Sleep Apnea Risk in Subjects With Asthma With or Without Comorbid Rhinitis.
BACKGROUND: As many as 80% of patients with asthma suffer from allergic rhinitis (AR), and rhinitis symptoms are associated with sleep complaints The aim of this cross-sectional study was to assess the prevalence of obstructive sleep apnea syndrome risk in patients with asthma and to explore the ass...
| Publicado en: | Respiratory Care Vol. 59; no. 12; pp. 1851 - 1857 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Dec2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103922996&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103922996 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Dec2014 vid: 59 iid: 12 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 103922996 99762342 10.4187/respcare.03084 NLM24917451 103922996 ppf: 1851 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Sleep Apnea Risk in Subjects With Asthma With or Without Comorbid Rhinitis. aug: au: Braido, Fulvio Baiardini, Ilaria Lacedonia, Donato Facchini, Fabrizio M. Fanfulla, Francesco Molinengo, Giorgia Canonica, Giorgio W. affil: Allergy and Respiratory Diseases Clinic, Department of Internal Medicine and Medical Specialties, University of Genoa, Genoa, Italy; Istituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliera Universitaria San Martino- Instituto Scientifico Tumori, Genoa, Italy sug: subj: Sleep Apnea, Obstructive Epidemiology Sleep Apnea, Obstructive Risk Factors Asthma Complications Rhinitis Complications Comorbidity Human Descriptive Statistics Cross Sectional Studies Questionnaires Female Male Middle Age Adult Odds Ratio Italy Logistic Regression Data Analysis Software Middle Aged: 45-64 years Adult: 19-44 years Female Male ab: BACKGROUND: As many as 80% of patients with asthma suffer from allergic rhinitis (AR), and rhinitis symptoms are associated with sleep complaints The aim of this cross-sectional study was to assess the prevalence of obstructive sleep apnea syndrome risk in patients with asthma and to explore the association between comorbid rhinitis and obstructive sleep apnea syndrome risk. METHODS: Subjects with asthma were recruited by general practitioners during a control visit. Physicians compiled a questionnaire that assessed the presence of AR according to ARIA (Allergic Rhinitis and Its Impact on Asthma) guidelines and factors influencing the risk of obstructive sleep apnea syndrome (gastroesophageal reflux disease, obesity, smoking). Subjects completed a questionnaire evaluating the presence and severity of AR and the STOP-BANG questionnaire (snoring, tiredness during daytime, observed apnea, high blood pressure, body mass index, age, neck circumference, gender), a validated screening method to identify obstructive sleep apnea syndrome risk. Physicians were blinded to the subjects’ questionnaires, ensuring objectivity of the method. RESULTS: The analyses were conducted on 1,941 subjects (males 58%, mean age 48.2 ± 15.2 y): 740 with asthma alone and 1,201 with asthma and AR. STOP-BANG revealed that 52.6% of the subjects were at increased risk of obstructive sleep apnea syndrome: 47.3% of subjects with asthma alone and 55.9% of patients with asthma and AR. Rhinitis was associated with a 1.44 times higher odds ratio for having obstructive sleep apnea syndrome risk. Rhinitis duration and severity were associated with obstructive sleep apnea syndrome risk, although the latter deserved greater importance. The results showed that, once a correction for each of these factors was performed, subjects with AR with an odds ratio of 1.99 were reported to be at risk of obstructive sleep apnea syndrome. CONCLUSIONS: The probable increased risk of obstructive sleep apnea syndrome is associated with the concomitant presence of rhinitis, independent of obesity and other contributors to risk of obstructive sleep apnea syndrome. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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