, moderate in 28.8% and severe in 49.3% (23) . The disparity in the number of patients affected between our study and the others is mainly due to the evaluation method used.…”

Section: Discussionmentioning

confidence: 85%

“…The preoperative evaluation of SD is of paramount importance, requiring more attention to patients with OSAHS in the pre, intra and postoperative management of these patients (23)(24)(25)(26)(27) . Caution should be exercised when administering drugs used as anesthetics and analgesics, which may induce hypotonia of the dilator muscles of the pharynx, and also depress the respiratory center, causing hypopnea and desaturation.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of sleep disorders in obese before bariatric surgery.

Carlos¹,

Oliver²,

Cruz³

et al. 2020

mtprehabjournal

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Introduction:The prevalence of sleep disorders (SD) has increased significantly in recent decades in parallel to the worldwide obesity epidemic. The presence of SD provides an increased risk of postoperative complications, requiring greater care in these patients. The gold standard for evaluation and diagnosis of SD is polysomnography, but it is an expensive and highly complex exam, making the questionnaires and scales more accessible for diagnosis and screening. Objectives: To evaluate the presence of SD and to analyze the influence of anthropometric measures on the scores of the Epworth Sleepiness Scale (ESS), snoring (ERS) and Stanford Sleepiness Scale (SSS) in obese patients. Method: An observational, cross-sectional study performed from August 2015 to August 2016. The patients in the preoperative group of bariatric surgery of the University Hospital were submitted to anthropometric evaluation and application of the ESS, ERS and SSS during the preoperative physiotherapy evaluation. Results: Were evaluated 100 obese (78 women), mean age of 41.4±10.7 years and BMI of 46.1±7.8kg/m 2 . SD were identified in 25% by ESS and 21% by SSS of obese. There were no differences between genders for the scales scores. The score of the ERS correlated itself with waist (r=0.20, p=0.04) and neck (r=0.33, p=0.001) circumferences. Conclusion: The use of scales for diagnosis of SD is useful in the follow-up of the preoperative of bariatric surgery and our study found that 25% of patients present daytime somnolence. We also observed the influence of waist and neck circumferences on increasing snoring scale.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Prevalence of sleep disorders in obese before bariatric surgery.

Carlos¹,

Oliver²,

Cruz³

et al. 2020

mtprehabjournal

View full text Add to dashboard Cite

show abstract

“…Sleep efficiency was satisfactory when reached greater than or equal to 70% of the night's sleep, while the REM sleep were considered satisfactory when it between 20 and 25% of the sleep 10 .…”

Section: Resultsmentioning

confidence: 99%

“…The PSG shows the apnea-hypopnea index (AHI), the Oxy-hemoglobin desaturation, the arousals, the percentages of sleep stages, the electrocardiogram, the record of snoring and body position. All this levels are relevant for our study as long as they allow to draw a profile of patients who underwent to the examination 3,[8][9][10] .…”

Section: Methodsmentioning

confidence: 99%

Aparelhos orais de protrusão mandibular ? IAH, eficiência do sono, sono REM e oxigenação de usuários

et al. 2014

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Objetivo: avaliar parâmetros polissonográficos de pacientes com indicação para uso de AOPMs.Métodos: estudaram-se, retrospectivamente, os dados de prontuários com base em itens que compunham a polissonografia de 124 pacientes com idade entre 25 e 77 anos, que não estavam fazendo nenhum tratamento para distúrbios do sono. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da instituição de origem (CAE n o 0378.0.133.000-10).Resultados: 46,8% dos pesquisados tinham diagnóstico de apnéia leve, 91,8% roncavam e tinha uma eficiência do sono insatisfatória. Dos pacientes que roncavam, a quase totalidade apresentava SAHOS. A menor saturação de oxigênio durante o exame variou entre 60% e 97%, com mais de quatro quintos da amostra com índices abaixo de 90%.Conclusão: não houve relação significante entre os índices de apnéia e os níveis de saturação de oxi-hemoglobina. A eficiência do sono esteve diretamente relacionada à severidade da SAHOS, com evidências estatísticas; a oximetria pode ser um valioso instrumento para o diagnóstico da SAHOS, mas não pode ser única fonte para referenciar a gravidade da síndrome; o sono REM foi insatisfatório na maioria dos pesquisados, e este esteve significantemente relacionado à eficiência do sono.

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“…dysfunction and metabolic dysregulation associated with varied symptoms, mainly daytime sleepiness, nocturnal awakening, and nocturnal suffocation, especially in the long term 12,13 . Even so, most patients with the syndrome are asymptomatic, which does not mean a milder disease 13 .…”

mentioning

confidence: 99%

Polysonographic changes in obese patients with indication of bariatric surgery

Fernandes

Rocha

Milet

et al. 2021

Rev. Col. Bras. Cir.

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Introduction: obstructive Sleep Apnea Syndrome (OSAS) is a serious confition that compromises the quality of life and survival of patients. Its main risk fator in adults is obesity and the gold standard test for diagnosis is polysomnography (PSG), mainly through the apneia-hypopnea index (AHI). Objective: to analyze the sleep pattern of obese patients with indication for bariatric surgery, determining the main polisomnographic parameters compromised by obesity. Methods: This work is a cross-sectional study with analysis of polysomnography perfomed in patients with obesity in the peroperative period of bariatric surgery at a clinic in Vitória da Conquista/BA during 2017. The Epi Info 7 platform was used for analysis of the data. Results: 58 polysomnographic reports were analyzed, with 56,9% morbdly obese and 43,1% non-morbid. The prevalence of OSAS was 70,68% and de AHI ranged from zero to 84,6 with a mean of 19,47±22,89 e/h. morbidly obese, compared to “non-morbid”, had a longer saturation time below 80% and 90% (0,4±0,93 vs. 0,12±0,45 e 4,87±7,38 vs. 1,36±2,87 respectively; p-value=0,02 in both), worse index respiratory disorders ((29,24±25,36 vs. 16,88±16,21; p-value=0,02), higher AHI (24,71±25,68 vs. 12,56±16,67; p-value=0,02), higher hypopnea index values (16,41±17,10 vs. 6,99±8,52; p-value=0,006) and lower minimum saturation (78,24±9,80 vs. 85,24±6,33; p-value=0,004). Conclusions: the high prevalence of OSAS found confirms its indication in the preoperative period of bariatric surgery. The main respiratory event involved in most individuals with OSAS was the hypopnea index.

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Apresentação clínica de pacientes obesos com diagnóstico polissonográfico de apnéia obstrutiva do sono

Cited by 5 publications

References 24 publications

Prevalence of sleep disorders in obese before bariatric surgery.

Prevalence of sleep disorders in obese before bariatric surgery.

Aparelhos orais de protrusão mandibular ? IAH, eficiência do sono, sono REM e oxigenação de usuários

Polysonographic changes in obese patients with indication of bariatric surgery

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