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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Study the Clinical, Spirometric and Polysomnographic Profile Along with Sleep Related Symptoms in Patients with COPD

Shrinivas Barade, Ravishankar Chaure, Sanjiv Zangde, Vijay Kumar Kapse and Deelip Mhaisekar
Page: 48-54 | Received 25 Sep 2023, Published online: 11 Oct 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.11.48.54

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Abstract

Chronic obstructive pulmonary diseases (COPD) is the second leading cause of mortality and its prevalence continues to increase. While the debilitating effects of COPD on daytime functioning are well known, COPD’s effects on sleep have been less fully investigated. Sleep problems affect as many as 50% of patients with COPD. The increased prevalence of obesity worldwide is associated with subsequent increase in the occurrence of sleep disordered breathing, especially obstructive sleep apnea (OSA). The study was carried out at the OPD and IPD Department of Respiratory Medicine at tertiary health care centre. The duration of the study period was from March 2018 to February 2019. Total 105 patients fulfilling the inclusion criteria were included in the study. Thorough clinical examination of each subject was carried out. Clinical and diagnostic profile of patient with chronic obstructive pulmonary disease was noted in predesigned pretested proforma. Patient evaluation was done with spirometry and polysomnography for detection of obstructive sleep apnea. About half of the study subjects were from overweight and obese BMI. Mean saturation was less in overlap syndrome as compared to COPD group and the difference was found to be statistically significant. Apnea hypopnea index was more in overlap group as compared to COPD group and the difference was statistically significant while difference in FEV1 and FEV1/FVC parameters between two groups was not statistically significant. Half of the study subjects (47.63%) were at stage IV followed by 38.09% in stage III. Only 3.81% were at stage I. COPD patient’s particularly overweight and obese individuals are at greater risk of having OSA. So it is worthwhile to do polysomnography in COPD patients for early detection of OSA and to prevent them from further complications of OSA like uncontrolled hypertension, cerebrovascular accidents and coronary artery diseases.

How to cite this article:

Shrinivas Barade, Ravishankar Chaure, Sanjiv Zangde, Vijay Kumar Kapse and Deelip Mhaisekar. Study the Clinical, Spirometric and Polysomnographic Profile Along with Sleep Related Symptoms in Patients with COPD.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.11.48.54
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.11.48.54