Upper Airway Obstruction in Non-obese Patients With Snoring and Obstructive Sleep Apnea
NCT ID: NCT04324671
Last Updated: 2020-04-14
Study Results
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Basic Information
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UNKNOWN
40 participants
OBSERVATIONAL
2020-07-01
2021-12-01
Brief Summary
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1. detecting the prevelance of snoring and OSA in non-obese patients
2. identify their diagnostic profile in order to provide proper management
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Detailed Description
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Snoring during sleep may be a sign, or first alarm, of obstructive sleep apnea (OSA).
Snoring can cause significant psychological and social problems to sufferers. Multiple studies reveal a positive correlation between loud snoring and risk of heart attack and stroke.
Obstructive sleep apnea (OSA) is the commonest type of sleep apnea and is characterized by inturpted snoring, repeated attacks of complete or partial pharyngeal closure during sleep despite the effort to breath resulting in nocturnal hypoxemia, frequent arousals during sleep, and excessive daytime sleepiness (EDS).
Obstructive Sleep Apnea is differentiated from Central Sleep Apnea (CSA) which is characterized by changes in the respiratory cycle during sleep but without the effort to breath during the apnea.
the episodes of decreased breathing are called "hypopnea " and it's definition requires a \< 30% drop in flow for 10 seconds or longer associated with \< 3% oxygen desaturation , the episodes of breathing cessations are called "apneas" and defined as a\< 90% drop in flow for 10 seconds or longer and associated with \< 3% oxygen desaturation or an arousal It is a serious and potentially life threatening disease that is far more common than generally expected. Several risk factors, including obesity, male sex, age, and heritable factors, as well as the supine decubitus position during sleep. have been associated with an increased prevalence of obstructive sleep apnea in the general population.
It has become a major health issue all over the world affecting quality of life with an increasing prevalence and associated with high comorbidities such as diabetes mellitus, hypertension, cardiovascular disease, dyslipidemia, malignancies, and overall mortality. Results of different studies indicate that approximately 60-70% of patients with OSA are obese.
Snoring and witnessed apnea are more frequent among men but insomnia for example is more frequent among women. The OSA frequency increase with age for the women. The mortality is higher for women The data regarding association of OSA among nonobese patients is rare and needs great effort as fewer studies have reported magnitude of association.
Conditions
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Study Design
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COHORT
CROSS_SECTIONAL
Interventions
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nasofibroscopy
Flexible videorhinolaryngoscope, PAL 11101VP\*, 4.2 mm diameter. Using a computerized system including:
Light source: Explor ENT (HAL250). The software allowed audio, video recording and retrieval of recorded material.
Eligibility Criteria
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Inclusion Criteria
* patients complaining of snoring and obstructive sleep panea
Exclusion Criteria
* Pregnancy
* sever cardiovascular disease ( unstable angina , sever arrhythmia , MI)
* chronic renal failure (CRF)
* neurological disorders
18 Years
80 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Basma Khairy Mohamed
director
Central Contacts
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reham abdelwkeel, lecturer
Role: CONTACT
References
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Armstrong MW, Wallace CL, Marais J. The effect of surgery upon the quality of life in snoring patients and their partners: a between-subjects case-controlled trial. Clin Otolaryngol Allied Sci. 1999 Dec;24(6):510-22. doi: 10.1046/j.1365-2273.1999.00307.x.
Tung P, Levitzky YS, Wang R, Weng J, Quan SF, Gottlieb DJ, Rueschman M, Punjabi NM, Mehra R, Bertisch S, Benjamin EJ, Redline S. Obstructive and Central Sleep Apnea and the Risk of Incident Atrial Fibrillation in a Community Cohort of Men and Women. J Am Heart Assoc. 2017 Jul 1;6(7):e004500. doi: 10.1161/JAHA.116.004500.
Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK, Marcus CL, Mehra R, Parthasarathy S, Quan SF, Redline S, Strohl KP, Davidson Ward SL, Tangredi MM; American Academy of Sleep Medicine. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med. 2012 Oct 15;8(5):597-619. doi: 10.5664/jcsm.2172.
Related Links
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Related Info
Other Identifiers
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snoring in non-obese
Identifier Type: -
Identifier Source: org_study_id
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