Trabalho de Conclusão de Curso - Graduação

Prevalência de fatores de risco para síndrome de apneia do sono em um Hospital Universitário na cidade de Belém, Pará

The Syndrome Obstructive Sleep Apnea (SOAHS) is considered a public health problem because of its high index of prevalence proportion. Despite of the SOAHS’ frequency and severity; most of the patients don’t have a precise diagnostic. Whereas the main goal of this paper is identifying the prevale...

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Autor principal: RODRIGUES, Jonix Cardoso
Outros Autores: COSTA, Márcio Veiga
Grau: Trabalho de Conclusão de Curso - Graduação
Publicado em: 2018
Assuntos:
Acesso em linha: http://bdm.ufpa.br/jspui/handle/prefix/414
Resumo:
The Syndrome Obstructive Sleep Apnea (SOAHS) is considered a public health problem because of its high index of prevalence proportion. Despite of the SOAHS’ frequency and severity; most of the patients don’t have a precise diagnostic. Whereas the main goal of this paper is identifying the prevalence of physical disorders linked to obstructive sleep apnea in the State of Pará, Brazil. Method: During 2013, over 400 questionnaires were applied to over- 10-year-patients from the Otolaryngology and Ophthalmology clinics (Bettina Ferro de Souza Hospital, Belém- Capital of Pará). The statistic evaluation was supported by Minitab Program, Version 14, considering the logistic regression method and values of p <0.05. Subsequently, a multiple logistic regression was applied to determine the impact of each variable in the development of sleep apnea, and correlate them to the odds ratios; trust intervals of 95%. Results: 56% of questionnaires were with females patients, from 12-82 years (the mean age was 38.37 ± 14.9). The 67% of contestants aged 20-50; 65% admitted snoring; 54 (13.5%) reported they were hypertensive, and 45 indicated a high risk for SOAHS (95% CI: 50.99 to 6737.19, P < 0.000, OR: 586.13); 136 (34%) reported excessive sleepiness, from this amount, 78 presented a high risk for SOAHS, what should be investigated, with significant statistical level (95% CI: 1.13 to 4.73, P < 0.022 and OR: 2.31); high SOAHS’ Risk corresponded to 38.5 % in average. Conclusion: The causal association between sleep apnea syndrome and age, especially after 50s, demonstrated a strong convergence, according to the public data reference. Besides, there is a link between gender, body mass index (BMI), blood Pressure (HBP), snoring, smoking, degree of somnolence, respiratory obstruction and neck circumference.