Using respiratory polygraphy in diagnosing obstructive sleep apnea – our experiences

  • dobrivoje novković Military Medical Academy, Clinic for Pulmonology, Belgrade, Serbia
  • Gordana Cvetković Military Medical Academy, Clinic for Pulmonology, Belgrade, Serbia; University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
  • Slobodan Aćimović Military Medical Academy, Clinic for Pulmonology, Belgrade, Serbia; University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
  • Rade Milić Military Medical Academy, Clinic for Pulmonology, Belgrade, Serbia; University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
  • Sanja Šarac Military Medical Academy, Clinic for Pulmonology, Belgrade, Serbia; University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
  • Radmila Urošević General Hospital Jagodina, Jagodina, Serbia
Keywords: sleep apnea syndrome, diagnostic techniques and procedures, respiratory function tests, risk factors

Abstract


Abstract

 

Bacground/Aim. Obstructive sleep apnea (OSA) involves repeated episodes of cessation of breathing that occur due to a decrease in pharyngeal muscle tone. This disorder is more common in men and represents a significant risk factor for serious cardiovascular and cerebrovascular events. The gold standard in the diagnosis of this disorder represents a polysomnography (PSG), which is technically a complex and multidisciplinary method. Respiratory polygraphy (RP) may constitute an adequate replacement for most uncomplicated cases of obstructive sleep apnea. The aim of the study was to examine the efficacy of using respiratory polygraphies in diagnosing of obstructive sleep apnea. Methods. On all the patients with suspected obstructive sleep apnea, RP and a retrospective analysis of the obtained results were performed. Results. By completing our examination, we proved that there was a positive correlation between the results obtained by using RP and the predictors of obstructive sleep apnea such as the Epworth sleepiness scale (EPWORTH) score, neck circumference and body mass index. Conclusion. Respiratory polygraphy represents a cheaper and simpler replacement for PSG, especially with uncomplicated obstructive breathing disorders during sleep.

Author Biography

dobrivoje novković, Military Medical Academy, Clinic for Pulmonology, Belgrade, Serbia

specijalista pulmolog

References

REFERENCES

Kryger MH. Diagnosis and management of sleep apnea syn-drome. Clin Cornerstone 2000; 2(5): 39–47.

Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328(17): 1230–5.

Young T, Peppard PE, Taheri S. Excess weight and sleep-disordered breathing. J Appl Physiol (1985). 2005; 99(4): 1592–9.

Tishler PV, Larkin EK, Schluchter MD, Redline S. Incidence of sleep-disordered breathing in an urban adult population: the relative importance of risk factors in the development of sleep-disordered breathing. JAMA 2003; 289(17): 2230–7.

Newman AB, Foster G, Givelber R, Nieto FJ, Redline S, Young T. Progression and regression of sleep-disordered breathing with changes in weight: the Sleep Heart Health Study. Arch Intern Med 2005; 165(20): 2408–13.

Lavie L. Oxidative stress and inflammation in OSA. Eur Respir Mon 2010; 50: 360–80.

Almendros I, Montserrat JM, Ramírez J, Torres M, Duran-Cantolla J, Navajas D, et al. Intermittent hypoxia enhances cancer pro-gression in a mouse model of sleep apnoea. Eur Respir J 2012; 39(1): 215–7.

Shamsuzzaman A, Amin RS, Calvin AD, Davison D, Somers VK. Severity of obstructive sleep apnea is associated with elevated plasma fibrinogen in otherwise healthy patients. Sleep Breath 2014; 18(4): 761–6.

Kendzerska T, Gershon AS, Hawker G, Leung RS, Tomlinson G. Obstructive sleep apnea and risk of cardiovascular events and all-cause mortality: a decade-long historical cohort study. PLoS Med 2014; 11(2): e1001599.

Marin JM, Soriano JB, Carrizo SJ, Boldova A, Celli BR. Outcomes in patients with chronic obstructive pulmonary disease and obstructive sleep apnea: the overlap syndrome. Am J Respir Crit Care Med 2010; 182(3): 325–31.

Gami AS, Olson EJ, Shen WK, Wright RS, Ballman KV, Hodge DO, et al. Obstructive sleep apnea and the risk of sudden car-diac death: a longitudinal study of 10,701 adults. J Am Coll Cardiol 2013; 62(7): 610–6.

Byrne TJ, Parish JM, Somers V, Aqel BA, Rakela J. Evidence for liver injury in the setting of obstructive sleep apnea. Ann Hepatol 2012; 11(2): 228–1.

Kopitović I, Jovančević-Drvenica M, Vukoja M, Okiljevć Z. Breathing disorder during sleep. Časopis udruženja pulmologa Republike Srpske 2011; 11(1): 310–5. (Serbian)

Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002; 165(9): 1217–39.

Abrishami A, Khajehdehi A, Chung F. A systematic review of screening questionnaires for obstructive sleep apnea. Abrisha-mi A, Khajehdehi A, Chung F. A systematic review of screen-ing questionnaires for obstructive sleep apnea. Can JAnesth 2010; 57(5): 423–38.

Lloberes P, Sampol G, Levy G, Aristizabal D, Sagales T, De la Calzada M, et al. Influence of setting on unattended respiratory monitoring in the sleep apnoea/hypopnoea syndrome. Eur Respir J 2001; 18(3): 530–4.

Marcus CL, Brooks LJ, Draper KA, Gozal D, Halbower AC, Jones J, et al. Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. Pediatrics 2012; 130(3): 576–84.

Ferber R, Millman R, Coppola M, Fleetham J, Murray CF, Iber C, et al. Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice. Sleep 1994; 17(4): 378–92.

Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med 2012; 8(5): 597–619.

Iber C, Redline S, Kaplan Gilpin AM, Quan SF, Zhang L, Gottlieb DJ, et al. Polysomnography performed in the unattended home versus the attended laboratory setting-Sleep Heart Health Study methodology. Sleep 2004; 27(3): 536–40.

Portier F, Portmann A, Czernichow P, Vascaut L, Devin E, Benha-mou D, et al. Evaluation of home versus laboratory polysom-nography in the diagnosis of sleep apnea syndrome. Am J Respir Crit Care Med 2000; 162(3 Pt 1): 814–8.

Campbell AJ, Neill AM. Home set-up polysomnography in the assessment of suspected obstructive sleep apnea. J Sleep Res 2011; 20(1 Pt 2): 207–13.

Rosen CL, Auckley D, Benca R, Foldvary-Schaefer N, Iber C, Kapur V, et al. A Multisite Randomized Trial of Portable Sleep Studies and Positive Airway Pressure Autotitration Versus Laboratory-Based Polysomnography for the Diagnosis and Treatment of Obstructive Sleep Apnea: The HomePAP Study. Sleep 2012; 35(6): 757–67.

Kuna ST, Gurubhagavatula I, Maislin G, Hin S, Hartwig KC, McCloskey S, et al. Noninferiority of Functional Outcome in Ambulatory Management of Obstructive Sleep Apnea. Am J Respir Crit Care Med 2011; 183(9): 1238–44.

Published
2021/05/26
Section
Short Report