Effect of nocturia in patients with different severity of obstructive sleep apnea on polysomnography: A retrospective observational study

作     者：Chin-Heng Lu Hung-Min Chang Kuang-Hsi Chang Yen-Chuan Ou Chao-Yu Hsu Min-Che Tung Frank Cheau-Feng Lin Stella Chin-Shaw Tsai 

作者机构：Division of UrologyDepartment of SurgeryTungs’Taichung Metroharbor HospitalTaichungTaiwanChina Rong Hsing Research Center for Translational MedicineChung Hsing UniversityTaichungTaiwanChina College of Life SciencesChung Hsing UniversityTaichungTaiwanChina Department of OtolaryngologyTungs’Taichung Metroharbor HospitalTaichungTaiwanChina Department of Medical ResearchTungs’Taichung Metroharbor HospitalTaichungTaiwanChina General Education CenterJen-Teh Junior College of MedicineNursing and ManagementMiaoliTaiwanChina Graduate Institute of Biomedical SciencesChina Medical UniversityTaichungTaiwanChina Department of Post-Baccalaureate MedicineCollege of MedicineChung Hsing UniversityTaichungTaiwanChina Department of NursingJen-Teh Junior College of MedicineNursing and ManagementMiaoliTaiwanChina Department of SurgeryChung Shan Medical UniversityTaichungTaiwanChina College of MedicineChung Shan Medical UniversityTaichungTaiwanChina 

出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)

年 卷 期：2024年第11卷第3期

页      面：486-496页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：support from Tungs’Taichung Metroharbor Hospital(grant number#TTMHH-109R0048 to Stella Chin-Shaw Tsai) 

主　　题：Nocturia Obstructive sleep apnea Polysomnography Apnea-hypopnea index International Prostate Symptom Score 

摘      要：Patients with suspected OSA were examined using *** were divided into two groups based on the presence of *** was defined as a patient who needed to void at least *** index(AHI)was employed to classify patients according to degrees of severity:AHI5 events/h,5 events/h
AHI15 events/h,15 events/h
AHI30 events/h,and AHI30 events/h,defined as normal,mild OSA,moderate OSA,and severe OSA,*** variables,PSG parameters,International Prostate Symptom Scores(IPSSs),and quality of life scores due to urinary symptoms were ***:In total 140 patients,114 patients had OSA(48 had mild OSA;34 had moderate OSA;and 32 had severe OSA)and 107 patients had *** total IPSS was significantly higher in nocturia patients in all groups except the group of severe OSA *** the increasing severity of OSA,more correlated factors related to nocturia were *** mild OSA patients,nocturia related to increased age(p=0.025),minimum arterial blood oxygenation saturation(p=0.046),and decreased AHI of non-rapid eye movement(p=0.047),AHI of total sleep time(p=0.010),and desaturation index(p=0.012).In moderate OSA patients,nocturia related to increased age(p0.001),awake time(p=0.025),stage 1 sleep(p=0.033),and sleep latency(p=0.033),and decreased height(p=0.044),weight(p=0.025),and sleep efficiency(p=0.003).In severe OSA patients,nocturia related to increased weight(p=0.011),body mass index(p=0.009),awake time(p=0.008),stage 1 sleep(p=0.040),arousal number(p=0.030),arousal index(p=0.013),periodic limb movement number(p=0.013),and periodic limb movement index(p=0.004),and decreased baseline arterial blood oxygenation saturation(p=0.046).Conclusion:Our study revealed that there were more correlated factors related to nocturia with increasing severity of *** study helps in clinical education and treatment for OSA patients with different severity.