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A new perspective on OSAS cases with the Baveno classification.
Inonu Koseoglu, Handan; Aykun, Gökhan; Kanbay, Asiye; Pazarli, Ahmet Cemal; Yakar, Halil Ibrahim; Demir, Osman.
Afiliación
  • Inonu Koseoglu H; Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey.
  • Aykun G; Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey.
  • Kanbay A; Department of Health Sciences, Fenerbahçe University, Istanbul, Turkey.
  • Pazarli AC; Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey.
  • Yakar HI; Department of Pulmonary Diseases, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey.
  • Demir O; Department of Biostatistics and Medical Informatics, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Turkey.
Postgrad Med ; 136(6): 659-665, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38992947
ABSTRACT
OBJECTIVE/

BACKGROUND:

Since the apnea-hypopnea index (AHI), which is used in the diagnosis and grading of OSAS, does not adequately reflect the clinical perspective of the disease, the Baveno classification of OSA was developed, which allows multicomponent evaluation of OSAS patients. The aim of our study was to evaluate the application of the Baveno classification in clinical practice. PATIENTS/

METHODS:

A prospective study was performed on patients diagnosed with OSAS between January 2021 and June 2022. Patients were divided into 4 groups according to Baveno classification (Groups A-D) and three groups as mild, moderate, and severe OSAS according to AHI.

RESULTS:

A total of 378 patients (70% male, mean age 48.68 ± 11.81 years) were included in the study. The patients had mild (n 75; 20%), moderate (n 88; 23%), and severe (n 215; 57%) OSAS. According to Baveno classification, patients were included in Groups A (n 90; 24%), B (n 105 (28%), C (n 65; 17%), and D (n 118; 31%). The mean AHIs of the Baveno groups were similar (p = 0.116). Oxygen desaturation index (ODI) was higher in Groups B and D compared to Group A. The duration of T90 desaturation was longer in Groups C and D compared to Groups A and B (p < 0.05).

CONCLUSIONS:

The Baveno classification divided our OSAS cases into equivalent groups. One out of every four patients with mild OSAS was in Group D. This data was noteworthy in that the Baveno classification allows for the identification of symptomatic and comorbid patients with mild OSAS according to AHI and for the application of more effective treatments to these patients. Patients with comorbidities experienced oxygen desaturation for a longer period of time at night, and oxygenation deteriorated in patients with prominent symptoms. Baveno classification was found to be a more reasonable and easily applicable approach in clinical practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Índice de Severidad de la Enfermedad / Apnea Obstructiva del Sueño Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Postgrad Med Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Índice de Severidad de la Enfermedad / Apnea Obstructiva del Sueño Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Postgrad Med Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido