7/25/2019 ATS2016 Poster Elenajeler

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Romanian Lesson from a Screening of Sleep Apnea andPatients with Obesity-Hypoventilation Syndrome

F.D. Mihaltan, PhD1, E.C. Jeler, MD1, O. C. Deleanu PhD11Marius Nasta Institute - Bucharest/RO

INRO!"#ION

$%HO!S AN! $A%RIALS

OPINION

Abstract

Introd&ction!"n!l!#$ in R!"ania starte% in1&&', later than in !therc!untries.(he nu"ber !) lab!rat!ries an%*h$sicians +h! c!ul% *r!i%eassistance )!r these *atients +aser$ l!+ initial.$aterial and method'Bet+een 1&&'--1 +escreene% aleat!r$ all the *atients*resente% t! !ur slee* lab!rat!r$)!r su*li"entar$ inesti#ati!n.Fr!" a sa"*le !) 1' *atients+ith *!l$#ra*h$ an%*!l$s!"n!#ra*h$ +e )!un% 10'2'3.345 AO s$n%r!"e an%11 *acients +ith !besit$-h$*!entilati!n s$n%r!"e.O) the 10' *atients +ith OA6& *atients 26.'&45 +ere "il%OA, 6 *atients 210.45 ha%"!%erate OA, an% 16*atients 2'.045 ha% seereOA.O) all the *atients +ith OA163 +ere "en an% ' +ere+!"en. Aera#e BMI )!r *atients+ith OA +as .&. Aera#eBMI )!r "en +ith OA it +as.0, an% aera#e BMI in+!"en +ith OA it +as 6.0'.

O) all *atients +ith !besit$h$*!entilati!n s$n%r!"e 3+ere "en an% ' +ere +!"en.Aera#e BMI +as 6.6'. Aera#eBMI )!r "en it +as 61, an%aera#e BMI )!r +!"en it +as66.6.Fr!" 11 *atients +ith !besit$h$*!entilat!n s$n%r!"e 6*atients ha% an% "il% OAs$n%r!"e, *atients ha% an%"!%erate OA s$n%r!"e an% 3*acients ha% an% seere OAs$n%r!"e. Opinion'Patients +ith OA an% !besit$-h$*!entilati!n s$n%r!"e are

late %etecte% in R!"ania than7st! an e%ucati!nal %e8cit at%!ct!rs an% *atients.In !r%er t! c!rrect these%e8ciencies +e %eel! e% the

O) all the *atients +ith OA 163 +ere "en an%' +ere +!"en. Aera#e BMI )!r *atients +ithOA +as .&. Aera#e BMI )!r "en +ith OA it

+as .0, an% aera#e BMI in +!"en +ith OA it+as 6.0'.

Bet+een 1&&' - 1 +e screene% aleat!r$ allthe *atients *resente% t! !ur slee* lab!rat!r$)!r su**le"entar$ inesti#ati!n. Fr!" asa"*le !) 1' *atients +ith *!l$#ra*h$ an%*!l$s!"n!#ra*h$ +e )!un% 10' 2'3.345OA s$n%r!"e an% 11 *atients +ith !besit$-h$*!entilati!n s$n%r!"e, !) +hich 3*atients +ere treate% +ith CPAP, the "ean*ressure +as 1.& c" 9O.

Patients +ith OA an% !besit$-h$*!entilati!ns$n%r!"e are late %etecte% in R!"ania than7st! an e%ucati!nal %e8cit at %!ct!rs an%*atients.In !r%er t! c!rrect these %e8ciencies +e%eel!*e% the c!"*etence in s!"n!l!#$, +e%eel!*e% the s!"n!l!#$ c!urses an%"ulti*lie% its %escri*ti!n in "e%ia an%inter%isci*linar$ *resentati!ns but there is still al!n# +a$ t! #!.In R!"ania increase% the nu"ber !) s!"n!l!#$

lab!rat!ries but the !:er is still insu;cient.

!"n!l!#$ in R!"ania starte% in 1&&', laterthan in !ther c!untries. (he nu"ber !)lab!rat!ries an% *h$sicians +h! c!ul% *r!i%eassistance )!r these *atients +as er$ l!+initial.

O) all *atients +ith !besit$ h$*!entilati!ns$n%r!"e 3 +ere "en an% ' +ere +!"en.Aera#e BMI +as 6.6'. Aera#e BMI )!r "en it+as 61, an% aera#e BMI )!r +!"en it +as66.6.

Fr!" 11 *atients +ith !besit$ h$*!entilati!ns$n%r!"e 6 *atients ha% a "il% OAs$n%r!"e, *atients ha% a "!%erate OA

s$n%r!"e an% 3 *atients ha% a seere OAs$n%r!"e.

O) the 10' *atients +ith OA 6& *atients26.'&45 +ere "il% OA, 6 *atients210.45 ha% "!%erate OA, an% 16*atients 2'.045 ha% seere OA.