Publication: Determinants of patients at risk of developing obstructive sleep apnea in a primary care clinic
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Date
2014
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Hilaris Publishing
Abstract
Introduction Obstructive sleep apnea (OSA) is associated with multiple medical and psychosocial impacts. Current evidence on individuals at risk of developing OSA in Malaysia particularly at primary care setting is scarce. This study aimed to determine the magnitude of patients at risk of developing OSA attended an suburban primary care clinic and associated factors in southern Malaysia.
Methodology: This was a cross sectional study of adults≥ 18-year old using systematic random sampling. Berlin Questionnaire was used to determine the risk of developing OSA. Respondent’s socio-demographic characteristics and clinical parameters including body mass index, weight, blood pressure, neck and waist circumference were obtained. Data was analyzed using SPSS version 20.0.
Results: Out of 160 participants, 65.6% were females with the median (IQR) age of 55.6 (27.75) years and 81.9% were obese. Self-reported hypertension and diabetes was 55.6% and 35.60% respectively. One-fifths (19.4%) had high risk of developing OSA. Regarding symptoms described in the Berlin questionnaire, 37.5% reported snoring and 10.6% had excessive daytime sleepiness. The risk of developing OSA is associated with gender (p= 0.008), neck circumference (p= 0.010) and diastolic blood pressure (p= 0.015). Multivariate logistic regression found the only factor significantly associated with at high risk of developing OSA is diastolic blood pressure (p= 0.031).
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Citation
Rashid, R.; Ahmad, S.; Jaffar, A.; Ali, F.; Paidi, N. Determinants of patients at risk of developing obstructive sleep apnea in a primary care clinic. Res. Updates Med. Sci. 2014, 2, 70–74.