Prevalence of obstructive sleep apnea in a sample of Egyptian railway drivers

Allam, Mai; Dayem, Aya Abdel; Madkour, Ashraf; AbdelFattah, Eman Badawy

doi:10.4103/ecdt.ecdt_55_21

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…Both PaO2 ≤ 88 and PaCO2 > 39, were associated with sleep apnea (p= 0.004 and OR (95% CI) of 31.0 (2.969-323.634) for both. furthermore, SpO2 ≤ 88 was significantly associated with sleep apneas (P = 0.002 and OR (95%CI) of 34.0 (3.704-312.092) (26) .…”

Section: Discussionmentioning

confidence: 87%

Sleep Disordered Breathing in Professional Drivers in Damietta Governorate

Elsherbiny,

Mahmoud,

Hassan

et al. 2024

SJMS

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Background: The overarching term sleep-related breathing disorders is utilized to collect the various conditions in which a person experiences an aberration of respiration entirely or in part, during sleep. Aim of the work: The aim of this work was to estimate the prevalence of sleep disordered breathing among professional drivers in Damietta Governorate. Methods: This research included two parts: First part was descriptive longitudinal study contained two phases: Phase- I: diagnosis of the symptomatized patients as SDB patients and Phase-II: treatment and follow up of the diagnosed patients. Second part: cross sectional study. Phase-I: 110 male commercial drivers with license belong to Damietta Governorate Traffic Unit who were self-referred or referred by a physician to SDB Unit Clinic with symptoms suggesting sleep disordered breathing. Phase-II: The diagnosed drivers with SDB 100 from 110 drivers were offered treatment options according to clinical practice guidelines. This second part of the study included 510 male commercial drivers. Results: Multivarivate analysis of statistically significant predictors of OHS in bivariate analysis and we found three independent predictors (with percentage for accuracy of this model= 99%): AHI (OR=2.3), sleep efficiency (OR=0.98) and arousal index (OR= 1.89). where each unit increase in both AHI, sleep efficiency results in increase in the risk of OHS by 2.3 and 0.98 respectively. Each unit increase in arousal index decrease the risk of OHS (1.89). there was a higher percentage of accidents in the group of OHS in comparison to OSA group and this difference was statistically significant (p≤0.001). Conclusions: High prevalence of SDB among commercial drivers in Dameitta governorate. Neck circumference (≥ 38.5) is the most useful independent predictor for SDB and cut of point of AHI and arousal index are the most useful independent predictors of OHS. Higher prevalence of accidents and near accidents in those with SDB versus those without SDB and more prevalent in OHS vs OSA.

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Section: Discussionmentioning

confidence: 87%

Sleep Disordered Breathing in Professional Drivers in Damietta Governorate

Elsherbiny,

Mahmoud,

Hassan

et al. 2024

SJMS

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Worldwide prevalence and associated risk factors of obstructive sleep apnea: a meta-analysis and meta-regression

et al. 2023

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Assessment of obesity indices and disease severity in male patients with obstructive sleep apnea: a cross-sectional study

Gharib,

Elsheikh,

El-Hinnawy

et al. 2024

Journal of the Arab Society for Medical Research

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Background/aim Obstructive sleep apnea (OSA) is associated with multiple chronic conditions and increased risks of complications and mortality. The relationship between OSA and obesity is complex but increased body fat is widely recognized as a major risk factor for OSA. This work aims to determine the cut-off values of the body mass index (BMI), waist to hip ratio (WHR), neck circumference (NC) that can be used to predict the occurrence of OSA and its severity. Patients and methods This observational cross-sectional study included 241 Egyptian male patients, complaining from symptoms of OSA. The patients were subjected to measurements of obesity indices and underwent polysomnography to confirm the diagnosis of OSA according to the recommended guidelines for the manual scoring of respiratory events. Results The present study exhibited a significant association between BMI, WHR and NC with different polysomnographic parameters. BMI, NC, and WHR were the most significant predictors of OSA (P<0.05). Cutoff values reported 34.35 kg/m2 for BMI with 73.2% sensitivity and 69.4% specificity, while for NC reported 42.5 cm with 68.3% sensitivity and 75.5% specificity, and for WHR exhibited 1.0259 cm, with 59.9% sensitivity and 65.3% specificity. The severity of OSA in male sex was associated with older age, increased BMI, NC, WHR. The severity of OSA was also associated with decreased O2 saturation and higher Desaturation index, Arousal index, and snoring index. Conclusion Increased BMI, NC, and WHR were the most significant predictors of OSA and correlated with the severity of the disease in male patients.

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Prevalence of obstructive sleep apnea in a sample of Egyptian railway drivers

Cited by 3 publications

References 31 publications

Sleep Disordered Breathing in Professional Drivers in Damietta Governorate

Sleep Disordered Breathing in Professional Drivers in Damietta Governorate

Worldwide prevalence and associated risk factors of obstructive sleep apnea: a meta-analysis and meta-regression

Assessment of obesity indices and disease severity in male patients with obstructive sleep apnea: a cross-sectional study

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