Quality of life in moderate to severe obstructive sleep apnea individuals before and after continuous positive airway pressure treatment
Main Article Content
Abstract
Introduction: Obstructive sleep apnea (OSA) is characterized by recurrent episodes of partial or total obstruction of the upper airway, lasting at least ten seconds each in a frequency greater than five episodes per hour during sleep. Objective: To analyze the quality of life of individuals with OSA after treatment with continuous positive airway pressure (CPAP). Methods: Twenty individuals with OSA and apnea-hypopnea index (AHI) greater than 15, identified by polysomnography (PSG), were submitted to two quality of life questionnaires before and after CPAP treatment. Results: Twenty subjects completed the protocol. Mean age was 57±10 years, mean body mass index (BMI) was 31.6±4.5 kg/m2 and neck circumference (NC) average was 38.7±2.8 cm. We noted an average loss of 6.6±4.6 points in the Epworth scale and 6.6±1.5 points on the Stanford scale, besides gains ranging from 5 to 100 points on the scale of quality of life. Conclusion: CPAP improves quality of life in moderate to severe OSA individuals.
Downloads
Article Details
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY) that allows others to share and adapt the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.References
Lorenzi Filho G. Apneia obstrutiva do sono: um grave problema de saúde pública. Pneumol Paulista. 2008;21(3):5.
Chaves Junior CM, Dal-Fabbro C, Bruin VMS, Tufik S, Bittencourt LRA. Consenso brasileiro de ronco e apneia do sono: aspectos de interesse aos ortodontistas. Dental Press J Orthod. 2011;16(1):34.e1-10. http://dx.doi.org/10.1590/S2176-94512011000100007
Campostrini DDA, Prado LBF, Prado GF. Síndrome da apneia obstrutiva do sono e doenças cardiovasculares. Rev Neurocienc. 2014;22(1):102-12. http://dx.doi.org/10.4181/RNC.2014.22.930.11p
Tufik S, Santos-Silva R, Taddei JA, Bittencourt LR. Obstructive sleep apnea syndrome in the São Paulo Epidemiologic Sleep Study. Sleep Med. 2010;11(5):441-6. http://dx.doi.org/10.1016/j.sleep.2009.10.005
Cintra FD, Poyares D, Guilleminault C, Carvalho AC, Tufik S, Paola AAV. Alterações cardiovasculares na síndrome da apneia obstrutiva do sono. Arq Bras Cardiol. 2006;86(6):399-407. http://dx.doi.org/10.1590/S0066-782X2006000600001
Berry RB, Brooks R, Gamaldo CE, Harding SM, Lloyd RM, Marcus CL, et al. The AASM Manual for the Scoring of Sleep and Associated Events: rules, terminology and technical specifications, version 2.2. Darien (IL): American Academy of Sleep Medicine; 2015.
Pereira GDP, Ramos FA, Fomin DS, Alóe F, Pinto JA. Ronco e apneia-hipopneia obstrutiva do sono: indicações da somnoplastia e da uvulopalatofaringoplastia com laser de CO2. Int Arch Otorhinolaryngol. 2001;5(4).
Lacerda VMA, Cunha ACR, Souza IR, Vasconcelos RS, Melo LTM, Abdon APV. Qualidade de vida (QV) e aspectos clínicos de pacientes com síndrome da apneia obstrutiva do sono (SAOS) em tratamento com pressão positiva contínua nas vias aéreas (CPAP). Rev Bras Qual Vida. 2013;5(1):22-30. http://dx.doi.org/10.3895/S2175-08582013000100003
Ito FA, Ito RT, Moraes NM, Sakima T, Bezerra MLS, Meirelles RC. Condutas terapêuticas para tratamento da síndrome da apnéia e hipopnéia obstrutiva do sono (SAHOS) e da síndrome da resistência das vias aéreas superiores (SRVAS) com enfoque no aparelho anti-ronco (AAR-ITO). Rev Dent Press Ortodon Ortop Facial. 2005;10(4):143-56. http://dx.doi.org/10.1590/S1415-54192005000400015
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999;39(3):143-50.
Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Barreto SSM, Johns MW. Validação da escala de sonolência de Epworth em português para uso no Brasil. J Bras Pneumol. 2009;35(9):877-83. http://dx.doi.org/10.1590/S1806-37132009000900009
Bixler EO, Vgontzas AN, Ten Have T, Tyson K, Kales A. Effects of age on sleep apnea in men: I. Prevalence and severity. Am J Respir Crit Care Med. 1998;157(1):144-8. http://dx.doi.org/10.1164/ajrccm.157.1.9706079
Soares MC, de Azeredo Bittencourt LR, Zonato AI, Gregório LC. Application of the Kushida morphometric model in patients with sleep-disordered breathing. Braz J Otorhinolaryngol. 2006;72(4):541-8. http://dx.doi.org/10.1590/S0034-72992006000400017
Pinto JA, Godoy LB, Marquis VW, Sonego TB, Leal C de F, Ártico MS. Medidas antropométricas preditoras da gravidade da apneia obstrutiva do sono. Braz J Otorhinolaryngol. 2011;77(4):516-21. http://dx.doi.org/10.1590/S1808-86942011000400017
Zancanella E, Haddad FM, Oliveira LA, Nakasato A, Duarte BB, Soares CF, et al. Obstructive sleep apnea and primary snoring: treatment. Braz J Otorhinolaryngol. 2014;80(1 Suppl 1):S17-28. http://dx.doi.org/10.5935/1808-8694.2014S002
Mediano O, Barceló A, de la Peña M, Gozal D, Agusti A, Barbé F. Hipersonolência diurna e variáveis polissonográficas em doentes com síndroma da apnéia do sono. Rev Port Pneumol. 2007;13(6):896-8. http://dx.doi.org/10.1016/S0873-2159(15)30387-1
McArdle N, Kingshott R, Engleman HM, Mackay TW, Douglas NJ. Partners of patients with sleep apnoea/hypopnoea syndrome: effect of CPAP treatment on sleep quality and quality of life. Thorax. 2001;56(7):513-8. http://dx.doi.org/10.1136/thorax.56.7.513
Silva RZM, Duarte RLM, Silveira FJM. Tratamento da apnéia obstrutiva do sono com pressão positiva contínua na via aérea. Pulmão RJ. 2010;19(3-4):83-7.