Nasza praca na 25th Congress of the European Sleep Research Society

W dniach 22-24 września 2020r. odbył się 25 kongres European Sleep Research Society, podczas którego dr n. med. Wojciech Kuczyński zaprezentował naszą pracę “All-cause mortality among patients with obstructive sleep apnea in the region of Łódź, Poland (2005-2019)“.

Abstract

Wojciech Kuczyński1, Aleksandra Kudrycka1, Aleksandra Małolepsza1, Urszula Karwowska1, Aleksandra Kuczyńska2, Piotr Białasiewicz1 

1Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, Lodz, Poland
2Microbiology and Laboratory Medical Immunology, Medical University of Lodz, Lodz, Poland

Objectives / Introduction: More information is needed about the mortality in patients with obstructive sleep apnea (OSA). There is no epidemiological data available in Poland. The aim of this study was to assess patients’ all-cause total mortality after the diagnosis of OSA, and investigate group of patients with sudden premature death.

Methods: We performed a retrospective study on 12485 patients from Sleep and Respiratory Disorders Centre, Medical University of Lodz from 2005 to 2019. We analysed retrospectively medical charts and polysomnography outcomes, and verified all causes of death among patients.

Results: From 12485 patients admitted to Sleep Laboratory OSA was diagnosed among 8675 of them (69.48%): 3087 mild (35.59%), 2141 moderate (24.67%) and severe in 3447 (39.73%) of them. Among them we confirmed 822 deaths: 147 (17.88%) died due to the cancer, 61 of them due to lung cancer (41.49%), due to cardiovascular events 275 (33.45%): strokes 56 (20.36%), myocardial infraction 36 (13.09%), pulmonary embolism 11 (4%), chronic heart failure 80 (54.42%); COPD 56 (6.81%); car accidences 7 (0.85%) and suicides 15 (1.82%).

Conclusions: The most common reason of death among OSA patients are cardiovascular events. Among patients with cancer, lung cancer was dominant. Sleep lab centre should provide integrated therapy with other specialist, 2% of all patients committed suicide, which may suggest that they were referred due to non-breathing related sleep disorder.

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