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Colegio de Medicina Interna de México.

2020, Number 4

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Med Int Mex 2020; 36 (4)

Phenotypic analysis and factors affecting treatment in patients with sleep apnea syndrome and sleep positional apnea syndrome in a Mexican population

Pérez-Ortiz LA, Hernández-Cervantes J, Varela-Blanco J, Alcaraz-Estrada Sl, García S

Language: Spanish
References: 43
Page: 492-501
PDF size: 228.29 Kb.


ABSTRACT

Objectives: To identify phenotypic factors in patients with obstructive sleep apnea syndrome (OSAS) and its positional obstructive sleep apnea syndrome (POSAS) subtype; to know if they impact in treatment response and patient condition at home.
Material and Method: An observational, analytical and comparative study was done from June 1st 2017 to December 31st 2018 with polysomnography-confirmed OSAS diagnosis. They were divided into OSAS and POSAS groups; their clinical records and sleep scales were evaluated; patients were contacted by telephone, were asked about their medical condition and treatments’ complaints about continuous positive air pressure (CPAP).
Results: 153 OSAS patients were evaluated; 62% had OSAS and 48% POSAS. There were no differences in phenotypic variables between groups, only dyslipidemias were more frequent among OSAS patients (p ‹ 0.03). CPAP was the most used treatment; in telephone follow-up validated scales in OSAS got improvement; however, in patients’ perception there was no improvement.
Conclusions: Phenotypic factors were similar in both groups; increased lipid was documented in OSAS group. Treatment was similar.


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