SINDROMUL DE APNEE OBSTRUCTIVÃ ÎN SOMN (SAOS) ȘI ACCIDENTELE RUTIERE

  • Lorena Adriana BIRLEANU Universitatea de Medicină și Farmacie ”Gr. T. Popa” Iași
  • Gianina RUSU Universitatea de Medicină și Farmacie ”Gr. T. Popa” Iași
  • Tr. MIHAESCU Universitatea de Medicină și Farmacie ”Gr. T. Popa” Iași
Keywords: SLEEP APNEA SYNDROME, POLYSOMNOGRAPHY, TRAFFIC ACCIDENT

Abstract

For many years traffic accidents represent an important concern in the world and was
proven that excesive sleepiness, decreased vigilance of falling asleep in traffic are involved in
many car accidents. Aim: To asses the correlation between obstructive sleep apnea (OSA)
syndrome severity, the lenght of nocturnal arterial oxygen desaturation period and the patients
answers to the Epworth Sleepiness Scale Questionnaire (ESS) and Berlin Questionnaire (BQ).
Material and method: We used the records of patients admited in Iaºi Pneumology Clinical
Hospital with obstructive sleep apnea syndrome between 2007-2008, including only those
patients which drive the car daily and excluding those patiernts with comorbidities which could
increase the nocturnal arterial oxygen desaturation. The study group (33 patients) have been
assessed through polysomnography and some specific questions from ESS and BQ. We
identified those patients involved in traffic accidents due to sleepiness. The correlation between
obstructive sleep apnea syndrome severity (reflectd by Apnea-Hipopnea Index - AHI), the
lenght of the nocturnal arterial oxygen desaturation period (<90%) and the answers the
answers to ESS and BQ were assessed. Results: Two patients presented mild severity sleep
apnea syndrome, 15 presented moderate severity and 16 high severity sleep apnea syndrome.
The correlation of AHI with ESS (r=0,59, p<0.001) and BQ (r=0.47, p<0.05)were
significant while the correlation with nocturnal arterial oxygen desaturation period had no
significance (r=0.29, p<0.05). Conclusion: Patients with moderate or severe OSA present a
high degree of diurnal sleepiness which could affect the driving capacity

Author Biographies

Lorena Adriana BIRLEANU, Universitatea de Medicină și Farmacie ”Gr. T. Popa” Iași

Doctorand

Gianina RUSU, Universitatea de Medicină și Farmacie ”Gr. T. Popa” Iași

Facultatea de Medicinã
Disciplina de Pneumoftiziologie

Tr. MIHAESCU, Universitatea de Medicină și Farmacie ”Gr. T. Popa” Iași

Facultatea de Medicinã
Disciplina de Pneumoftiziologie

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Published
2019-04-19
Section
INTERNAL MEDICINE - PEDIATRICS