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Caracterización de la apnea del sueño en pacientes cardiópatas e internación por enfermedad grave por COVID-19 / Characterization of sleep apnea and hospitalization for severe illness due to COVID-19
Castro Garcia, Raul Germán; Guilcapi Gamarra, Christian Andres; Moreira García, Cindy Katiuska; Zambrano Pilligua, Josselyn Juliana; Anzules Cuzco, Lizandro Nicolas; Rubira Clavijo, Andrea Judith; Moran Giler, José Wladimir; Sánchez Acuña, Erick John; Pazmiño Chancay, Manuel Jesús; Zea Torres, Jorge; Chamaidán Quinto, Clara Paola.
  • Castro Garcia, Raul Germán; Universidad de Guayaquil. Guayaquil. EC
  • Guilcapi Gamarra, Christian Andres; Hospital Luis Vernaza. EC
  • Moreira García, Cindy Katiuska; Hospital General Santo Domingo. EC
  • Zambrano Pilligua, Josselyn Juliana; Hospital del Iess Teodoro Maldonado Carbo. EC
  • Anzules Cuzco, Lizandro Nicolas; Hospital del Iess Teodoro Maldonado Carbo. EC
  • Rubira Clavijo, Andrea Judith; Hospital Sagrados Corazones. Carbo. EC
  • Moran Giler, José Wladimir; Hospital del Iess Teodoro Maldonado Carbo. EC
  • Sánchez Acuña, Erick John; Hospital Luis Vernaza;. EC
  • Pazmiño Chancay, Manuel Jesús; Hospital General IESS de Quevedo. Quevedo. EC
  • Zea Torres, Jorge; Hospital del Iess Teodoro Maldonado Carbo. EC
  • Chamaidán Quinto, Clara Paola; Hospital del Iess Teodoro Maldonado Carbo. EC
Bol. malariol. salud ambient ; 62(2): 306-312, 2022. tab
Article in Spanish | LIVECS, LILACS | ID: biblio-1391339
RESUMEN
La COVID-19 ha generado mundialmente una morbi-mortalidad considerable, particularmente entre aquellos con comorbilidades crónicas hipertensión, diabetes y enfermedad cardiovascular. Investigaciones han demostrado que la apnea del sueño puede agravar el pronóstico vital, al causar o agudizar la disfunción endotelial, inflamación, estrés oxidativo, microaspiración y lesiones pulmonares, lo que amplifica el riesgo de hospitalización e incluso de sufrir de insuficiencia respiratoria. Se realizó un estudio descriptivo retrospectivo y transversal, se evaluaron 187 pacientes cardiópatas con clínica sugestiva a apnea obstructiva del sueño con resultaron positivo para SARS-CoV-2, entre 2020-2021.Se aplicaron la metodología de Castro et al., 2021 y cuestionario de STOP-BANG para valorar la disnea y caracterizar la AOS respectivamente. Se corroboró la fuerte asociación entre la enfermedad cardíaca y la presencia de AOS; más de la mitad de los pacientes estudiados presentaron, enfermedad grave por COVID-19, con disnea moderada-grave, que amerito hospitalización con cuidados intensivos, observándose mayor frecuencia en el sexo masculino, con más de 50 años y con IMC >30. Sin embargo, las féminas presentaron valores significativos de STOP-BANG, lo que sugiere a la HTA y obesidad como factores de riesgo para AOS, independiente al sexo. Se recomienda realizar el descarte de AOS como rutina médica, que permita establecer la epidemiología y estrategias para abordaje adecuado de estos pacientes(AU)
ABSTRACT
COVID-19 has generated considerable morbidity and mortality worldwide, particularly among those with chronic comorbidities hypertension, diabetes, and cardiovascular disease. Research has shown that sleep apnea can worsen the vital prognosis, by causing or exacerbating endothelial dysfunction, inflammation, oxidative stress, microaspiration and lung damage, which amplifies the risk of hospitalization and even respiratory failure. A retrospective and cross-sectional descriptive study was carried out, 187 heart patients with clinical signs suggestive of obstructive sleep apnea were evaluated and were positive for SARS-CoV-2, between 2020-2021. The methodology of Castro et al., 2021 and questionnaire were applied. STOP-BANG to assess dyspnea and characterize OSA, respectively. The strong association between heart disease and the presence of OSA was confirmed; More than half of the patients studied presented severe disease due to COVID-19, with moderate-severe dyspnea, which required hospitalization with intensive care, with a higher frequency observed in males, over 50 years of age and with BMI >30. However, females presented significant STOP-BANG values, which suggests hypertension and obesity as risk factors for OSA, regardless of gender. It is recommended to rule out OSA as a medical routine, which allows establishing the epidemiology and strategies for an adequate approach to these patients(AU)
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Respiratory Insufficiency / Cardiovascular Diseases / Sleep Apnea, Obstructive / Lung Injury / COVID-19 Type of study: Evaluation studies / Health technology assessment / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: Spanish Journal: Bol. malariol. salud ambient Journal subject: Social Sciences / Tropical Medicine Year: 2022 Type: Article Affiliation country: Ecuador Institution/Affiliation country: Hospital General IESS de Quevedo/EC / Hospital General Santo Domingo/EC / Hospital Luis Vernaza/EC / Hospital Luis Vernaza;/EC / Hospital Sagrados Corazones/EC / Hospital del Iess Teodoro Maldonado Carbo/EC / Universidad de Guayaquil/EC

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Full text: Available Index: LILACS (Americas) Main subject: Respiratory Insufficiency / Cardiovascular Diseases / Sleep Apnea, Obstructive / Lung Injury / COVID-19 Type of study: Evaluation studies / Health technology assessment / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: Spanish Journal: Bol. malariol. salud ambient Journal subject: Social Sciences / Tropical Medicine Year: 2022 Type: Article Affiliation country: Ecuador Institution/Affiliation country: Hospital General IESS de Quevedo/EC / Hospital General Santo Domingo/EC / Hospital Luis Vernaza/EC / Hospital Luis Vernaza;/EC / Hospital Sagrados Corazones/EC / Hospital del Iess Teodoro Maldonado Carbo/EC / Universidad de Guayaquil/EC