التفاصيل البيبلوغرافية
| العنوان: |
Neck Grasp Predicts Obstructive Sleep Apnea in Type 2 Diabetes Mellitus. |
| المؤلفون: |
Edmonds, P. J., Gunasekaran, K., Edmonds, L. C. |
| المصدر: |
Sleep Disorders; 7/1/2019, p1-6, 6p |
| مصطلحات موضوعية: |
SLEEP apnea syndromes, TYPE 2 diabetes, NECK, HYPERTENSION |
| مصطلحات جغرافية: |
BERLIN (Germany) |
| مستخلص: |
Aims. Obstructive sleep apnea (OSA) is a common disorder with high morbidity, mortality, and an increasing prevalence in the general population. It has an even higher prevalence among individuals with type 2 diabetes mellitus (DM). The snoring, tiredness, observed apnea, high blood pressure, body-mass-index, age, neck circumference and male gender (STOP-BANG) questionnaire and Berlin Questionnaire can be cumbersome in clinical practice and require subjective data on sleepiness. We proposed prospectively studying a primary care population with type 2 DM comparing neck grasp, neck circumference, and common screening questionnaires to identify OSA. Methods. Persons with a diagnosis of type 2 DM were recruited from a primary care clinic. Participants were screened using Easy Sleep Apnea Predictor (ESAP), STOP-Bang questionnaire, and Berlin questionnaire. A positive ESAP was defined as a 1cm gap when a patient encircled their hands around the neck. All subjects underwent in-laboratory PSG testing. Results. Forty-three participants were enrolled and the prevalence of OSA was 90.7% (AHI ≥ 5). The median BMI was 38.0. The prevalence of mild OSA by PSG (AHI 5-14) was 27.9%, moderate OSA (AHI 15-29) was 25.6%, and severe OSA (AHI >30) was 37.2%. For mild OSA both ESAP and neck circumference showed 100% specificity. Conclusions. This study reinforces the need for screening diabetic persons for obstructive sleep apnea. ESAP and neck circumference are useful for identifying persons with type 2 DM who are at risk for OSA. Together these findings could improve recognition of OSA in persons at risk for cardiovascular disease. Trial Registration of "Neck grasp as a predictor of Sleep Apnea," https://clinicaltrials.gov/ct2/show/NCT02474823Test, Clinical Trials.gov Identifier, is NCT02474823. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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