Obstructive sleep apnea in non-dialysis chronic kidney disease patients
Abstract There is an enormous increase in the burden of chronic kidney disease both in developing and developed countries. There is a paucity of data on obstructive sleep apnea (OSA) in chronic kidney disease (CKD) patients in India. We used a cross-sectional prospective observational study to deter...
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| Veröffentlicht in: | Renal failure 2015-03, Vol.37 (2), p.214-218 |
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| creator | Shanmugam, G. Vijay Abraham, Georgi Mathew, Milly Ilangovan, V. Mohapatra, Madhusmita Singh, Tripat |
| description | Abstract
There is an enormous increase in the burden of chronic kidney disease both in developing and developed countries. There is a paucity of data on obstructive sleep apnea (OSA) in chronic kidney disease (CKD) patients in India. We used a cross-sectional prospective observational study to determine the prevalence of OSA in non-dialysis CKD patients. Of the 647 CKD patients 302 patients were in stage II, III and IV. The study population was screened using the Berlin questionnaire and 87 patients were positive for OSA (28%). Among the 87, 37 patients were excluded based on the exclusion criteria. Fifty patients underwent a split night sleep study. Stage II, III CKD patients were clubbed as early CKD or group one and stage IV CKD patients were clubbed as late CKD or group two. The spilt night study revealed an 88% incidence of OSA of varying severity. A sub group analysis was done to assess the severity of OSA. A statistical significance (p |
| doi_str_mv | 10.3109/0886022X.2014.979730 |
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There is an enormous increase in the burden of chronic kidney disease both in developing and developed countries. There is a paucity of data on obstructive sleep apnea (OSA) in chronic kidney disease (CKD) patients in India. We used a cross-sectional prospective observational study to determine the prevalence of OSA in non-dialysis CKD patients. Of the 647 CKD patients 302 patients were in stage II, III and IV. The study population was screened using the Berlin questionnaire and 87 patients were positive for OSA (28%). Among the 87, 37 patients were excluded based on the exclusion criteria. Fifty patients underwent a split night sleep study. Stage II, III CKD patients were clubbed as early CKD or group one and stage IV CKD patients were clubbed as late CKD or group two. The spilt night study revealed an 88% incidence of OSA of varying severity. A sub group analysis was done to assess the severity of OSA. A statistical significance (p < 0.05) between early and late CKD group was observed with respect to AHI and ODI. An improvement in the late CKD is observed and the Z values for AHI and ODI are 4.273 and 2.307, respectively. The prevalence and incidence of OSA was found to be 28% and 88% in non-dialysis CKD patients, respectively and the risk and severity of OSA increased with the progression of CKD stages and thus necessitating the need for screening the non-dialysis CKD population.</description><identifier>ISSN: 0886-022X</identifier><identifier>EISSN: 1525-6049</identifier><identifier>DOI: 10.3109/0886022X.2014.979730</identifier><identifier>PMID: 25377156</identifier><language>eng</language><publisher>England: Informa Healthcare USA, Inc</publisher><subject>Adult ; Aged ; Berlin questionnaire ; Cross-Sectional Studies ; Female ; Humans ; Incidence ; India - epidemiology ; Kidney Function Tests - methods ; Male ; Middle Aged ; non-dialysis CKD ; obstructive sleep apnea ; Polysomnography - methods ; Prevalence ; Prospective Studies ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - epidemiology ; Renal Insufficiency, Chronic - physiopathology ; Severity of Illness Index ; sleep apnea and renal function ; Sleep Apnea, Obstructive - diagnosis ; Sleep Apnea, Obstructive - epidemiology ; Sleep Apnea, Obstructive - etiology ; sleep study in CKD ; Surveys and Questionnaires</subject><ispartof>Renal failure, 2015-03, Vol.37 (2), p.214-218</ispartof><rights>2014 Informa Healthcare USA, Inc. All rights reserved: reproduction in whole or part not permitted 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-6e63b8bf708a43b4708cfa4e764b3cdd493b73e6c7d92bd2f36f21b13f4a4b0f3</citedby><cites>FETCH-LOGICAL-c464t-6e63b8bf708a43b4708cfa4e764b3cdd493b73e6c7d92bd2f36f21b13f4a4b0f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25377156$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shanmugam, G. Vijay</creatorcontrib><creatorcontrib>Abraham, Georgi</creatorcontrib><creatorcontrib>Mathew, Milly</creatorcontrib><creatorcontrib>Ilangovan, V.</creatorcontrib><creatorcontrib>Mohapatra, Madhusmita</creatorcontrib><creatorcontrib>Singh, Tripat</creatorcontrib><title>Obstructive sleep apnea in non-dialysis chronic kidney disease patients</title><title>Renal failure</title><addtitle>Ren Fail</addtitle><description>Abstract
There is an enormous increase in the burden of chronic kidney disease both in developing and developed countries. There is a paucity of data on obstructive sleep apnea (OSA) in chronic kidney disease (CKD) patients in India. We used a cross-sectional prospective observational study to determine the prevalence of OSA in non-dialysis CKD patients. Of the 647 CKD patients 302 patients were in stage II, III and IV. The study population was screened using the Berlin questionnaire and 87 patients were positive for OSA (28%). Among the 87, 37 patients were excluded based on the exclusion criteria. Fifty patients underwent a split night sleep study. Stage II, III CKD patients were clubbed as early CKD or group one and stage IV CKD patients were clubbed as late CKD or group two. The spilt night study revealed an 88% incidence of OSA of varying severity. A sub group analysis was done to assess the severity of OSA. A statistical significance (p < 0.05) between early and late CKD group was observed with respect to AHI and ODI. An improvement in the late CKD is observed and the Z values for AHI and ODI are 4.273 and 2.307, respectively. The prevalence and incidence of OSA was found to be 28% and 88% in non-dialysis CKD patients, respectively and the risk and severity of OSA increased with the progression of CKD stages and thus necessitating the need for screening the non-dialysis CKD population.</description><subject>Adult</subject><subject>Aged</subject><subject>Berlin questionnaire</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>India - epidemiology</subject><subject>Kidney Function Tests - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>non-dialysis CKD</subject><subject>obstructive sleep apnea</subject><subject>Polysomnography - methods</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Renal Insufficiency, Chronic - complications</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Severity of Illness Index</subject><subject>sleep apnea and renal function</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep Apnea, Obstructive - epidemiology</subject><subject>Sleep Apnea, Obstructive - etiology</subject><subject>sleep study in CKD</subject><subject>Surveys and Questionnaires</subject><issn>0886-022X</issn><issn>1525-6049</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtr3DAUhUVJaKZp_0EJXmbjiV6W7E1LCWkaCGSTQHZCjytGqUdyJLtl_n1sZlLoZlZ3851zLh9CXwleM4K7K9y2AlP6vKaY8HUnO8nwB7QiDW1qgXl3glYLUi_MGfpUygvGpGkl_YjOaMOkJI1YodsHU8Y82TH8gar0AEOlhwi6CrGKKdYu6H5XQqnsJqcYbPU7uAi7yoUCukA16DFAHMtndOp1X-DL4Z6jp583j9e_6vuH27vrH_e15YKPtQDBTGu8xK3mzPD5Wq85SMENs87xjhnJQFjpOmoc9Ux4SgxhnmtusGfn6HLfO-T0OkEZ1TYUC32vI6SpKCIayWgjGz6jfI_anErJ4NWQw1bnnSJYLQrVu0K1KFR7hXPs4rAwmS24f6F3ZzPwfQ-E6FPe6r8p906Neten7LOONpSl_ujEt_8aNqD7cWN1BvWSphxngcd_fAMwY5TI</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Shanmugam, G. Vijay</creator><creator>Abraham, Georgi</creator><creator>Mathew, Milly</creator><creator>Ilangovan, V.</creator><creator>Mohapatra, Madhusmita</creator><creator>Singh, Tripat</creator><general>Informa Healthcare USA, Inc</general><general>Informa Healthcare</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Obstructive sleep apnea in non-dialysis chronic kidney disease patients</title><author>Shanmugam, G. Vijay ; Abraham, Georgi ; Mathew, Milly ; Ilangovan, V. ; Mohapatra, Madhusmita ; Singh, Tripat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-6e63b8bf708a43b4708cfa4e764b3cdd493b73e6c7d92bd2f36f21b13f4a4b0f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Berlin questionnaire</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>India - epidemiology</topic><topic>Kidney Function Tests - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>non-dialysis CKD</topic><topic>obstructive sleep apnea</topic><topic>Polysomnography - methods</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Renal Insufficiency, Chronic - complications</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Severity of Illness Index</topic><topic>sleep apnea and renal function</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep Apnea, Obstructive - epidemiology</topic><topic>Sleep Apnea, Obstructive - etiology</topic><topic>sleep study in CKD</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shanmugam, G. Vijay</creatorcontrib><creatorcontrib>Abraham, Georgi</creatorcontrib><creatorcontrib>Mathew, Milly</creatorcontrib><creatorcontrib>Ilangovan, V.</creatorcontrib><creatorcontrib>Mohapatra, Madhusmita</creatorcontrib><creatorcontrib>Singh, Tripat</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Renal failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shanmugam, G. Vijay</au><au>Abraham, Georgi</au><au>Mathew, Milly</au><au>Ilangovan, V.</au><au>Mohapatra, Madhusmita</au><au>Singh, Tripat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obstructive sleep apnea in non-dialysis chronic kidney disease patients</atitle><jtitle>Renal failure</jtitle><addtitle>Ren Fail</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>37</volume><issue>2</issue><spage>214</spage><epage>218</epage><pages>214-218</pages><issn>0886-022X</issn><eissn>1525-6049</eissn><abstract>Abstract
There is an enormous increase in the burden of chronic kidney disease both in developing and developed countries. There is a paucity of data on obstructive sleep apnea (OSA) in chronic kidney disease (CKD) patients in India. We used a cross-sectional prospective observational study to determine the prevalence of OSA in non-dialysis CKD patients. Of the 647 CKD patients 302 patients were in stage II, III and IV. The study population was screened using the Berlin questionnaire and 87 patients were positive for OSA (28%). Among the 87, 37 patients were excluded based on the exclusion criteria. Fifty patients underwent a split night sleep study. Stage II, III CKD patients were clubbed as early CKD or group one and stage IV CKD patients were clubbed as late CKD or group two. The spilt night study revealed an 88% incidence of OSA of varying severity. A sub group analysis was done to assess the severity of OSA. A statistical significance (p < 0.05) between early and late CKD group was observed with respect to AHI and ODI. An improvement in the late CKD is observed and the Z values for AHI and ODI are 4.273 and 2.307, respectively. The prevalence and incidence of OSA was found to be 28% and 88% in non-dialysis CKD patients, respectively and the risk and severity of OSA increased with the progression of CKD stages and thus necessitating the need for screening the non-dialysis CKD population.</abstract><cop>England</cop><pub>Informa Healthcare USA, Inc</pub><pmid>25377156</pmid><doi>10.3109/0886022X.2014.979730</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Berlin questionnaire Cross-Sectional Studies Female Humans Incidence India - epidemiology Kidney Function Tests - methods Male Middle Aged non-dialysis CKD obstructive sleep apnea Polysomnography - methods Prevalence Prospective Studies Renal Insufficiency, Chronic - complications Renal Insufficiency, Chronic - diagnosis Renal Insufficiency, Chronic - epidemiology Renal Insufficiency, Chronic - physiopathology Severity of Illness Index sleep apnea and renal function Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - epidemiology Sleep Apnea, Obstructive - etiology sleep study in CKD Surveys and Questionnaires |
| title | Obstructive sleep apnea in non-dialysis chronic kidney disease patients |
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