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Sleep apnea syndrome in chronic spinal cord injury : Associated factors and treatment
BURNS SP; LITTLE JW; HUSSEY JL
ARCH PHYS MED REHABIL , 2000, vol. 81, n° 10, p. 1334-1339 Doc n°: 97526 Localisation : Documentation IRR Descripteurs : AE21 - ORIGINE TRAUMATIQUE
Article consultable sur : http://www.archives-pmr.org
Objective: To determine the prevalence of sleep apnea in a sample of persons with chronic spinal cord injury (SCI) of varying injury levels and degrees of impairment. Design: Cross-sectional study. Setting: Inpatient SCI rehabilitation unit. Participants: Twenty men with SCI (motor complete and incomplete; American Spinal Injury Association classes A-D) of at least 1 year's duration, randomly selected from patients with SCI undergoing elective hospitalization. Main Outcome Measures: Apnea index, determined by sleep study (including chest wall movement, airflow, oxygen saturation), and daytime sleepiness, determined by Epworth sleepiness score. Results: Eight subjects (40%) had sleep apnea, manifested by elevated apnea index (mean ± SD, 17.1 ± 6.9) and excessive daytime sleepiness. Sleep apnea was commonly diagnosed in motor-incomplete injuries. A trend (p = .07) existed toward a greater prevalence of sleep apnea with tetraplegia. Age and body mass index were not associated with sleep apnea. Conclusion: The prevalence of sleep apnea in men with chronic SCI admitted for nonrespiratory elective hospitalization is high relative to the general population. Langue : ANGLAIS Identifiant basis : 2000213452 |
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