The differences between the subtypes of obstructive sleep apnea among different provinces in Turkey: a multicenter
Sidika Deniz Yalim1, Nazan Bayram2, Imran Ozdemir3
1Department of Otorhinolaryngology, University of Health Sciences, Adana City Training and Research Hospital, Adana, Turkey. denizyalimadana@gmail.com.
Summary
Clinical subtypes of obstructive sleep apnea syndrome (OSAS) show varied sleep patterns and oxygen levels across different regions. Understanding these differences can personalize OSAS treatment strategies.
Area of Science:
- Sleep Medicine
- Pulmonology
- Cardiology
Background:
- Obstructive sleep apnea syndrome (OSAS) is a prevalent condition with diverse clinical presentations.
- Variations in OSAS subtypes and their characteristics across different geographical locations are not well-understood.
Purpose of the Study:
- To investigate the clinical significance and implications of distinct OSAS subtypes.
- To compare OSAS patient characteristics across three sleep centers in different Turkish provinces.
Main Methods:
- Retrospective analysis of 330 OSAS patients from Adana, Gaziantep, and Istanbul sleep centers (January 2023 - November 2024).
- Evaluation of demographic data, polysomnography parameters, sleep stages, oxygen saturation, heart rate, apnea-hypopnea index (AHI), and snoring.
- Categorization based on clinical subtypes and provincial origin.
Main Results:
- Gaziantep OSAS patients: higher BMI, severe OSAS, lighter sleep, lower oxygen levels, faster REM sleep onset, more hypopneas.
- Adana OSAS patients: deeper sleep, frequent awakenings, less snoring, more obstructive apneas.
- Istanbul OSAS patients: efficient sleep, significant snoring, high REM oxygen desaturation, high oxygen desaturation index (ODI), elevated heart rate, more central and mixed apneas.
Conclusions:
- Significant variations exist in sleep patterns and oxygenation among OSAS clinical subtypes and across provinces.
- Recognizing regional and subtype-specific OSAS characteristics is crucial for tailoring treatment plans.
- Personalized OSAS management based on severity and subtype can improve patient outcomes.
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