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Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: Prevalence and associated factors.
PLOS ONE ( IF 3.7 ) Pub Date : 2020-01-16 , DOI: 10.1371/journal.pone.0227778
Virginie Poka-Mayap 1 , Dodo Balkissou Adamou 2 , Massongo Massongo 1 , Steve Voufouo Sonwa 3 , Jacqueline Alime 3 , Ben Patrick Michel Moutlen 3 , Alfred Kongnyu Njamnshi 4, 5, 6 , Andre Noseda 7 , Eric Walter Pefura-Yone 1, 4
Affiliation  

PURPOSE Obstructive sleep apnea and hypopnea syndrome (OSAHS) is poorly documented in Sub-Saharan Africa, especially in the hospital setting. The aim of this study was to determine its prevalence and to investigate the associated factors in patients admitted in a tertiary referral hospital in Cameroon. METHODS In this cross-sectional study conducted in the Cardiology, Endocrinology and Neurology departments of the Yaounde Central Hospital; all patients aged 21 and older were included consecutively. A sample of randomly selected patients was recorded using a portable sleep monitoring device (PMD). OSAHS was defined as apnea-hypopnea index (AHI) ≥ 5/hour (with > 50% of events being obstructive) and moderate to severe OSAHS as an AHI > 15/hour. Logistic regression was used to identify factors associated to OSAHS. RESULTS Of the 359 patients included, 202 (56.3%) patients were women. The mean age (standard deviation) was 58 (16) years. The prevalence of OSAHS assessed by PMD (95% CI) was 57.7% (48.5-66.9%), 53.8% in men and 62.7% in women (p = 0.44). The median (25th-75th percentiles) AHI, body mass index and Epworth Sleepiness Scale score of OSAHS patients were 17 (10.6-26.9)/hour, 27.4 (24.7-31.6) kg/m2 and 7 (5-9) respectively. The only factor associated to moderate to severe OSAHS was hypertension [odds ratio (95% CI)]: 3.24 (1.08-9.72), p = 0.036. CONCLUSION OSAHS is a common condition in patients in this health care centre of Cameroon. In the hospital setting, screening for OSAHS in patients with hypertension is recommended.

中文翻译:

喀麦隆一家三级医院收治的患者的阻塞性睡眠呼吸暂停和呼吸不足综合征:患病率和相关因素。

目的在非洲撒哈拉以南地区,特别是在医院里,阻塞性睡眠呼吸暂停和呼吸不足综合征(OSAHS)的文献报道很少。这项研究的目的是确定其患病率,并调查喀麦隆一家三级转诊医院收治的患者的相关因素。方法在这项横断面研究中,雅温得市中心医院的心脏病学,内分泌学和神经病学部门进行了研究。所有21岁及以上的患者均被连续纳入。使用便携式睡眠监测设备(PMD)记录随机选择的患者样本。OSAHS定义为呼吸暂停-低通气指数(AHI)≥5 /小时(≥50%的阻塞性事件),中重度OSAHS定义为AHI> 15 /小时。Logistic回归用于确定与OSAHS相关的因素。结果在359名患者中,有202名(56.3%)是女性。平均年龄(标准差)为58(16)岁。PMD(95%CI)评估的OSAHS患病率为57.7%(48.5-66.9%),男性为53.8%,女性为62.7%(p = 0.44)。OSAHS患者的中位(25-75%)AHI,体重指数和Epworth嗜睡量表得分分别为17(10.6-26.9)/小时,27.4(24.7-31.6)kg / m2和7(5-9)。与中重度OSAHS相关的唯一因素是高血压[比值比(95%CI)]:3.24(1.08-9.72),p = 0.036。结论OSAHS是喀麦隆这个保健中心患者的常见病。在医院环境中,建议筛查高血压患者的OSAHS。PMD(95%CI)评估的OSAHS患病率为57.7%(48.5-66.9%),男性为53.8%,女性为62.7%(p = 0.44)。OSAHS患者的中位(25-75%)AHI,体重指数和Epworth嗜睡量表得分分别为17(10.6-26.9)/小时,27.4(24.7-31.6)kg / m2和7(5-9)。与中重度OSAHS相关的唯一因素是高血压[比值比(95%CI)]:3.24(1.08-9.72),p = 0.036。结论OSAHS是喀麦隆这个保健中心患者的常见病。在医院环境中,建议筛查高血压患者的OSAHS。PMD(95%CI)评估的OSAHS患病率为57.7%(48.5-66.9%),男性为53.8%,女性为62.7%(p = 0.44)。OSAHS患者的中位(25-75%)AHI,体重指数和Epworth嗜睡量表得分分别为17(10.6-26.9)/小时,27.4(24.7-31.6)kg / m2和7(5-9)。与中重度OSAHS相关的唯一因素是高血压[比值比(95%CI)]:3.24(1.08-9.72),p = 0.036。结论OSAHS是喀麦隆这个保健中心患者的常见病。在医院环境中,建议筛查高血压患者的OSAHS。6)kg / m2和7(5-9)。与中重度OSAHS相关的唯一因素是高血压[比值比(95%CI)]:3.24(1.08-9.72),p = 0.036。结论OSAHS是喀麦隆这个保健中心患者的常见病。在医院环境中,建议筛查高血压患者的OSAHS。6)kg / m2和7(5-9)。与中重度OSAHS相关的唯一因素是高血压[比值比(95%CI)]:3.24(1.08-9.72),p = 0.036。结论OSAHS是喀麦隆这个保健中心患者的常见病。在医院环境中,建议筛查高血压患者的OSAHS。
更新日期:2020-01-17
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