Comparative study between clinical history and polysomnogram in the obstructive sleep apnea/ hypopnea syndrome.
Recognizing sleep-disordered breathing is on the rise every year. Manifestations, such as snoring, that were earlier considered mere inconvenients are now acquiring greater importance concerning life quality and social impact.


OBJECTIVE
To compare the clinical history to polysomnogram (PSG) results in the Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS).


METHODS
125 patients were analyzed, in a retrospective study. Specific questionnaires, avaliations of Body Mass Index and Epworth Scale were carried out.


RESULTS
Among the patients, 75 were males and 50 were females. The main symptom was snoring. 46% had normal PSG, 30% had light OSAHS, 15% moderate and 9% severe OSAHS and it was not observed a correlation between clinical data and PSG results. Concerning clinical symptoms, only insomnia has shown relevance when univariably analyzed in normal and light OSAHS patients (p<0,05) compared to patients with moderate and severe OSAHS, losing its importance when analyzed together with other factors.


CONCLUSIONS
the clinical history, per se, is not sufficient to define OSAHS' diagnosis or it's severity.
Allenstein Gondim
Lys Maria
LM
MD. Otorhinolaryngologist, Former Resident of the Otorhinolaryngology Service - Hospital Nossa Senhora de Lourdes - SP; Professor and ENT - Universidade do Vale do Itajaí, UNIVALI. & Hospital Universitário Infantil Pequeno Anjo, HUPA.
Matshie Matumoto
Luciana
L
MD. Former Resident of the Otorhinolaryngology Service - Hospital Nossa Senhora de Lourdes - SP.
Cezário de Melo J Únior
Marco Antônio
MA
MD. Resident of the Otorhinolaryngology Service - Hospital Nossa Senhora de Lourdes - SP.
Bittencourt
Sérgio
S
MD. Otorhinolaryngologist, Head of the Otorhinolaryngology Service - Hospital Nossa Senhora de Lourdes - SP.
José Ribeiro
Ulisses
U
MD. Otorhinolaryngologist, Head of the Otorhinolaryngology Service - Hospital Nossa Senhora de Lourdes - SP; Hospital Nossa Senhora de Lourdes, São Paulo SP.
D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D012189:Retrospective Studies; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis*; D011795:Surveys and Questionnaires