[Prevalence of symptoms and risk of obstructive sleep apnea syndrome assessed by the Berlin Questionnaire among professionals of a health facility].
BACKGROUND
Few data exist on the prevalence of symptoms and risk of obstructive sleep apnea syndrome (OSAS) among professionals of a health facility, or they often work in shift schedule and night. Under these conditions, an undetected OSAS may affect alertness and attention in professional acts. The purpose of this study was to determine the prevalence and risk factors of OSAS among professionals of a health facility.


METHODS
It is a descriptive cross-sectional study conducted among 773 participants working at the university hospital of Pointe-à-Pitre and volunteers to answer the Berlin questionnaire. We also collected among respondents, abdominal and neck circumference and medical history.


RESULTS
Women accounted for 67% (n=520) of the sample and men 32.7% (n=253). The mean age was 42±11.1 years. We noted a high prevalence of OSAS symptoms (snoring at 69% to 26% daytime sleepiness) and SAS risk factors (hypertension reported to 18%, BMI>30kg/m2to 13%). The prevalence of subjects at high OSAS risk was 23.5% (20.6-26.6%) in the overall study population; it was 22.4% in nursing staff, and 21.4% (17-26%) among in the shift schedule workers. The factors significantly associated with a high risk of OSAS in this population were: age>51 years (adjusted odds ratio [aOR]: 8.1, P<0.001), male gender (aOR: 4.1, P<0.001), the neck circumference>41cm (aOR: 2.9, P<0.01) and comorbidities (diabetes, high cholesterol and family history of SAOS).


CONCLUSIONS
It seems interesting to propose to health workers who have risk factors for sleep apnea syndrome identified in this study, OSAS screening by the Berlin Questionnaire. This could be implemented for example as part of occupational medicine.
Département de pneumologie, CHU de Pointe-à-Pitre, 97159 Pointe-à-pitre cedex, Guadeloupe. Electronic address: gilbert.cadelis@chu-guadeloupe.fr.
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Cadelis
Département de pneumologie, CHU de Pointe-à-Pitre, 97159 Pointe-à-pitre cedex, Guadeloupe.
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Fayad Y Monteagudo
D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D006970:Disorders of Excessive Somnolence / Q000453:epidemiology; D005260:Female; D019430:Guadeloupe / Q000453:epidemiology; D006268:Health Facilities; D006281:Health Occupations / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012891:Sleep Apnea Syndromes / Q000453:epidemiology; D020181:Sleep Apnea, Obstructive / Q000453:epidemiology*; D012913:Snoring / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult
Berlin questionnaire; Epidemiology; Epidémiologie; Guadeloupe; Obstructive sleep apnea; Questionnaire de Berlin; Ronflement; Shift schedule; Syndrome d’apnée obstructive du sommeil; Travail posté; Workers