KBB-Forum 2019 , Cilt 18, Sayı 4

COMPARISON OF AGE, GENDER, BMI AND AHI VALUES OF OSAS PATIENTS WITH NONCOMPLIANCE TO PAP TREATMENT

Dr. Sıdıka Deniz YALIM1
1Adana Şehir Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz, Adana, Türkiye Objective: Positive airway (PAP) is the standart treatment for moderate and severe sleep apnea. PAP treatment is also recommended in patients with mild sleep apnea with cardiac and cerebrovascular disease, where surgery is risky. The aim of this study was to determine the age, gender, BMI, recommended device type, presence of additional disease (diabetes, hypertension, chronic obstructive pulmonary disease, hyperlipidemia, ischemic heart disease) , septum deviation with AHI in OSAS patients with noncompliace to PAP treatment.

Material and Methods: Between January 1st, 2018 and January 1st, 2019 the patients admitted to Adana Şehir Eğitim ve Araştırma Hastanesi City Training and Research Hospital Ear-Nose-Throat clinic who were diagnosed obstructive sleep apnea by polysomnography (Grass Comed Plus, UK) in our sleep laboratory with non compliance to PAP treatment (CPAP (continous airway pressure) , BPAP (bilevel positive airway pressure) , BPAP-ST (standart time level), APAP (automatic positive airway pressure).

Results: There was no statistically significant relationship between AHI values and the age or BMI of mild, moderate and severe OSAS groups (p=0.294) . There was no significant difference between OSAS groups according to gender (p=0.064) . There was no significant difference between the device type and AHI (p=0.021) . There was no significant difference between the mean AHI values of the groups according to the presence of additional disease (p=0.564) . In addition no significant difference was found between the mean AHI values of patients with nasal septun deviation in 3 groups (p=0.548).

Conclusion: Age, gender, BMI, PAP device type, comorbidity and septum deviation were not correlated with the degree of the disease in OSAS patients with noncompliance to PAP treatment. Further studies with more patients are needed. Keywords : Obstructive sleep apnea, polysomnography, body mass index