RT Journal Article
T1 High prevalence of obstructive sleep apnea syndrome in Spain's Stroke Belt.
A1 Domínguez-Mayoral, Ana
A1 Sánchez-Gómez, Jesús
A1 Guerrero, Patricia
A1 Ferrer, Marta
A1 Gutiérrez, Carmen
A1 Aguilar, María
A1 Fouz-Rosón, Natalia
A1 Benítez, José María
A1 Pérez-Sánchez, Soledad
A1 Gamero-García, Miguel Ángel
A1 De Torres-Chacón, Reyes
A1 Barragán-Prieto, Ana
A1 Algaba, Pilar
A1 Ruiz-Bayo, Lidia
A1 Montaner, Joan
K1 Spanish Stroke Belt
K1 ischemic stroke
K1 obstructive sleep apnea–hypopnea syndrome
K1 polygraphy
K1 polysomnography
K1 screening
AB Spain's so-called Stroke Belt is an area with high prevalence of vascular disease. We aimed to determine the prevalence of undetected obstructive sleep apnea-hypopnea syndrome (OSAHS) among patients with acute ischemic stroke (AIS) in southern Spain. We conducted a cross-sectional study at the Virgen Macarena University Hospital Stroke Unit during 2018 to 2019. We included patients  Seventy-two patients were included. The median participant age was 72 years. Mean body mass index was 27.07 kg/m2, and 40.28% were daily alcohol drinkers. Hypertension, atrial fibrillation, ischemic cardiomyopathy, and previous stroke were detected in 63.9%, 11.1%, 15.3%, and 17.6% of patients, respectively. Polygraphy was feasible in 91.38% of patients. The prevalence of OSAHS was 84.72% (apnea-hypopnea index ≥5). Patients with moderate and severe OSAHS were more likely to be obese and to have a larger neck circumference and facial palsy. The diagnostic criteria of central sleep apnea syndrome were met in only 1.38% of patients. The high prevalence of OSAHS found in the Spanish Stroke Belt justifies further investigation and development of a screening program as a strategy to identify patients with undetected OSAHS.
YR 2021
FD 2021
LK https://hdl.handle.net/10668/27976
UL https://hdl.handle.net/10668/27976
LA en
DS RISalud
RD Apr 17, 2025