Low Socioeconomic Status Is a Risk Factor for Cardiovascular Disease Among Adult Obstructive Sleep Apnea Syndrome Patients Requiring Treatment

Tarasiuk, Ariel; Greenberg-Dotan, Sari; Simon, Tzahit; Tal, Asher; Oksenberg, Arie; Reuveni, Haim

doi:10.1378/chest.130.3.766

Cited by 54 publications

(96 citation statements)

References 40 publications

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“…This was found to be the case in a clinic population [67], but in a discharge register study from Sweden, socioeconomic status had a minor effect on the likelihood of hospitalisation and it was suggested that other factors, e.g. smoking and obesity, may influence this observed relationship [68].…”

Section: Socioeconomic Consequencesmentioning

confidence: 91%

Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing

Jennum¹,

Riha²

2009

Eur Respir J

264

153

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Epidemiological studies have revealed a high prevalence of sleep-disordered breathing in the community (up to 20%). A subset of these patients has concurrent symptoms of excessive daytime sleepiness attributable to their nocturnal breathing disorder and is classified as having obstructive sleep apnoea/hypopnoea syndrome (4-5% of the middle-aged population). There is strong evidence for an association of sleep apnoea with cardiovascular and cerebrovascular morbidity, as well as adverse public health consequences. Treatment and diagnosis have remained largely unchanged over the past 25 yrs. In moderate-to-severe obstructive sleep apnoea/hypopnoea syndrome, treatment with continuous positive airway pressure has been shown to be effective. Questions remain as to how to screen patients with sleep-disordered breathing. Should time-consuming diagnostic procedures with high sensitivity and specificity be employed, or should simpler methods be applied for screening populations at risk, e.g. in the primary care sector?

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Section: Socioeconomic Consequencesmentioning

confidence: 91%

Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing

Jennum¹,

Riha²

2009

Eur Respir J

264

153

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“…Each individual's lifestyle, sleeping habits, and clinical history were recorded using a standardized selfadministered questionnaire. [30][31][32] The Epworth Sleepiness Scale (ESS) was used to evaluate daytime sleepiness.…”

Section: Subjectsmentioning

confidence: 99%

Breathing and Snoring Sound Characteristics during Sleep in Adults

Levartovsky

Dafna

Zigel

et al. 2016

Journal of Clinical Sleep Medicine

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Study Objectives: Sound level meter is the gold standard approach for snoring evaluation. Using this approach, it was established that snoring intensity (in dB) is higher for men and is associated with increased apnea-hypopnea index (AHI). In this study, we performed a systematic analysis of breathing and snoring sound characteristics using an algorithm designed to detect and analyze breathing and snoring sounds. The effect of sex, sleep stages, and AHI on snoring characteristics was explored. Methods: We consecutively recruited 121 subjects referred for diagnosis of obstructive sleep apnea. A whole night audio signal was recorded using noncontact ambient microphone during polysomnography. A large number (> 290,000) of breathing and snoring (> 50 dB) events were analyzed. Breathing sound events were detected using a signal-processing algorithm that discriminates between breathing and nonbreathing (noise events) sounds. Results: Snoring index (events/h, SI) was 23% higher for men (p = 0.04), and in both sexes SI gradually declined by 50% across sleep time (p < 0.01) independent of AHI. SI was higher in slow wave sleep (p < 0.03) compared to S2 and rapid eye movement sleep; men have higher SI in all sleep stages than women (p < 0.05). Snoring intensity was similar in both genders in all sleep stages and independent of AHI. For both sexes, no correlation was found between AHI and snoring intensity (r = 0.1, p = 0.291).Conclusions: This audio analysis approach enables systematic detection and analysis of breathing and snoring sounds from a full night recording. Snoring intensity is similar in both sexes and was not affected by AHI.

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“…They carry a major attributable risk of cardio-and cerebrovascular morbidity and mortality, and detrimental consequences for employment, social function and quality of life [2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Social consequences of sleep disordered breathing on patients and their partners: a controlled national study

Jennum

Ibsen²,

Kjellberg³

2013

Eur Respir J

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We aimed to evaluate the total costs to patients and their partners of sleep apnoea and obesity hypoventilation syndrome (OHS) and their treatment, as this is poorly described in families.Using data from the Danish National Patient Registry and other public databases, all patients and their partners with a diagnosis of sleep apnoea (n530 278) or OHS (n51562) were included. They were compared with age-, sex-and community location-matched citizens at a ratio 1:4 (120 506 and 6241 control subjects, respectively). Direct and indirect costs were evaluated for patients and their partners.Sleep apnoea and OHS patients and their partners had higher rates of health-related contact, medication use and unemployment, and lower income levels. Excess yearly direct net health and foregone earnings (indirect costs) were J2174 and J7981 prior to diagnosis, and J3988 and J12 022 after diagnosis for sleep apnoea and OHS, respectively. The comparable annual mean excess health-related costs for spouses were J1965 and J2862 before diagnosis, and J2307 and J3079 after diagnosis, for sleep apnoea and OHS patients, respectively. These socioeconomic consequences were present up to 12 years before first diagnosis, and increased as the disease advanced.Sleep-disordered breathing has major socioeconomic consequences for patients and their spouses years before and after diagnosis. @ERSpublications Sleep-disordered breathing has a major socioeconomic impact on patients and their spouses years pre-and post-diagnosis

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Low Socioeconomic Status Is a Risk Factor for Cardiovascular Disease Among Adult Obstructive Sleep Apnea Syndrome Patients Requiring Treatment

Cited by 54 publications

References 40 publications

Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing

Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing

Breathing and Snoring Sound Characteristics during Sleep in Adults

Social consequences of sleep disordered breathing on patients and their partners: a controlled national study

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