Erythrocyte sedimentation rate may help predict severity of obstructive sleep apnea View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-08-28

AUTHORS

Woo Hyun Lee, Jee Hye Wee, Chae-Seo Rhee, In-Young Yoon, Jeong-Whun Kim

ABSTRACT

PurposePrevious studies have shown a relationship between obstructive sleep apnea (OSA) and erythrocyte sedimentation rate (ESR), a representative marker for inflammation. We aimed to elucidate the possible association between elevated ESR and OSA severity.MethodsA total of 341 patients who visited a sleep center were retrospectively enrolled. Subjects underwent physical examination, overnight polysomnography (PSG), and blood sampling for ESR and high-sensitivity C-reactive protein (hs-CRP). We compared the ESR and hs-CRP level to OSA severity and measured their correlation with other PSG parameters.ResultsThe ESR was significantly higher in patients with severe OSA (apnea–hypopnea index (AHI) ≥ 30) than those with simple snoring (AHI < 5; P = 0.016), mild OSA (5 ≤ AHI < 15; P = 0.010), and moderate OSA (15 ≤ AHI < 30; P = 0.042). Similarly, the hs-CRP level in patients with severe OSA was significantly higher than that in patients with simple snoring (P = 0.006) and mild OSA (P = 0.013). Multivariate analysis also showed that elevated ESR was associated with moderate and severe OSA (adjusted OR = 2.231 (P = 0.048) and 2.606 (P = 0.002), respectively) after adjusting for sex, age, body mass index, smoking, hypertension, diabetes mellitus, and hyperlipidemia. However, elevated hs-CRP was not associated with the OSA severity.ConclusionsESR more closely correlated with PSG parameters recorded during sleep hypoxic episodes than hs-CRP. Moreover, the ESR may be useful to predict the OSA severity because moderate and severe OSA were independently associated with an elevated ESR. More... »

PAGES

419-424

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11325-015-1245-4

DOI

http://dx.doi.org/10.1007/s11325-015-1245-4

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https://app.dimensions.ai/details/publication/pub.1014426090

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26315467


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