Determination of clinical and polysomnographie features and changes in patients trilli REM associated obstructive sleep apnea syndrome REM ilişkili Obstrüktif Uyku Apne Sendromu Olan Hastalarda Klinik ve Polisomnografik Özelliklerinin Belirlenmesi ve Deǧişikliklerin Saptanmasi
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.23, sa.2, ss.55-60, 2017 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 23 Sayı: 2
- Basım Tarihi: 2017
- Doi Numarası: 10.5222/gkdad.2017.055
- Dergi Adı: Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.55-60
- Anahtar Kelimeler: Obstructive Sleep Apne Syndrome, Polisomnografi, Rapid Eye Movement (REM)
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: REM (Rapid Eye Movement) sleep disordered breathing (REM SDB)isa subgroup of obstructive sleep apnea syndrome ( OSAS) in which respiratory events are predominantly seen in REM period.We aimed to determine the characteristics of patients with OSAS associated with Rem by polysomnography test. Recognition of these patients before anesthesia is importance for the regidation of perioperative and postoperative morbidity and treatment. Material and Method: A total of 4, 882 putients who undenvent Polysomnographie (PSG) examinations between December 2006 and January 2009 were included in the study. A total of 80 patients who met the REM SDB definition were inchuled in thestudy. The accepted criteria for REM SDB are AHI > 5, NREM (Non Rapid Eye Movement) AHI < 15, REM-AHI/NREM-AHI ratio>2 and the percentage of REM sleep being at least 15%. Presence, type and severity of apnea ivere determined with PSG, which is the golden Standard for sleep apnea, during the night. Results: In our study 48 (60%) of our patients were male and 32 (40%) were female with a meanage of49.45±10.95 changing between 27 to 75. The prevalance of REM SDB was found to be 1.89%. The PSGs of 20 out of a total of 80 detected REM USB are repeated with control purpose. The Polysomnographie findings of the first and second episodes were compared. Of the four cases, four had at least 2.5 years between two polysomnography, eight with at least 1.5 years, and eight with at least 1 year. There was no statistically significant difference in ourstudy between the first and second polysomnograms of 20 cases Conclusion: We found that the incidence of REM-associated SDB is higher in men, and BMI in women ivith REM-associated USB is sigmficantly higher than that in women.There is no difference between males andfe-nudes in terms of age distribution.There was no statistically sigmficant difference in the mean values of total AHI, REM-AHl, NREM-AH1, REM-AHII NREM-AHl between male and female subjects.These events ivere the result of sleeping respiratory disturbances being less severe than NREM USB events, resulting in fewer days than daytime sleepiness.