在肯尼亚的高血压患者中查阻塞性睡眠呼吸暂停综合征的Stop-bang问卷
Salim Abdallah Salim1, Jasmit Shah2,3, Jumaa Bwika2
1Department of Medicine, Aga Khan University, P.o box 30270-00100, Nairobi, Kenya. salimbamatraf18@gmail.com.
BMC pulmonary medicine
|September 1, 2023
概括
阻塞性睡眠呼吸暂停 (OSA) 在肯尼亚的高血压患者中很常见,高风险为78.5%. 使用STOP-Bang问卷 (SBQ) 的查对于识别需要进一步评估的患者至关重要.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠呼吸障碍,其特征是上呼吸道阻塞.
- 高血压是OSA的重要风险因素,但撒哈拉以南非洲 (SSA) 的流行数据仍然有限.
- 这项研究通过调查肯尼亚内罗毕高血压患者的OSA患病率来弥补这一差距.
研究的目的:
- 为了确定高血压患者中阻塞性睡眠呼吸暂停 (OSA) 风险的患病率.
- 在这个人群中描述与高风险OSA相关的临床特征.
- 评估STOP-Bang问卷 (SBQ) 对肯尼亚高血压患者OSA查的有用性.
主要方法:
- 一项涉及内罗毕阿迦汗大学医院251名高血压患者的横截面研究.
- 使用STOP-Bang问卷 (SBQ) 来评估OSA风险,得分≥4表示高风险.
- 使用描述性统计和二进制物流回归来分析数据并确定相关因素.
主要成果:
- 78.5%的高患病率被归类为OSA的高风险.
- 中位数年龄为57.0岁,中位数BMI为28.3kg/m2.
- 与高风险的OSA显著相关的因素包括年龄较大,子周长较大,男性性别和更高的BMI.
结论:
- 在临床环境中,使用SBQ查高血压患者的OSA强烈建议,特别是在低收入和中等收入国家 (LMICs).
- 临床指标如年龄,性别,子周长和BMI可以帮助识别患有OSA风险增加的患者.
- 进一步的研究应该探索高血压人群中OSA的有针对性的预防和治疗策略.
相关概念视频
Sleep Apnea
184
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
184
Assessment of blood pressure in brachial artery(one-step method)
636
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
636
Hypertension III: Clinical Manifestations and Diagnostic Studies
25
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
25
Assessment of blood pressure in brachial artery(two-step method)
757
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
757
Special considerations while measuring blood pressure
755
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
755
Pre-Procedural Guidelines for Assessing Blood Pressure
595
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
595


