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Vol. 34. Issue 5.
Pages 245-249 (May 1998)
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Vol. 34. Issue 5.
Pages 245-249 (May 1998)
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Sintomatología del síndrome de apnea del sueño en la población general
Symptoms of sleep apnea syndrome in the general population
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C. Zamarrón*, Y. Otero, J.M. Álvarez Dobaño, A. Golpe, J.R. Rodríguez Suárez
Servicio de Neumología, Hospital General de Galicia. Santiago de Compostela
F. Gudea
a Servicio de Neumología, Unidad de Epidemiología Clínica. Hospital General de Galicia. Santiago de Compostela
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El objetivo de nuestro estudio es conocer las características clínicas de los pacientes con síndrome de apnea del sueño (SAS) en la población general. Para ello, 110 personas, seleccionadas aleatoriamente, procedentes del censo de la población, fueron citadas a una consulta hospitalaria, donde se les realizó historia clínica y exploración física completa, seguidas de poligrafía respiratoria nocturna. De los 110 sujetos estudiados, 22 (20%) presentaron un SAS.

En el grupo SAS, el 59,1% refería ronquido habitual y el 22,7% hipersomnolencia diurna. Los pacientes con SAS tenían una edad media de 59,6±8,8 años, y un 45,4% presentaban alteraciones en la exploración de la faringe. No había diferencias en las variables obtenidas de la espirometría. Al realizar el análisis multivariado, únicamente la edad y la hipersomnolencia diurna predecían la presencia de SAS.

Concluimos que la frecuencia de ronquido, la hipersomnolencia diurna, las alteraciones en la exploración de la faringe y la edad eran superiores en el grupo de pacientes con SAS. Solamente la edad y la hipersomnolencia diurna predicen la presencia de SAS.

Palabras clave:
Síndrome de apnea del sueño
Población general
Sintomatología

The aim of this study was to determine the clinical features of patients with sleep apnea syndrome (SAS) in the general population. One hundred ten individuals were selected randomly from the census and given hospital appointments. Case histories were taken and complete physical examinations were made. Nighttime respiratory polysomnograms were performed. Twenty-two (20%) of the 110 subjects presented SAS.

In the SAS group, 59.1% were habitual snorers and 22.7% reported daytime hypersomnolence. The SAS patients had a mean age of 59.6±8.8 years and 45.4% showed alterations of the pharynx. No differences in spirometric variables were observed. Only age and daytime hypersomnolence predicted SAS in the multivariate analysis.

We conclude that the prevalence of snoring, daytime hypersomnolence, pharyngeal alterations are higher in patients with SAS. The patients are also older. Only age and daytime hypersomnolence predicted of SAS.

Key words:
Sleep apnea syndrome
General population
Symptoms
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Bibliografía
[1.]
C. Guilleminault.
Clinical features and evaluation of obstructive sleep apnea.
Principies and practice of sleep medicine., pp. 667-677
[2.]
S. Viner, J.P. Szalai, V. Hoffstein.
Are history and physical examination a good screening test for sleep apnea?.
Ann Intern Med, 115 (1991), pp. 356-359
[3.]
C.E. Sullivan, F.G. Issa.
Obstructive sleep apnea.
Clin Chest Med, 6 (1985), pp. 632-634
[4.]
B.D. Croker, L.G. Olson, N.A. Saunders, M.J. Hensley, J.M. Mckeon, K.M. Alien, et al.
Estimation of the probability of disturbed breathing during sleep before a sleep study.
Am Rev Respir Dis, 142 (1990), pp. 14-18
[5.]
J.R. Stradling, J.H. Crosby.
Predictors and prevalence of obstructive sleep apnea and snoring in 1,001 middle-aged men.
Thorax, 46 (1991), pp. 85-90
[6.]
R.J.O. Davies, N.J. Ali, J.R. Stradling.
Neck circumference and other clinical features in the diagnosis of the obstructive sleep apnea syndrome.
Thorax, 47 (1992), pp. 101-105
[7.]
V. Hoffstein, J.P. Szalai.
Predictive value of clinical features in diagnosing obstructive sleep apnea.
Sleep, 16 (1993), pp. 118-122
[8.]
H. Rauscher, W. Popp, H. Zwick.
Model of investigating snorers with suspected sleep apnea.
Thorax, 48 (1993), pp. 275-279
[9.]
W.W. Flemons, W.W. Whitelaw, R. Brant, J.E. Remmers.
Likelihood ratios for a sleep apnea clinical prediction rule.
Am J Respir Crit Care Med, 150 (1994), pp. 1.279-1. 285
[10.]
M.J. Dealberto, C. Ferber, L. Garma, P. Lemoine, A. Alpérovitch.
Factors related to sleep apnea syndrome in sleep clinic patients.
Chest, 105 (1994), pp. 1.753-1.758
[11.]
L.G. Olson, M.T. King, M.J. Hensley, N.A. Saunders.
A community study of snoring and sleep-disordered breathing.
Symptoms. Am J Respir Crit Care Med, 152 (1995), pp. 707-710
[12.]
P.C. Deegan, W.T. McNicholas.
Predictive value of clinical features for the obstructive sleep apnea syndrome.
Eur Respir J, 9 (1996), pp. 117-124
[13.]
J.R. Stradling.
Clinical presentation of obstructive sleep apnea. En: Handbook of the sleep-related breathing disorders.
Oxford Medical Publications, (1993), pp. 65-81
[14.]
R.J.O. Davies, J.R. Stradling.
The relationship between neck circunference, radiographic pharyngeal anatomy, and the obstructive sleep apnea syndrome.
Eur Respir J, 3 (1990), pp. 509-514
[15.]
C. Zamarrón, J.M. Álvarez, A. Golpe, Y. Otero, P. Penela, F. Cuse, et al.
Epidemiology of snoring and sleep apnea in a northwestern spanish community.
Am J Respir Crit Care Med, 151 (1995), pp. 104
[16.]
O. Carrasco, J.M. Montserrat, P. Lloberes, C. Ascasco, E. Ballester, C. Fornas, et al.
Visual and different automatic scoring profiles of respiratory variables in the diagnosis of sleep apnoea-hypopnoea syndrome.
Eur Respir J, 9 (1996), pp. 125-130
[17.]
W.J. Dixon.
BMDP Statistical Software.
University of California Press, (1990),
[18.]
T. Roehrs, F. Zorick, R. Witting, W. Conway, T. Roth.
Predictors of objective level of daytime sleepiness in patients with sleep-related breathing disorders.
Chest, 95 (1989), pp. 1.202-1.206
[19.]
M.A. Bedard, J. Montplaisir, F. Richer, J. Malo.
Nocturnal hypoxemia as a determinant of vigilance impairment in sleep apnea syndrome.
Chest, 100 (1991), pp. 367-370
[20.]
M.J. Thorpy.
The clinical use of the multiple sleep latency test: The Standards of Practice Committee of American Sleep Disorders Association.
Sleep, 15 (1992), pp. 268-276
[21.]
K. Kump, C. Whalen, P.V. Tishler, I. Browner, V. Ferrete, K.P. Strohl, et al.
Assessment of the validity and utility of a sleep symptom questionnaire.
Am J Respir Crit Care Med, 150 (1994), pp. 735-741
[22.]
T. Yount, M. Palta, J. Dempsey, J. Skatrud, S. Weber, S. Badr.
The occurrence of sleep-disordered breathing among middle-aged adults.
N Engl J Med, 328 (1993), pp. 1.230-1.235
[23.]
P. Kerr, J.P. Schoenut, T. Millar, P. Buckle, M.H. Kryger.
Nasal CPAP reduces gastroesophageal reflux in obstructive sleep apnea syndrome.
Chest, 101 (1992), pp. 1.539-1.544
[24.]
M. Hirshkowitz, I. Karacan, A. Gurakar, R.L. Williams.
Hypertension, erectile dysfunction, and occult sleep apnea.
Sleep, 12 (1989), pp. 223-232
[25.]
A.J. Block, J.W. Wynne, P.G. Boysen.
Sleep disordered breathing and nocturnal oxygen desaturation in postmenopausal women.
Am J Med, 69 (1980), pp. 75-79
[26.]
V. Hoffstein, S. Mateika.
Differences in abdominal and neck circumferences in patients with and without obstructive sleep apnoea.
Eur Respir J, 5 (1992), pp. 377-381
[27.]
I. Katz, J. Stradling, A.S. Slutsky, N. Zamel, V. Hoffstein.
Do patients with obstructive sleep apnea have thick necks?.
Am Rev Respir Dis, 141 (1990), pp. 1.228-1.231
[28.]
B.A. Phillips, D.T. Berry, F.A. Schmitt, L. Harbison, T. Lipke-Molby.
Sleep disordered breathing in healthy aged persons: two and three years follow up.
Sleep, 17 (1994), pp. 411-415
[29.]
J.W. Bloom, W.T. Kaltenborn, S.F. Quan.
Risk factors in general population for snoring.
Importance of cigarette smoking and obesity. Chest, 93 (1988), pp. 678-683
[30.]
R.W. Robinson, D.P. Whiyte, C.W. Zwillich.
Moderate alcohol ingestion increases upper airway resistance in normal subjects.
Am Rev Respir Dis, 132 (1985), pp. 1.238-1.241
[31.]
M. Vitiello, P.N. Prinz, J. Personius, M. Nuccio, R.A. Koerker.
A history of chronic alcohol abuse is not associated with increased nighttime hypoxemia in older males.
Sleep Res, 15 (1986), pp. 178
[32.]
F.G. Issa, C.E. Sullivan.
Alcohol, snoring and sleep apnea.
J Neurol Neurosurg Psychiatry, 45 (1982), pp. 353-359
[33.]
R. Jalled, M.F. Fitzpatrick, R. Mathur, N.J. Douglas.
Do patients with the sleep apnea/hypopnea syndrome drink more alcohol?.
Sleep, 15 (1992), pp. 319-321
Copyright © 1998. Sociedad Española de Neumología y Cirugía Torácica
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