❞ كتاب Obesity hypoventilation syndrome in patients with obstructive sleep apnea ❝ ⏤ مجموعة من المؤلفين

Abstract
Background: Obstructive sleep apnea syndrome (OSAS) and obesity hypoventilation syndrome
(OHS) are two common syndromes that are associated with obesity. They frequently coexist. Patients
with combined OSA-OHS have a higher risk of pulmonary hypertension as well as higher morbidity
and mortality. The aim of the study is to estimate the prevalence of OHS in patients with OSA and to
compare the demographic and clinical characteristics of patients with pure OSA and those with
combined OSA-OHS. Methods: Ninety patients with OSAS were enrolled in this study. For all
patients, the STOP BANG questionnaire and Epworth scale (ESS) were calculated, body mass index
and neck circumference were measured, CBC, arterial blood gases, thyroid function tests and lipid
profile were done. Adiponectin level was measured in all patients. PFT and echocardiography were
done and a sleep study was done to confirm the diagnosis of OSA. Results: Patients were divided into
two groups: group I included 74 patients with combined OSA-OHS and group II included 16 patients
with pure OSA. BMI (P = 0.04), neck circumference (P = 0.001), and ESS (P = 0.03) were all
statistically significantly higher in Group I patients. PASP was found to be elevated in both groups,
with a statistically significant increase in group I patients. The AHI (P=0.04) and number of
desaturations with Spo2 less than 90% (P= 0.016) were significantly higher in group I patients.
Conclusion: OHS is a very common association with OSAS. The association of the two syndromes
results in a greater increase in comorbidities
مجموعة من المؤلفين - "مجموعة من المؤلفين"، هو ركن للكتب التي شارك في تأليفها أكتر من كاتب ومؤلف، وهو قسم مميز مليء بالكتب التي تعددت الجهود في إخراجها على أكمل الوجوه.


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