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Symptom profile of ...
Symptom profile of undiagnosed obstructive sleep apnoea in hypertensive outpatients in primary care : a structural equation model analysis
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- Broström, Anders, 1963- (författare)
- Jönköping University,Östergötlands Läns Landsting,Linköpings universitet,Omvårdnad,Neurofysiologiska kliniken US,Hälsouniversitetet,Department of Nursing Science, Jönköping University, Sweden,HHJ, Avdelningen för omvårdnad
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- Sunnergren, Ola (författare)
- Linköpings universitet,Institutionen för klinisk och experimentell medicin,Hälsouniversitetet,Ear, Nose and Throat Clinic, County Hospital Ryhov, Jo¨ nko¨ ping, Sweden,Linköping University,Länssjukhuset Ryhov, Jönköping
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- Johansson, Peter, 1962- (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Institutionen för medicin och hälsa,Kardiologiska kliniken US,Hälsouniversitetet,Linköping University,Kardiologi
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- Svensson, Erland, 1945- (författare)
- Associate Professor, Swedish Defence Research Agency, Linköping, Sweden
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- Ulander, Martin, 1980- (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Institutionen för klinisk och experimentell medicin,Neurofysiologiska kliniken US,Hälsouniversitetet,Linköping University,Klinisk neurofysiologi
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- Nilsen, Per, 1960- (författare)
- Linköpings universitet,Hälsa och samhälle,Hälsouniversitetet,Linköping University,Socialmedicin och folkhälsovetenskap,Utvärdering och hälsoekonomi
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- Svanborg, Eva, 1948- (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Institutionen för klinisk och experimentell medicin,Neurofysiologiska kliniken US,Hälsouniversitetet,Linköping University,Klinisk neurofysiologi
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(creator_code:org_t)
- London, United Kingdom : iMedPub Ltd. 2012
- 2012
- Engelska.
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Ingår i: Quality in Primary Care. - London, United Kingdom : iMedPub Ltd.. - 1479-1072 .- 1479-1064. ; 20:4, s. 287-298
- Relaterad länk:
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https://primarycare....
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BackgroundObstructive sleep apnoea (OSA) has been linked to hypertension in sleep clinic populations, but little is known about the symptom profile of undiagnosed OSA in hypertensive outpatients in primary care.AimTo explore characteristics associated with undiagnosed OSA in hypertensive primary care patients.MethodsCross-sectional design, including 411 consecutive patients (52% women), mean age 57.9 years (standard deviation [SD] 5.9 years), with diagnosed hypertension (blood pressure >140/90 mmHg) fromfour primary care centres. All subjects underwent a full-night, home-based, respiratory recording to establish the presence and severity of OSA. Clinical variables, medication and comorbidities, as well as data from self-rating scales regarding symptoms/characteristics, insomnia, excessive daytime sleepiness, depressive symptoms and health were collected during a clinical examination. Factor analyses and structural equation modelling (SEM) were used to explore the relationships between selfrated symptoms, clinical characteristics and objectively verified diagnosis of OSA.Main outcomeMeasures symptom profile of undiagnosed OSA (as measured by the Apnoea/ Hypopnoea Index [AHI]) in hypertensive outpatients in primary care.ResultsFifty-nine percent of the patients had an AHI _ 5/hour indicating OSA. An exploratory factor analysis based on 19 variables yielded a six-factor model (anthropometrics, blood pressure, OSA-related symptoms, comorbidity, health complaints and physical activity) explaining 58% of the variance. SEM analyses showed strong significant associations between anthropometrics (body mass index, neck circumference, waist circumference) (0.45), OSA-related symptoms (snoring, witnessed apnoeas, dry mouth) (0.47) and AHI. No direct effects of OSA on comorbidities, blood pressure, dyssomnia or self-rated health were observed.ConclusionOSA was highly prevalent and was directly associated with anthropometrics and OSArelated symptoms (snoring, witnessed apnoeas and dry mouth in the morning). When meeting patients with hypertension, these characteristics could be used by general practitioners to identify patients who are in need of referral to a sleep clinic for OSA evaluation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
Nyckelord
- depression
- health perception
- hypertension
- insomnia
- obstructive sleep apnoea
- sleep
- MEDICINE
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Broström, Anders ...
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Sunnergren, Ola
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Johansson, Peter ...
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Svensson, Erland ...
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Ulander, Martin, ...
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Nilsen, Per, 196 ...
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Svanborg, Eva, 1 ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Oto rhino laryng ...
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Quality in Prima ...
- Av lärosätet
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Linköpings universitet
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Jönköping University