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Clinical features and risk factors in patients with asthma complicated with obstructive sleep apnea-hypopnea syndrome: a hospital-based study

  • Sleep Breathing Physiology and Disorders • Original Article
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Abstract

Purpose

The current study was conducted to explore the clinical features and risk factors of patients with asthma complicated by obstructive sleep apnea-hypopnea syndrome (OSAHS).

Methods

Patients with asthma who underwent polysomnography in our hospital from August 2017 to December 2019 were enrolled in the study. Data on demographics, pulmonary function testing, polysomnography, blood gases, mean pulmonary artery pressure, and vascular endothelial growth factor (VEGF) were compared between the two groups.

Results

Of 238 patients with asthma, 93 who also had OSAHS formed the observation group and were subclassified into mild (n = 33), moderate (n = 41), and severe (n = 19) categories, while 145 patients with asthma alone were assigned to the control group. No significant differences were found in sex, age, course of disease, or pulmonary function between the two groups (P > 0.05), while the observation group showed more frequent allergic rhinitis and had greater BMI, neck circumference, mean pulmonary artery pressure (mPAP), and VEGF than those in the control group (P < 0.001). The peak expiratory flow (PEF), forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and FEV1/FVC in the mild group and the moderate group were higher than those in the severe group (P < 0.001). The durations of AHI and SaO2 < 90% in the mild group and the moderate group were shorter than that in the severe group, and the lowest level of SaO2 in the mild group and the moderate group was higher than that in the severe group (P <  0.05). The mPAP and VEGF of the mild and moderate groups were lower than those of severe group (P < 0.001), with mild group lower than moderate group (P < 0.001).

Conclusion

Significant differences in allergic rhinitis, BMI, neck circumference, AHI, SaO2, mPAP, and VEGF were observed in patients with asthma complicated by OSAHS. These parameters are risk factors associated with asthma complicated by OSAHS.

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Authors and Affiliations

  1. Department of Respiratory and Critical Care Medicine, Bei**g Chaoyang Hospital, Capital Medical University, No. 8 Gongti South Road, Chaoyang District, Bei**g, 100020, China

    Jun-Ling Lin, **ao-Kai Feng, Dong-Mei Zhang & Hai-Yan Sun

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  1. Jun-Ling Lin
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  2. **ao-Kai Feng
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Correspondence to Jun-Ling Lin.

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The study protocol was approved by the Ethics Committee of Bei**g Chaoyang Hospital, Capital Medical University.

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Written informed consent was obtained from all the study subjects before enrollment.

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Lin, JL., Feng, XK., Zhang, DM. et al. Clinical features and risk factors in patients with asthma complicated with obstructive sleep apnea-hypopnea syndrome: a hospital-based study. Sleep Breath 25, 339–345 (2021). https://doi.org/10.1007/s11325-020-02127-9

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  • DOI: https://doi.org/10.1007/s11325-020-02127-9

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