دورية أكاديمية
A new perspective on OSAS cases with the Baveno classification.
| العنوان: | A new perspective on OSAS cases with the Baveno classification. |
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| المؤلفون: | Inonu Koseoglu H; Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey., Aykun G; Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey., Kanbay A; Department of Health Sciences, Fenerbahçe University, İstanbul, Turkey., Pazarli AC; Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey., Yakar Hİ; Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey., Demir O; Department of Biostatistics and Medical Informatics, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey. |
| المصدر: | Postgraduate medicine [Postgrad Med] 2024 Jul 15, pp. 1-7. Date of Electronic Publication: 2024 Jul 15. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 0401147 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-9260 (Electronic) Linking ISSN: 00325481 NLM ISO Abbreviation: Postgrad Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015- : London : Informa Healthcare Original Publication: New York : Vendome Group, -2006 |
| مستخلص: | Objective/background: Since the apnea-hypopnea index (AHI), which is used in the diagnosis and grading of OSAS, does not adequately reflect the clinical perspective of the disease, the Baveno classification of OSA was developed, which allows multicomponent evaluation of OSAS patients. The aim of our study was to evaluate the application of the Baveno classification in clinical practice. Patients/methods: A prospective study was performed on patients diagnosed with OSAS between January 2021 and June 2022. Patients were divided into 4 groups according to Baveno classification (Groups A-D) and three groups as mild, moderate, and severe OSAS according to AHI. Results: A total of 378 patients (70% male, mean age 48.68 ± 11.81 years) were included in the study. The patients had mild (n: 75; 20%), moderate (n: 88; 23%), and severe (n: 215; 57%) OSAS. According to Baveno classification, patients were included in Groups A (n: 90; 24%), B (n: 105 (28%), C (n: 65; 17%), and D (n: 118; 31%). The mean AHIs of the Baveno groups were similar ( p = 0.116). Oxygen desaturation index (ODI) was higher in Groups B and D compared to Group A. The duration of T90 desaturation was longer in Groups C and D compared to Groups A and B ( p < 0.05). Conclusions: The Baveno classification divided our OSAS cases into equivalent groups. One out of every four patients with mild OSAS was in Group D. This data was noteworthy in that the Baveno classification allows for the identification of symptomatic and comorbid patients with mild OSAS according to AHI and for the application of more effective treatments to these patients. Patients with comorbidities experienced oxygen desaturation for a longer period of time at night, and oxygenation deteriorated in patients with prominent symptoms. Baveno classification was found to be a more reasonable and easily applicable approach in clinical practice. |
| فهرسة مساهمة: | Keywords: Baveno classification; Obstructive sleep apnea; apnea-hypopnea index; cardiovascular comorbidities; insomnia; severity |
| تواريخ الأحداث: | Date Created: 20240712 Latest Revision: 20240715 |
| رمز التحديث: | 20240715 |
| DOI: | 10.1080/00325481.2024.2379759 |
| PMID: | 38992947 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1941-9260 |
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| DOI: | 10.1080/00325481.2024.2379759 |