Erik Skobel, Wolfram Kamke, Gerd Bönner, Bernd Alt, Hans-Christian Purucker, Bernhard Schwaab, Hans-Peter Einwang, Klaus Schröder, Eike Langheim, Heinz Völler, Alexandra Brandenburg, Andrea Graml, Holger Woehrle, Stefan Krüger
- 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 riskAim 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.…
MetadatenAuthor details: | Erik Skobel, Wolfram Kamke, Gerd Bönner, Bernd Alt, Hans-Christian Purucker, Bernhard Schwaab, Hans-Peter Einwang, Klaus Schröder, Eike Langheim, Heinz VöllerORCiDGND, Alexandra Brandenburg, Andrea Graml, Holger Woehrle, Stefan Krüger |
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DOI: | https://doi.org/10.1177/2047487314537916 |
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ISSN: | 2047-4873 |
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ISSN: | 2047-4881 |
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Pubmed ID: | https://pubmed.ncbi.nlm.nih.gov/24879359 |
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Title of parent work (English): | European journal of preventive cardiology : the official ESC journal for primary & secondary cardiovascular prevention, rehabilitation and sports cardiology |
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Publisher: | Sage Publ. |
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Place of publishing: | London |
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Publication type: | Article |
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Language: | English |
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Year of first publication: | 2015 |
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Publication year: | 2015 |
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Release date: | 2017/03/27 |
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Tag: | Cardiac rehabilitation; sleep apnoea; sleep-disordered breathing |
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Volume: | 22 |
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Issue: | 7 |
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Number of pages: | 11 |
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First page: | 820 |
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Last Page: | 830 |
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Funding institution: | ResMed, Germany |
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Organizational units: | Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Sport- und Gesundheitswissenschaften |
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Peer review: | Referiert |
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Institution name at the time of the publication: | Humanwissenschaftliche Fakultät / Institut für Sportwissenschaft |
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External remark: | Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 400 |
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