دورية أكاديمية
Association between cardiovascular mortality and STOP-Bang questionnaire scores in a cohort of hospitalized patients: a prospective study
| العنوان: | Association between cardiovascular mortality and STOP-Bang questionnaire scores in a cohort of hospitalized patients: a prospective study |
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| المؤلفون: | Gabriel Valdivia, Alexia Schmidt, Bettina Schmidt, Francisca Rivera, Aileen Oñate, Camila Navarrete, Josue Campos, Gonzalo Labarca |
| المصدر: | Jornal Brasileiro de Pneumologia, Vol 47, Iss 4 (2021) |
| بيانات النشر: | Sociedade Brasileira de Pneumologia e Tisiologia, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Diseases of the respiratory system |
| مصطلحات موضوعية: | Sleep Apnea, Obstructive, Risk assessment, Surveys and questionnaires, Cardiovascular diseases/mortality, Diseases of the respiratory system, RC705-779 |
| الوصف: | ABSTRACT Objective: Obstructive sleep apnea (OSA) is associated with an increased risk of mortality and cardiometabolic diseases. The STOP-Bang questionnaire is a tool to screen populations at risk of OSA and prioritize complementary studies. Our objective was to evaluate the clinical utility of this questionnaire in identifying patients at an increased risk of mortality after discharge in a cohort of hospitalized patients. Methods: This was a prospective cohort study involving consecutive patients admitted to an internal medicine unit between May and June of 2017 who were reevaluated three years after discharge. At baseline, we collected data on comorbidities (hypertension, obesity, diabetes, and fasting lipid profile) and calculated STOP-Bang scores, defining the risk of OSA (0-2 score, no risk; ≥ 3 score, risk of OSA; and ≥ 5 score, risk of moderate-to-severe OSA), which determined the study groups. We also recorded data regarding all-cause and cardiovascular mortality at the end of the follow-up period. Results: The sample comprised 435 patients. Of those, 352 (80.9%) and 182 (41.8%) had STOP-Bang scores ≥ 3 and ≥ 5, respectively. When compared with the group with STOP-Bang scores of 0-2, the two groups showed higher prevalences of obesity, hypertension, diabetes, and dyslipidemia. Multivariate analysis showed an independent association between cardiovascular mortality and STOP-Bang score ≥ 5 (adjusted hazard ratio = 3.12 [95% CI, 1.39-7.03]; p = 0.01). Additionally, previous coronary heart disease was also associated with cardiovascular mortality. Conclusions: In this cohort of hospitalized patients, STOP-Bang scores ≥ 5 were able to identify patients at an increased risk of cardiovascular mortality three years after discharge. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Portuguese |
| تدمد: | 1806-3756 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000400207&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132021000400207&tlng=pt; https://doaj.org/toc/1806-3756 |
| DOI: | 10.36416/1806-3756/e20210039 |
| URL الوصول: | https://doaj.org/article/9afb3fe6458d4ef998dd645d0edf8897 |
| رقم الأكسشن: | edsdoj.9afb3fe6458d4ef998dd645d0edf8897 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 18063756 |
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| DOI: | 10.36416/1806-3756/e20210039 |