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http://dx.doi.org/10.5392/JKCA.2018.18.04.114

Level of Obstructive Sleep Apnea of Patients with Ischemic Cardio-cerebrovascular Disease and Affecting Factors  

Kim, Sun Hwa (한양대학교 대학원)
Hwang, Seon Young (한양대학교 간호학부)
Publication Information
The Journal of the Korea Contents Association / v.18, no.4, 2018 , pp. 114-127 More about this Journal
Abstract
This study aimed to investigate the levels of Obstructive Sleep Apnea (OSA), health behavior and sleep quality and to examine the predictors of OSA in patients with ischemic cardio-cerebrovascular disease. 141 patients who were admitted to the vascular unit were recruited and surveyed using structured questionnaires. Saturation of Peripheral Oxygen (SpO2) was measured at three time points using a pulse oximeter. Data were analyzed using SPSS/WIN 20.0. The mean age of the subjects was $64.4{\pm}11.1$ years and 61% was men. The 21.3%(n=30) of the subjects were classified as high-risk for OSA by the cut point and 71.6%(n=101) had low sleep quality. OSA high-risk group showed significant difference in SpO2 in the middle of sleep (p=.006) and at the end of sleep (p=.004) compared to the low-risk group. Multiple logistic regression analysis showed that perceived frequent snoring, smoking, obesity, lack of exercise among health behavior were found as predicting factors on OSA. OSA or persistent snoring should be recognized as a cardiovascular risk factor in the cardiovascular nursing practice. In addition to early treatment of OSA, education and counseling should be provided to patients and their family for prevention of secondary recurrence.
Keywords
Cardiovascular Disease; Obstructive Sleep Apnea; Cerebrovascular Disorders;
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1 H. Kim, R. J. Thomas, C. Yun, R. Au, S. K. Lee, and S. Lee, "Association of Mild Obstructive Sleep Apnea with Cognitive Performance, Excessive Daytime Sleepiness, and Quality of Life in The General Population: The Korean Genome and Epidemiology Study (KoGES)," Sleep, Vol.40, No.5, p.zsx012, 2017.
2 S. H. Cho, "Clinical Implications of Snoring," Journal of Rhinology, Vol.23, No.2, pp.75-80, 2016.   DOI
3 M. Guzman, H. Pho, R. S. Arias, T. Otvos, E. Wolfe, and I. Hawks, "Objective Measurements of Snoring Frequency and Intensity Predict Sleep Apnea Severity," Am J Respir Crit Care Med, Vol.193, p.A5979, 2016.
4 S. Lee, J. M. Kang, Y. S. Cho, H. J. Yoon, J. E. Kim, and S. H. Shin, "Comparison of Awareness of Symptoms and Illness Between Patients with Obstructive Sleep Apnea and Simple Snoring," Sleep Medicine and Psychophysiology, Vol.23, No.1, pp.16-24, 2016.   DOI
5 A. B. Douglass, R. Bornstein, G. Nino-Murcia, S. Keenan, L. Miles, and V. P. Zarcone, "The Sleep Disorders Questionnaire: Creation and Multivariate Structure of SDQ," SLEEP, Vol.17, No.2, pp.160-167, 1994.   DOI
6 B. Kim, E. M. Lee, Y. S. Chung, W. S. Kim, and S. A. Lee, "The Utility of Three Screening Questionnaires for Obstructive Sleep Apnea in A Sleep Clinic Setting," Yonsei Medical Journal, Vol.56, No.3, pp.684-690, 2015.   DOI
7 D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman, and D. J. Kupfer, "The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research," Psychiatry Research, Vol.28, No.2, pp.193-213, 1989.   DOI
8 S. I. Sohn, D. H, Kim, M. Y. Lee, and Y. W. Cho. "The Reliability and Validity of The Korean Version of The Pittsburgh Sleep Quality Index," Sleep Breath, Vol.16, pp.803-812, 2012.   DOI
9 A. Boldova, S. Carrizo, E. Minchole, V. Moya, E. Forcen, and J. M. Marin, "Smoking Status, Clinical Presentation and Outcomes in Obstructive Sleep Apnoea," European Respiratory Journa, Vol.44, No.58, p.P1743, 2014.
10 J. E. Oh, "Factors Associated with habitual snoring," Korean Journal of Health Promotion, Vol.11, No.1, pp.18-24, 2011.
11 World Health Organization, "The Asia-Pacific Perspective: Redefining Obesity and Its Treatment," Sydney, Australia: Health Communications Australia Pty Ltd, pp.19-20, 2000.
12 K. T. Kim, H. J. Moon, J. G. Yang, S. I. Sohn, J. H. Hong, and Y. W. Cho, "The Prevalence and Clinical Significance of Sleep Disorders in Acute Ischemic Stroke Patients-A Questionnaire Study," Sleep and Breathing, Vol.21, No.3, pp.759-765, 2017.   DOI
13 T. Youn, D. H. Park, K. H. Choi, Y. S. Kim, J. L. Woo, and J. S. Kwon, "Diagnosis of Obstructive Sleep Apnea Syndrome Using Overnight Oximetry Measurement," Sleep Medicine and Psychophysiology, Vol.9, No.1, pp.34-40, 2002.
14 Y. Varol, C. Anar, O. E. Tuzel, S. Z. Guclu, and Z. Z. Ucar, "The Impact of Active and Former Smoking on The Severity of Obstructive Sleep Apnea," Sleep and Breathing, Vol.19, No.4, pp.1279-1284, 2015.   DOI
15 I. C. Ojeda, D. B. Jeffe, T. Guerrero, R. Mantilla, I. Santoro, and G. Gabino, "Attitudes and Knowledge About Obstructive Sleep Apnea Among Latin American Primary Care Physicians," Sleep Medicine, Vol.14, No.10, pp.973-977, 2013.   DOI
16 K. G. Johnson and D. C. Johnson, "Frequency of Sleep Apnea in Stroke and TIA Patients: A Meta-analysis," Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine, Vol.6, No.2, pp.131-137, 2010.
17 N. S. Marshall, K. K. Wong, S. R. Cullen, M. W. Knuiman, and R. R. Grunstein, "Sleep Apnea and 20-year Follow-up for All-cause Mortality, Stroke, and Cancer Incidence and Mortality in the Busselton Health Study Cohort," Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine, Vol.10, No.4, pp.355-362, 2014.
18 N. M. Punjabi, B. S. Caffo, J. L. Goodwin, D. J. Gottlieb, A. B. Newman, and G. T. O'Connor, "Sleep-disordered Breathing and Mortality: A Prospective Cohort Study," PLoS Medicine, Vol.6, No.8, p.e1000132, 2009.   DOI
19 G. Einvik, H. Rosjo, A. Randby, S. K. Namtvedt, H. Hrubos-Strom, and J. Brynildsen, "Severity of Obstructive Sleep Apnea is Associated with Cardiac Troponin I Concentrations in a Community-based Sample: Data from the Akershus Sleep Apnea Project," SLEEP, Vol.37, No.6, pp.1111-1116, 2014.   DOI
20 C. H. Lee, R. Sethi, R. Li, H. H. Ho, T. Hein, and M. H. Jim, "Obstructive Sleep Apnea and Cardiovascular Events After Percutaneous Coronary Intervention," Circulation, Vol.133, No.21, pp.2008-2017, 2016.   DOI
21 T. D. Bradley and J. S. Floras, "Obstructive Sleep Apnoea and Its Cardiovascular Consequences," Lancet, Vol.373, pp.82-93, 2009.   DOI
22 M. Mendelson, S. Bailly, M. Marillier, P. FLORE, J. C. Borel, and I. Vivodtzev, "Obstructive Sleep Apnea Syndrome, Objectively- measured Physical Activity and Exercise Training Interventions: A Systematic Review and Meta-analysis," Frontiers in Neurology, Vol.9, p.73, 2018.   DOI
23 D. A. Dobrosielski, C. Papandreou, S. P. Patil, and J. Salas-Salvado, "Diet and Exercise in The Management of Obstructive Sleep Apnoea and Cardiovascular Disease Risk," European Respiratory Review, Vol.26, No.144, p.160110, 2017.   DOI
24 E. Simou, J. Britton, and J. Leonardi-Bee, "Alcohol and The Risk of Sleep Apnoea: A Systematic Review and Meta-analysis," Sleep Medicine, Vol.42, pp.38-46, 2018.   DOI
25 M. H. Schipper, K. Jellem, B. J. Thomassen, D. Alvarez-Estevez, J. Verbraecken, and R. M. Rijsman, "Stroke and Other Cardiovascular Events in Patients with Obstructive Sleep Apnea and The Effect of Continuous Positive Airway Pressure," Journal of Neurology, Vol.6, No.2, pp.1247-1253, 2017.
26 A. Sheldon, I. Belan, J. Neill, and S. Rowland, "Nursing Assessment of Obstructive Sleep Apnea in Hospitalized Adults: A Review of Risk Factors and Screening Tools," Contemporary nurse, Vol.34, No.1, pp.19-33, 2010.   DOI
27 H. W. Lee, S. Y. Lee, M. K. Ye, S. G. Kang, S. T. Kim, and K. H. Park, "Correlation Analysis Between Anthropometric Measurement and The Results of Sleep Questionnaires in Patients with Obstructive Sleep Apnea," Journal of Rhinology, Vol.22, No.2, pp.96-102, 2015.   DOI
28 J. H. Kim and S. H. Chu, "Factors Associated with Obstructive Sleep Apnea Risk in Patients with Metabolic Syndrome," Journal of Korean Biological Nursing Science, Vol.18, No.3, pp.135-143, 2016.   DOI
29 T. G. Babb, B. L. Wyrick, D. S. DeLorey, P. J. Chase, and M. Y. Feng, "Fat Distribution and End-expiratory Lung Volume in Lean and Obese Men and Women," Vol.134, pp.704-711, 2008.   DOI
30 D. W. Yoon, J. K. Kim, and C. Shin, "Epidemiology and Etiology of Obstructive Sleep Apnea," The Korean Journal of Medicine, Vol.89. pp.6-12, 2015.   DOI
31 S. G. Kang, J. J. Ko, M. K. Ye, S. T. Kim, K. H. Park, and J. E. Kim, "The Effect of Physical Characteristics on Sleep Disturbance and Cardiovascular Complications in Obstructive Sleep Apnea Patients: The Preliminary Study," Korean Journal of Otolaryngology-Head and Neck Surgery, Vol.58, No.11, pp.759-763, 2015.   DOI
32 J. H. Lee, K. S. Lee, and T. Y. Hwang, "Comparison of Health Behavior Change Before and After the Percutaneous Coronary Intervention Among Coronary Artery Disease Patients," Journal of Agricultural Medicine and Community Health, Vol.41, No.3, pp.140-151, 2016.   DOI