title: [Ten years experience of the sleep laboratory at the Institute of Tuberculosis and Lung Disease in Warsaw].
abstract: Between 1991-2000 2052 patients (81% men and 19% women) were referred to our Sleep Laboratory because of OSA suspision. In 1194 (58%) subjects (88% men and 12% women) diagnosis of obstructive sleep apnoea (OSA, AHI > 10) was confirmed. In 430 of them (36%) mild OSA (AHI 11-25), in 243 (20%) moderate OSA (AHI 26-40), and in 521 (44%) severe OSA (AHI > 40) was diagnosed. Epworth sleepiness scale score in those groups was 10.4, 10.5 and 13.0 points respectively. 908 (76%) of patients with OSA were submitted to nCPAP treatment. Effective CPAP pressure ranged from 5 to 20 milibars, mean 8.4 mbars. In 21 patients upper airway resistance syndrome (UARS) was diagnosed. Central sleep apnoea, most frequently of Cheyne-Stokes respiration type was diagnosed in 13 patients. The most common diseases accompanying OSA were: systemic hypertension (46%), coronary heart disease (29%), diabetes (12%), and COPD (9%). Majority of OSA patients (61%) were obese (BMI > 30 kg/m2), 32% were over weight (BMI 25-30 kg/m2). Only 7% had normal body weight (BMI 20-25 kg/m2). Long-term (more than one year) compliance to treatment was found in 70% of patients prescribed CPAP.
authors.affiliation: Kliniki Chorób Płuc Instytutu Gruźlicy i Chorób Płuc w Warszawie.
authors.forename: L
authors.initials: L
authors.lastname: Jonczak
authors.forename: P
authors.initials: P
authors.lastname: Sliwiński
authors.forename: J
authors.initials: J
authors.lastname: Cieślicki
authors.forename: M
authors.initials: M
authors.lastname: Koziej
authors.forename: M
authors.initials: M
authors.lastname: Mańkowski
authors.forename: R
authors.initials: R
authors.lastname: Pływaczewski
authors.forename: A
authors.initials: A
authors.lastname: Zgierska
authors.forename: M
authors.initials: M
authors.lastname: Bednarek
authors.forename: J
authors.initials: J
authors.lastname: Zieliński
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002639:Cheyne-Stokes Respiration / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland / Q000453:epidemiology; D017286:Polysomnography / Q000706:statistics & numerical data; D011175:Positive-Pressure Respiration; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy
vernacular_title: Dziesieć lat doświadczeń pracowni zaburzeń oddychania w czasie snu w Instytucie Gruźlicy i Chorób płuc.