TY  - GEN
A1  - Skobel, Erik
A1  - Kamke, Wolfram
A1  - Bönner, Gerd
A1  - Alt, Bernd
A1  - Purucker, Hans-Christian
A1  - Schwaab, Bernhard
A1  - Einwang, Hans-Peter
A1  - Schröder, Klaus
A1  - Langheim, Eike
A1  - Völler, Heinz
A1  - Brandenburg, Alexandra
A1  - Graml, Andrea
A1  - Woehrle, Holger
A1  - Krüger, Stefan
T1  - Risk factors for, and prevalence of, sleep apnoea in cardiac rehabilitation facilities in Germany
BT  - the Reha-Sleep registry
T2  - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
N2  - Aim To determine the prevalence of, and the risk factors for, sleep apnoea in cardiac rehabilitation (CR) facilities in Germany.

Methods 1152 patients presenting for CR were screened for sleep-disordered breathing with 2-channel polygraphy (ApneaLink; ResMed). Parameters recorded included the apnoea-hypopnoea index (AHI), number of desaturations per hour of recording (ODI), mean and minimum nocturnal oxygen saturation and number of snoring episodes. Patients rated subjective sleep quality on a scale from 1 (poor) to 10 (best) and completed the Epworth Sleepiness Scale (ESS).

Results Clinically significant sleep apnoea (AHI 15/h) was documented in 33% of patients. Mean AHI was 1416/h (range 0-106/h). Sleep apnoea was defined as being of moderate severity in 18% of patients (AHI 15-29/h) and severe in 15% (AHI 30/h). There were small, but statistically significant, differences in ESS score and subjective sleep quality between patients with and without sleep apnoea. Logistic regression model analysis identified the following as risk factors for sleep apnoea in CR patients: age (per 10 years) (odds ratio (OR) 1.51; p<0.001), body mass index (per 5 units) (OR 1.31; p=0.001), male gender (OR 2.19; p<0.001), type 2 diabetes mellitus (OR 1.45; p=0.040), haemoglobin level (OR 0.91; p=0.012) and witnessed apnoeas (OR 1.99; p<0.001).

Conclusions The findings of this study indicate that more than one-third of patients undergoing cardiac rehabilitation in Germany have sleep apnoea, with one-third having moderate-to-severe SDB that requires further evaluation or intervention. Inclusion of sleep apnoea screening as part of cardiac rehabilitation appears to be appropriate.
T3  - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 400 
KW  - cardiac rehabilitation
KW  - sleep apnoea
KW  - sleep-disordered breathing
Y1  - 2018
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-404814
IS  - 400
ER  -