descriptionPublicationkeyboard_double_arrow_right Article , Other literature type 01 Oct 2021 English Publisher:SAGE PublicationsJournal:Journal of International Medical Research, volume 49 (issn: 0300-0605, eissn: 1473-2300,

Authors: Ana Domínguez-Mayoral; Jesús Sánchez-Gómez; Patricia Guerrero; Marta Ferrer; Carmen Gutiérrez; María Aguilar; Natalia Fouz-Rosón; +8 Authors

doi: 10.1177/03000605211053090

pmid: 34719990

pmc: PMC8562644

handle: 10261/269513 , 10668/4493

High prevalence of obstructive sleep apnea syndrome in Spain’s Stroke Belt

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Abstract

Objective Spain’s so-called Stroke Belt is an area with high prevalence of vascular disease. We aimed to determine the prevalence of undetected obstructive sleep apnea–hypopnea syndrome (OSAHS) among patients with acute ischemic stroke (AIS) in southern Spain. Methods We conducted a cross-sectional study at the Virgen Macarena University Hospital Stroke Unit during 2018 to 2019. We included patients <72 hours after AIS with a neuroimaging lesion and performed sleep tests. Results Seventy-two patients were included. The median participant age was 72 years. Mean body mass index was 27.07 kg/m2, and 40.28% were daily alcohol drinkers. Hypertension, atrial fibrillation, ischemic cardiomyopathy, and previous stroke were detected in 63.9%, 11.1%, 15.3%, and 17.6% of patients, respectively. Polygraphy was feasible in 91.38% of patients. The prevalence of OSAHS was 84.72% (apnea–hypopnea index ≥5). Patients with moderate and severe OSAHS were more likely to be obese and to have a larger neck circumference and facial palsy. The diagnostic criteria of central sleep apnea syndrome were met in only 1.38% of patients. Conclusions The high prevalence of OSAHS found in the Spanish Stroke Belt justifies further investigation and development of a screening program as a strategy to identify patients with undetected OSAHS.

Related Organizations

Hospital Universitario Virgen Macarena
Spain
Institute of Biomedicine of Seville
Spain
Spanish National Research Council
Spain

Keywords

Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Hospitals, Medicine (General), Prospective Clinical Research Report, Polygraphy, Estudios transversales, Polysomnography, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies, Síndromes de la apnea del sueño, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans, Brain Ischemia, Medical Subject Headings::Diseases::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Stroke, R5-920, Medical Subject Headings::Diseases::Nervous System Diseases::Sleep Disorders::Dyssomnias::Sleep Disorders, Intrinsic::Sleep Apnea Syndromes::Sleep Apnea, Central, Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Cardiomyopathies, Hipertensión, Prevalence, Medical Subject Headings::Diseases::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Brain Ischemia, Humans, Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Body Constitution::Body Weights and Measures::Body Size::Body Weight::Overweight::Obesity, Accidente cerebrovascular isquémico, Tamizaje masivo, Aged, Sleep Apnea, Obstructive, Polisomnografía, Ischemic stroke, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Morbidity::Prevalence, Apnea obstructiva del sueño, Andalucía, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Neuroimaging, Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Psychophysiology::Sleep, Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain, Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Body Constitution::Body Weights and Measures::Body Mass Index, Stroke, Medical Subject Headings::Diseases::Cardiovascular Diseases::Vascular Diseases::Hypertension, Cross-Sectional Studies, Medical Subject Headings::Diseases::Nervous System Diseases::Sleep Disorders::Dyssomnias::Sleep Disorders, Intrinsic::Sleep Apnea Syndromes::Sleep Apnea, Obstructive, Medical Subject Headings::Persons::Persons::Age Groups::Adult::Aged, Spanish Stroke Belt, Spain, Obstructive sleep apnea–hypopnea syndrome, Medical Subject Headings::Diseases::Nervous System Diseases::Neurologic Manifestations::Paralysis::Facial Paralysis, Screening, Parálisis facial, Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Atrial Fibrillation, Prevalencia

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