Association between Physical Examination and ...

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Sep 19, 2016 - Eduardo George Baptista Carvalho, Edilson Zancanella, and. AgrícioNubiato Crespo ..... REFERENCES. 1. Young T, Peppard PE, Gottlieb DJ.
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Annals of Otolaryngology and Rhinology

Research Article

*Corresponding author

Association between Physical Examination and Comorbidities in OSAS Severity

Laíza Araújo Mohana Pinheiro, Rua Quinze de Novembro, 1054, São Carlos, São Paulo-SP. Brazil, CEP: 13561-206; Fax: 55-1633711005, Email: Submitted: 06 June 2016 Accepted: 16 September 2016 Published: 19 September 2016 ISSN: 2379-948X Copyright

LaízaMohana Pinheiro Duarte*, Priscila Leite da Silveia,

© 2016 Duarte et al.

Alexandre Scalli Mathias Duarte, Vanessa Gonçalves Silva,

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Eduardo George Baptista Carvalho, Edilson Zancanella, and

Keywords

AgrícioNubiato Crespo Department of Otolaryngology, Head and Neck Surgery, University of Campinas, Brazil

• Sleep apnea syndromes; Hypertension; Physical examination; Overweight

Abstract Introduction: Obstructive Sleep Apnea Syndrome (OSAS) is a chronic, multifactorial disorder which affects 4% men and 2% women in middle aged adults. It is featured by episodes of partial or total obstruction of the upper airway during sleep, which results in oxygen desaturation and micro-awakenings. Objective: Associate anthroprometric data, otolaryngological exam and comorbidities with OSAS severity assessed by sleep apnea-hypopnea index (AHI). Methods: We analyzed 350 medical records from patients with sleep disorders from tertiary hospital, (June/2007 to May/2012). Incomplete records excluded. Patients were divided into 4 groups according to AHI: snoring, mild apnea, moderate apnea and severe apnea. Variables analysed: age, sex, the Epworth Sleepiness Daytime Scale (ESS), comorbidities, body mass index(BMI), neck circumference(NC), Brodsky Palatine Tonsil classification, Modified Mallampati(MM) score and the Friedman index. Data was analysed statistically. Results: 249 patients evaluated, 129 men/120 women, mean age 50.9 years. 28/snoring, 45/mild, 73/moderate and 103/severe apnea. Systemic Arterial Hypertension was more prevalent in severe OSAS (p=0.045). BMI, NC, MM scores and Friedman presented higher values with worsening AHI(p