دورية أكاديمية
Prevalences of sleep-related breathing disorders and severity factors in chronic spinal cord injury and abled-bodied individuals undergoing rehabilitation: a comparative study.
| العنوان: | Prevalences of sleep-related breathing disorders and severity factors in chronic spinal cord injury and abled-bodied individuals undergoing rehabilitation: a comparative study. |
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| المؤلفون: | Souza Bastos P; Programa de Neurociências, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.; Unidade de Polissonografia, Rede SARAH de Hospitais de Reabilitação, Belo Horizonte, MG, Brazil., Amaral TLD; Programa de Neurociências, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Yehia HC; Programa de Neurociências, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.; Departamento de Engenharia Eletrônica, Faculdade de Engenharia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Tavares A; Programa de Neurociências, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.; Departamento de Psiquiatria, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. |
| المصدر: | Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2024 Jul 01; Vol. 20 (7), pp. 1119-1129. |
| نوع المنشور: | Journal Article; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy of Sleep Medicine Country of Publication: United States NLM ID: 101231977 Publication Model: Print Cited Medium: Internet ISSN: 1550-9397 (Electronic) Linking ISSN: 15509389 NLM ISO Abbreviation: J Clin Sleep Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Darien, IL : American Academy of Sleep Medicine, 2005- |
| مواضيع طبية MeSH: | Spinal Cord Injuries*/complications , Spinal Cord Injuries*/rehabilitation , Spinal Cord Injuries*/physiopathology , Spinal Cord Injuries*/epidemiology , Polysomnography* , Sleep Apnea Syndromes*/epidemiology , Sleep Apnea Syndromes*/complications , Severity of Illness Index*, Humans ; Male ; Female ; Cross-Sectional Studies ; Adult ; Prevalence ; Middle Aged ; Chronic Disease ; Paraplegia/complications ; Paraplegia/epidemiology ; Quadriplegia/complications ; Quadriplegia/epidemiology |
| مستخلص: | Study Objectives: The objective of this study was to discern distinguishing characteristics of sleep-related breathing disorders in individuals with chronic spinal cord injury (CSCI) compared with participants without CSCI. Additionally, the study investigated factors associated with sleep-related breathing disorder severity. Methods: This is a cross-sectional analysis of 123 individuals without CSCI, 40 tetraplegics, and 48 paraplegics who underwent attended or partially supervised full polysomnography for suspected sleep-related breathing disorders in a rehabilitation center. Polysomnographic, transcutaneous capnography, and clinical data were collected and compared between the groups. Results: Among tetraplegics, apnea-hypopnea index ≥ 30 events/h (67.5%, P = .003), central apnea (17.5%, P = .007), and higher oxygen desaturation index (80.0%, P = .01) prevailed. Sleep-related hypoventilation was present in 15.4% of tetraplegics and 15.8% of paraplegics, compared with 3.2% in participants without CSCI ( P = .05). In the group without CSCI and the paraplegic group, snoring and neck circumference were positively correlated with obstructive sleep apnea (OSA) severity. A positive correlation between waist circumference and OSA severity was identified in all groups, and multivariate logistic regression analysis showed that loud snoring and waist circumference had the greatest impact on OSA severity. Conclusions: Severe OSA and central sleep apnea prevailed in tetraplegic participants. Sleep-related hypoventilation was more common in tetraplegics and paraplegics than in participants without CSCI. Loud snoring and waist circumference had an impact on OSA severity in all groups. We recommend the routine implementation of transcutaneous capnography in individuals with CSCI. We underscore the significance of conducting a comprehensive sleep assessment in the rehabilitation process for individuals with CSCI. Citation: Souza Bastos P, Amaral TLD, Yehia HC, Tavares A. Prevalences of sleep-related breathing disorders and severity factors in chronic spinal cord injury and abled-bodied individuals undergoing rehabilitation: a comparative study. J Clin Sleep Med . 2024;20(7):1119-1129. (© 2024 American Academy of Sleep Medicine.) |
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| فهرسة مساهمة: | Keywords: central sleep apnea; hypoventilation; hypoxemia; obstructive sleep apnea; quadriplegias; rehabilitation; sleep apnea syndromes; sleep-disordered breathing; spinal cord diseases; spinal cord disorders; spinal paraplegias; tetraplegia |
| تواريخ الأحداث: | Date Created: 20240229 Date Completed: 20240702 Latest Revision: 20240704 |
| رمز التحديث: | 20240704 |
| مُعرف محوري في PubMed: | PMC11217642 |
| DOI: | 10.5664/jcsm.11084 |
| PMID: | 38420961 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1550-9397 |
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| DOI: | 10.5664/jcsm.11084 |