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Distinguishing CompSAS from pure OSAS is difficult using only diagnostic polysomnography (PSG). We examined the prevalence of CompSAS in Japanese patients with OSAS and the possibility to distinguish CompSAS from pure OSAS by analyzing the severity of respiratory events based on either sleep body position or sleep stage using a diagnostic PSG. Patients and Methods A retrospective chart review of 297 consecutive Japanese patients who were 15 years of age or older with a primary diagnosis of OSAS who were referred for CPAP titration (AHI. 20 events/hr). Results Seventeen patients (5.7%) out of the 297 patients who had an obstructive apnea hypopnea index (AHI) of 20 or higher showed adverse increases in central apnea index (CAI) by the treatment with CPAP whereas obstructive apnea index (OAI) and mixed apnea index (MAI) were significantly decreased. In the results, the AHI on the PSG for CPAP titration reached only approximately half of the values on the diagnostic PSG. 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Distinguishing CompSAS from pure OSAS is difficult using only diagnostic polysomnography (PSG). We examined the prevalence of CompSAS in Japanese patients with OSAS and the possibility to distinguish CompSAS from pure OSAS by analyzing the severity of respiratory events based on either sleep body position or sleep stage using a diagnostic PSG. Patients and Methods A retrospective chart review of 297 consecutive Japanese patients who were 15 years of age or older with a primary diagnosis of OSAS who were referred for CPAP titration (AHI. 20 events/hr). Results Seventeen patients (5.7%) out of the 297 patients who had an obstructive apnea hypopnea index (AHI) of 20 or higher showed adverse increases in central apnea index (CAI) by the treatment with CPAP whereas obstructive apnea index (OAI) and mixed apnea index (MAI) were significantly decreased. In the results, the AHI on the PSG for CPAP titration reached only approximately half of the values on the diagnostic PSG. 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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Characteristics of Japanese Patients with Complex Sleep Apnea Syndrome: A Retrospective Comparison with Obstructive Sleep Apnea Syndrome

http://hdl.handle.net/10091/17609
ce37aee3-b69c-460f-b876-e880051ab933
名前 / ファイル ライセンス アクション
Characteristics_Japanese_Patients_Complex_Sleep.pdf Characteristics_Japanese_Patients_Complex_Sleep.pdf (217.6 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2014-06-17
タイトル
言語 en
タイトル Characteristics of Japanese Patients with Complex Sleep Apnea Syndrome: A Retrospective Comparison with Obstructive Sleep Apnea Syndrome
言語
言語 eng
キーワード
主題Scheme Other
主題 complex sleep apnea syndrome
キーワード
主題Scheme Other
主題 central sleep apnea
キーワード
主題Scheme Other
主題 body position
キーワード
主題Scheme Other
主題 non-REM sleep
キーワード
主題Scheme Other
主題 obstructive sleep apnea syndrome
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Yaegashi, Hironobu

× Yaegashi, Hironobu

WEKO 6597

en Yaegashi, Hironobu

Search repository
Fujimoto, Keisaku

× Fujimoto, Keisaku

WEKO 6598

en Fujimoto, Keisaku

Search repository
Abe, Hidetoshi

× Abe, Hidetoshi

WEKO 6599

en Abe, Hidetoshi

Search repository
Orii, Kyoko

× Orii, Kyoko

WEKO 6600

en Orii, Kyoko

Search repository
Eda, Sei-ichiro

× Eda, Sei-ichiro

WEKO 6601

en Eda, Sei-ichiro

Search repository
Kubo, Keishi

× Kubo, Keishi

WEKO 6602

en Kubo, Keishi

Search repository
信州大学研究者総覧へのリンク
氏名 Fujimoto, Keisaku
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.yFfaHFkh.html
出版者
出版者 JAPAN SOC INTERNAL MEDICINE
引用
内容記述タイプ Other
内容記述 INTERNAL MEDICINE. 48(6):427-432 (2009)
書誌情報 INTERNAL MEDICINE

巻 48, 号 6, p. 427-432, 発行日 2009
抄録
内容記述タイプ Abstract
内容記述 Objective The prevalence of complex sleep apnea syndrome (CompSAS) among Asian patients with obstructive sleep apnea syndrome (OSAS) has not yet been reported. Distinguishing CompSAS from pure OSAS is difficult using only diagnostic polysomnography (PSG). We examined the prevalence of CompSAS in Japanese patients with OSAS and the possibility to distinguish CompSAS from pure OSAS by analyzing the severity of respiratory events based on either sleep body position or sleep stage using a diagnostic PSG. Patients and Methods A retrospective chart review of 297 consecutive Japanese patients who were 15 years of age or older with a primary diagnosis of OSAS who were referred for CPAP titration (AHI. 20 events/hr). Results Seventeen patients (5.7%) out of the 297 patients who had an obstructive apnea hypopnea index (AHI) of 20 or higher showed adverse increases in central apnea index (CAI) by the treatment with CPAP whereas obstructive apnea index (OAI) and mixed apnea index (MAI) were significantly decreased. In the results, the AHI on the PSG for CPAP titration reached only approximately half of the values on the diagnostic PSG. In these CompSAS patients, both the total CAI and the CAI in the supine position during NREM sleep on the diagnostic PSG were significantly higher than those in the OSAS group. The sleep body position did not so strongly affect the AHI, OAI and MAI in the CompSAS group. Multiple, stepwise, and logistic regression analyses revealed that the CAI in the supine position during NREM (p=0.026) was a significant variable to distinguish CompSAS from OSAS statistically although the variables were within the normal range. Conclusion The prevalence of CompSAS in Japanese OSAS patients may be lower when compared with Caucasian patients. The increase of CAI in the supine position during NREM sleep on diagnostic PSG may be a characteristic feature in CompSAS.
資源タイプ(コンテンツの種類)
内容記述タイプ Other
内容記述 Article
ISSN
収録物識別子タイプ PISSN
収録物識別子 0918-2918
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA10827774
PubMed
関連識別子
識別子タイプ PMID
関連識別子 https://pubmed.ncbi.nlm.nih.gov/19293541
関連名称
関連名称 19293541
DOI
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.2169/internalmedicine.48.1459
関連名称
関連名称 10.2169/internalmedicine.48.1459
権利
権利情報 Copyright© 2009 The Japanese Society of Internal Medicine
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
WoS
表示名 Web of Science
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000264551500006
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