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Prevalence and Diagnostic Approach to Sleep Apnea in Hemodialysis Patients: A Population Study
Joint Authors
Forni Ogna, Valentina
Pruijm, Menno
Ogna, Adam
Bassi, Isabelle
Zuercher, Emilie
Halabi, Georges
Phan, Olivier
Bullani, Roberto
Teta, Daniel
Gauthier, Thierry
Cherpillod, Anne
Mathieu, Claudine
Mihalache, Alexandra
Cornette, Francoise
Haba-Rubio, José
Heinzer, Raphaël
Burnier, Michel
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-01
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Previous observations found a high prevalence of obstructive sleep apnea (OSA) in the hemodialysis population, but the best diagnostic approach remains undefined.
We assessed OSA prevalence and performance of available screening tools to propose a specific diagnostic algorithm.
Methods.
104 patients from 6 Swiss hemodialysis centers underwent polygraphy and completed 3 OSA screening scores: STOP-BANG, Berlin’s Questionnaire, and Adjusted Neck Circumference.
The OSA predictors were identified on a derivation population and used to develop the diagnostic algorithm, which was validated on an independent population.
Results.
We found 56% OSA prevalence (AHI ≥ 15/h), which was largely underdiagnosed.
Screening scores showed poor performance for OSA screening (ROC areas 0.538 [SE 0.093] to 0.655 [SE 0.083]).
Age, neck circumference, and time on renal replacement therapy were the best predictors of OSA and were used to develop a screening algorithm, with higher discriminatory performance than classical screening tools (ROC area 0.831 [0.066]).
Conclusions.
Our study confirms the high OSA prevalence and highlights the low diagnosis rate of this treatable cardiovascular risk factor in the hemodialysis population.
Considering the poor performance of OSA screening tools, we propose and validate a specific algorithm to identify hemodialysis patients at risk for OSA for whom further sleep investigations should be considered.
American Psychological Association (APA)
Forni Ogna, Valentina& Ogna, Adam& Pruijm, Menno& Bassi, Isabelle& Zuercher, Emilie& Halabi, Georges…[et al.]. 2015. Prevalence and Diagnostic Approach to Sleep Apnea in Hemodialysis Patients: A Population Study. BioMed Research International،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1054228
Modern Language Association (MLA)
Forni Ogna, Valentina…[et al.]. Prevalence and Diagnostic Approach to Sleep Apnea in Hemodialysis Patients: A Population Study. BioMed Research International No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1054228
American Medical Association (AMA)
Forni Ogna, Valentina& Ogna, Adam& Pruijm, Menno& Bassi, Isabelle& Zuercher, Emilie& Halabi, Georges…[et al.]. Prevalence and Diagnostic Approach to Sleep Apnea in Hemodialysis Patients: A Population Study. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1054228
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1054228