Estudo comparativo da história clínica e da polissonografia na síndrome da apnéia/ hipopnéia obstrutiva do sono

Abstract

Recogni zing sleep-disordered breathing is on the rise every year. Manifestations, such as snoring, that were earlier considered mere inconvenients are now acquiring greater importance concerning life quality and social impact. Aim of the study: To compare the clinical history to polysomnogram (PSG) results in the Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS). Materials and Methods: 125 patients were analyzed, in a retrospective study. Specific questionnaires, avaliations of Body Mass Index and Epworth Scale were carried out. Results: Among the patients, 75 were males and 50 were females. The main symptom was snoring. 46% had normal PSG, 30% had light OSAHS, 15% moderate and 9% severe OSAHS and it was not observed a correlation between clinical data and PSG results. Concerning clinical symptoms, only insomnia has shown relevance when univariably analyzed in normal and light OSAHS patients (p<0,05) compared to patients with moderate and severe OSAHS, losing its importance when analyzed together with other factors. Conclusion: the clinical history, per se, is not sufficient to define OSAHS` diagnosis or it´s severity.

Prevalência do risco da Síndrome da Apneia Obstrutiva do Sono na população adulta de uma capital brasileira+

“…Esses achados corroboram com os de Mirrakhimov et al (2014). O ronco está presente na maioria das pessoas com Saos, embora não seja um indicador definitivo 6,24 . No presente estudo, das 167 pessoas com alto risco para Saos, 141 roncavam, apenas 18 não roncavam e 8 não souberam informar.…”

“…Entre os instrumentos de aferição, destaca-se o Questionário de Berlim (BQ), elaborado especificamente para o rastreamento de indivíduos com risco de apresentar a Saos. É um questionário estruturado, autoaplicável, validado na língua portuguesa 3 , que avalia a ocorrência de fatores de risco, tais como: ronco, sonolência diurna, fadiga, obesidade e hipertensão arterial 1,6 . Apresenta sensibilidade de 86% e especificidade de 77%, embora não colete todas as informações necessárias sobre a Saos e não seja um substituto de medidas diretas da respiração durante o sono 7,8 .…”

Study protocol of sleep disorders in cancer patients of a reference hospital in Minas Gerais – cross-sectional observational study

“…As for the diagnostic methods, the gold standard for sleep is the full-night polysomnography (PSG). This refers to the simultaneous recording of some physiological variables during sleep: stage and continuity of sleep, respiratory effort, oxyhemoglobin saturation, body position, electrocardiogram, body movements, electroencephalogram, electrooculogram, electromyography, airflow and body temperature (8) . However, to carry out this examination, a place with adequate physical structure and human resources with specific training is required, thus requiring a high financial investment and restricting their availability to some centers of the country.…”

Indicadores de adiposidade como método de rastreamento para polissonografia em trabalhadores de turno

“…Clinical evaluation and physical examination are not sufficient for the diagnosis. The reference standard for the diagnosis of sleep disorders is PSG 12 .…”