Year 2018, Volume 18 , Issue 4, Pages 537 - 544 2018-12-27

Comparison of Sleep Apnea Syndrome and Polysomnographic Features in Geriatric and Adult Patients
Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması

Timur Ekiz [1] , Ahmet Cemal Pazarlı [2]


Objectives: The aim of this study to compare the characteristics of obstructive sleep apnea syndrome (OSAS) and polysomnography in geriatric and adult patients.

Materials and Methods: This study was planned as a retrospective and case-control study. Patients who underwent polysomnography evaluation with a prediagnosis of sleep disoder were divided into two groups according to the age of the patients as <65 years and >65 years. Polysomnography was performed with the Alice 6 computerized system (Respironics; Philips, Illinois, USA) for the detection of sleep disorders.

Results: A total of 82 patients with a mean age of 59.10±13.7 years (ranging between 22 and 101) were included. The mean age was significantly higher in the geriatric group (p <0.001), but there was no significant difference between the groups in terms of gender, body mass index and comorbidities (p> 0.05 for all). While the normal and mild OSAS frequency was higher in adults, the middle and advanced OSAS frequency was higher in the geriatric group. Rate of OSAS and obesity hypoventilation syndrome coexistince was higher in both groups. Total, REM, Non-REM, supine and apnea hypopnea index scores were higher in geriatric patients. Epworth Score was higher in geriatric patients. Saturation is lower in the geriatric patient group and desaturation index is lower in the geriatric patient group.

Conclusion: The characteristics of sleep disorders in geriatric patients differ from those of adults and sleep disorders are more severe in geriatric patients. 

Amaç: Bu çalışmada geriatrik ve erişkin hastalarda obstruktif uyku apne sendromu (OUAS) ve

polisomnografi özelliklerinin karşılaştırılması amaçlandı.

Materyal ve Metot: Bu çalışma retrospektif dizaynda ve olgu‐kontrol çalışması olarak planlandı. Uyku

bozukluğu ön tanısı ile polisomnografi yapılan hastalar yaşlarına göre 65 yaş altı ve üzeri olarak 2 gruba

ayrıldı.Uyku bozukluklarının tespiti için Alice 6 bilgisayarlı sistem (Respironics; Philips, Illinois, ABD)

polisomnografisi uygulandı.

Bulgular: Yaşları 22 ile 101 arasında değişen ve ortalama 59,10 ± 13,70 yıl olan toplam 82 hasta dahil

edildi. Ortalama yaş geriatrik grupta istatistiksel olarak daha yüksek iken (p<0,001), gruplar arasında

cinsiyet, vücut kitle indeksi (VKİ) ve komorbiditeler açısından anlamlı fark saptanmadı (p>0,05).

Erişkinlerde normal ve hafif OUAS sıklığı daha yüksek iken, geriatrik grupta orta ve ileri evre OUAS

sıklığı daha yüksekti. OUAS ve obezite hipoventilasyon sendromu birlikteliği ise her iki grupta da

yüksekti. Total, REM, Non‐REM, supin ve yan apne hipopne indeksi skorları geriatrik hastalarda daha

yüksekti. Epworth Skoru geriatrik hastalarda daha yüksekti. Satürasyon ise geriatrik hasta grubunda

daha düşük olup desatürasyon indeksi geriatrik hasta grubunda daha düşüktü.

Sonuç: Geriatrik hastalarda uyku bozukluklarının özellikleri erişkin hastalarınkinden farklı

seyretmektedir ve genel olarak uyku bozuklukları geriatrik hastalarda daha ağırdır.

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Primary Language tr
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Author: Timur Ekiz (Primary Author)

Author: Ahmet Cemal Pazarlı

Dates

Publication Date : December 27, 2018

Bibtex @research article { amj497353, journal = {Ankara Medical Journal}, issn = {}, eissn = {2148-4570}, address = {}, publisher = {Ankara Yildirim Beyazit University}, year = {2018}, volume = {18}, pages = {537 - 544}, doi = {10.17098/amj.497353}, title = {Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması}, key = {cite}, author = {Ekiz, Timur and Pazarlı, Ahmet Cemal} }
APA Ekiz, T , Pazarlı, A . (2018). Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması. Ankara Medical Journal , 18 (4) , 537-544 . DOI: 10.17098/amj.497353
MLA Ekiz, T , Pazarlı, A . "Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması". Ankara Medical Journal 18 (2018 ): 537-544 <http://www.ankaramedicaljournal.com/en/issue/40944/497353>
Chicago Ekiz, T , Pazarlı, A . "Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması". Ankara Medical Journal 18 (2018 ): 537-544
RIS TY - JOUR T1 - Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması AU - Timur Ekiz , Ahmet Cemal Pazarlı Y1 - 2018 PY - 2018 N1 - doi: 10.17098/amj.497353 DO - 10.17098/amj.497353 T2 - Ankara Medical Journal JF - Journal JO - JOR SP - 537 EP - 544 VL - 18 IS - 4 SN - -2148-4570 M3 - doi: 10.17098/amj.497353 UR - https://doi.org/10.17098/amj.497353 Y2 - 2019 ER -
EndNote %0 Ankara Medical Journal Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması %A Timur Ekiz , Ahmet Cemal Pazarlı %T Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması %D 2018 %J Ankara Medical Journal %P -2148-4570 %V 18 %N 4 %R doi: 10.17098/amj.497353 %U 10.17098/amj.497353
ISNAD Ekiz, Timur , Pazarlı, Ahmet Cemal . "Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması". Ankara Medical Journal 18 / 4 (December 2018): 537-544 . https://doi.org/10.17098/amj.497353
AMA Ekiz T , Pazarlı A . Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması. Ankara Med J. 2018; 18(4): 537-544.
Vancouver Ekiz T , Pazarlı A . Geriatrik ve Erişkin Hastalarda Uyku Apne Sendromu ve Polisomnografi Özelliklerinin Karşılaştırılması. Ankara Medical Journal. 2018; 18(4): 544-537.