Obstructive Hypopnea Sleep Apnea Syndrome: Diagnostic Correlation between Primary Care and Second Medical Health Care Levels

Abstract

Objective: to determine the frequency of the obstructive hypopnea sleep apnea syndrome (ohsas) diagnosed in the first level of care and its association with the diagnosis in the second level. Methods: observational, longitudinal, prospective and analytical study. The study was conducted in the Family Medicine Unit no. 6 of the Mexican Institute of Social Security (imss), of Puebla, Mexico. Non-randomized sample, until completing a sample of 30 patients; the Berlin questionnaire, the scale of daytime sleepiness of Epworth and simplified diagnosis were applied. Results: from the total of 30 patients with obesity it was obtained an average age of 60, standard deviation of 11.53. Obesity degree by sex: Males: Obesity grade I and grade II represented 50%. Through the Berlin questionnaire, it was determined that 100% of male patients had high risk and 89% for female of high risk. The simplified diagnosis was made for ohsas with a very high probability of 92% and 67% for men and women respectively. Polysomnography was performed in all patients, and in 100% positive results were obtained. The hum arose in 93.3% and nocturia in 90%. Conclusions: concordance between Primary and Second care levels diagnosis failed since all sleep studies were positive. According to the obtained results it can be concluded that obesity influences as a risk factor in the presence of ohsas.