Clinical features of snoring patients during sedative endoscopy

Snoring is the sound of turbulence and vibration of the upper respiratory tissues and has been identified as a risk factor of obstructive sleep apnea (OSA) and cardiovascular disease. The aim of this study was to identify associated clinical factors in snoring patients undergoing sedative endoscopy....

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Published in:The Korean journal of internal medicine 2019, 34(2), , pp.305-314
Main Authors: Chung, Jung Wha, Kim, Nayoung, Wee, Jee Hye, Lee, Jaebong, Lee, Jongchan, Kwon, Soohoon, Hwang, Young-Jae, Yoon, Hyuk, Shin, Cheol Min, Park, Young Soo, Lee, Dong Ho, Kim, Jin-Wook
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Conscious Sedation
coronary artery disease
Coronary Artery Disease - epidemiology
Endoscopy, Gastrointestinal
Female
Gastrectomy
Humans
Male
Middle Aged
Original
Prevalence
Prospective Studies
Republic of Korea - epidemiology
sleep apnea, obstructive
Sleep Apnea, Obstructive - epidemiology
snoring
Snoring - epidemiology
stomach neoplasms
surveys and questionnaires
내과학
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Summary:Snoring is the sound of turbulence and vibration of the upper respiratory tissues and has been identified as a risk factor of obstructive sleep apnea (OSA) and cardiovascular disease. The aim of this study was to identify associated clinical factors in snoring patients undergoing sedative endoscopy. A total of 49 patients who snored during standard sedative endoscopy and 127 controls were prospectively enrolled from June 2015 to June 2016. The Korean version of the Berlin Questionnaire was used to identify risk factors of OSA. Clinical information, including comorbidities, was collected from electronic medical records. The snoring group showed a higher risk of OSA (42.9% vs. 26.8%, p = 0.039), and a higher prevalence of coronary artery disease (10.2% vs. 0.8%, p = 0.007) and advanced gastric cancer (12.2% vs. 2.4%, p = 0.015) compared with the control group. Multivariate analysis showed that coronary artery disease (odds ratio [OR], 13.93; 95% confidence interval [CI], 1.24 to 155.90; p = 0.033) and advanced gastric cancer (OR, 5.21; 95% CI, 1.01 to 26.98; p = 0.049) were significantly associated with snoring. However, a history of gastrectomy showed only a marginally significant association with snoring (OR, 2.16; 95% CI, 0.91 to 5.11; p = 0.079). Patients who snore during sedative endoscopy may need to be evaluated for possible coronary artery disease.
ISSN:1226-3303
2005-6648
DOI:10.3904/kjim.2017.110