Respiratory disturbance during sleep in COPD patients without daytime hypoxemia. Academic Article uri icon

Overview

MeSH

  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • New York City
  • Severity of Illness Index

MeSH Major

  • Hypoventilation
  • Hypoxia
  • Pulmonary Disease, Chronic Obstructive
  • Sleep Apnea, Obstructive

abstract

  • Chronic obstructive pulmonary disease (COPD) is associated with significant morbidity and mortality. Its possible association with obstructive sleep apnea is a major cause of concern for clinicians. As the prevalence of both COPD and sleep apnea continues to rise, further investigation of this interaction is needed. In addition, COPD patients are at risk for hypoventilation during sleep due to the underlying respiratory dysfunction. In this study, 13 COPD subjects and 13 non-COPD control subjects were compared for the presence and severity of obstructive sleep apnea and nocturnal hypoventilation. All 26 subjects had presented to a sleep clinic and showed no signs of daytime hypoxemia. After matching for BMI and age, COPD subjects had a similar prevalence of sleep apnea with a lower degree of severity compared to the control subjects. However, less severe events, such as RERA, occurred at similar rates between the two groups. There was no significant difference between groups in the magnitude of oxyhemoglobin desaturation during sleep. Interestingly, severity and presence of nocturnal hypoxemia correlated with that of sleep apnea in the control group, but not in the COPD subjects. In conclusion, COPD without daytime hypoxemia was not a risk factor for sleep apnea or nocturnal hypoventilation in this study.

publication date

  • 2007

has subject area

  • Aged
  • Female
  • Humans
  • Hypoventilation
  • Hypoxia
  • Male
  • Middle Aged
  • New York City
  • Pulmonary Disease, Chronic Obstructive
  • Severity of Illness Index
  • Sleep Apnea, Obstructive

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC2699979

PubMed ID

  • 18268935

Additional Document Info

start page

  • 609

end page

  • 615

volume

  • 2

number

  • 4