REM-related obstructive sleep apnea and vertigo: A retrospective case-control study.

<h4>Background</h4>In recent population-based case-control studies, sleep apnea was significantly associated with a higher incidence (hazard ratio, 1.71) of vertigo and the risk of tinnitus was found to increase 1.36 times in patients with sleep apnea. The possibility that obstructive sl...

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Autores principales:	Po-Yueh Chen, Tzu-Ying Chen, Pin-Zhir Chao, Wen-Te Liu, Chyi-Huey Bai, Sheng-Teng Tsao, Yi-Chih Lin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/765cdb48b7d54e87b86595a16e429161
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spelling	oai:doaj.org-article:765cdb48b7d54e87b86595a16e4291612021-12-02T20:10:45ZREM-related obstructive sleep apnea and vertigo: A retrospective case-control study.1932-620310.1371/journal.pone.0252844https://doaj.org/article/765cdb48b7d54e87b86595a16e4291612021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252844https://doaj.org/toc/1932-6203<h4>Background</h4>In recent population-based case-control studies, sleep apnea was significantly associated with a higher incidence (hazard ratio, 1.71) of vertigo and the risk of tinnitus was found to increase 1.36 times in patients with sleep apnea. The possibility that obstructive sleep apnea (OSA) might affect neurotological consequences was not noticed, until studies using polysomnography (PSG) for these patients.<h4>Objectives</h4>The purpose of this study was to investigate the relationship between vertigo and OSA.<h4>Methods</h4>The collected data among patients from May 1st, 2018 to October 31th, 2018 at Shuang Ho Hospital. Eligibility criteria included an age older than 20 years, a diagnosis of obstructive sleep apnea. The diagnosis of OSA was defined as an oxygen desaturation index of at least 5, was established with the use of polysomnographic examination at hospital. Patients were excluded from the study if they had head injury, brain tumour, headache history and hearing loss. Patients who had vertigo were labeled as Vertigo group. In the other hand, patients who had no dizziness were labeled as control group. 58 patients were in the Vertigo group, and 113 were in the control group.<h4>Results</h4>After PSG examination, 58 patients who had vertigo, were diagnosed OSA (29 males, average age = 57.07 years old, BMI = 26.64, RDI = 24.69, ESS = 8.65), and 24 patients of them (41.3%) were REM-related OSA. Meanwhile, in the control group, 113 patients had OSA (92male, average age = 49.66 years old, BMI = 26.06, RDI = 35.19, ESS = 11.43), and 18 patients of them (15.9%) were REM-related OSA (Table 1). Therefore, patient who had vertigo, would have higher proportion of REM OSA (P<0.001).<h4>Conclusions</h4>The vertigo patients have a higher rate of REM-related OSA, and the acceptance rate to CPAP use is low. Further research is needed to explore novel therapeutic approaches, or combination of currently available non-CPAP therapies, in patients with REM OSA.Po-Yueh ChenTzu-Ying ChenPin-Zhir ChaoWen-Te LiuChyi-Huey BaiSheng-Teng TsaoYi-Chih LinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252844 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Po-Yueh Chen Tzu-Ying Chen Pin-Zhir Chao Wen-Te Liu Chyi-Huey Bai Sheng-Teng Tsao Yi-Chih Lin REM-related obstructive sleep apnea and vertigo: A retrospective case-control study.
description	<h4>Background</h4>In recent population-based case-control studies, sleep apnea was significantly associated with a higher incidence (hazard ratio, 1.71) of vertigo and the risk of tinnitus was found to increase 1.36 times in patients with sleep apnea. The possibility that obstructive sleep apnea (OSA) might affect neurotological consequences was not noticed, until studies using polysomnography (PSG) for these patients.<h4>Objectives</h4>The purpose of this study was to investigate the relationship between vertigo and OSA.<h4>Methods</h4>The collected data among patients from May 1st, 2018 to October 31th, 2018 at Shuang Ho Hospital. Eligibility criteria included an age older than 20 years, a diagnosis of obstructive sleep apnea. The diagnosis of OSA was defined as an oxygen desaturation index of at least 5, was established with the use of polysomnographic examination at hospital. Patients were excluded from the study if they had head injury, brain tumour, headache history and hearing loss. Patients who had vertigo were labeled as Vertigo group. In the other hand, patients who had no dizziness were labeled as control group. 58 patients were in the Vertigo group, and 113 were in the control group.<h4>Results</h4>After PSG examination, 58 patients who had vertigo, were diagnosed OSA (29 males, average age = 57.07 years old, BMI = 26.64, RDI = 24.69, ESS = 8.65), and 24 patients of them (41.3%) were REM-related OSA. Meanwhile, in the control group, 113 patients had OSA (92male, average age = 49.66 years old, BMI = 26.06, RDI = 35.19, ESS = 11.43), and 18 patients of them (15.9%) were REM-related OSA (Table 1). Therefore, patient who had vertigo, would have higher proportion of REM OSA (P<0.001).<h4>Conclusions</h4>The vertigo patients have a higher rate of REM-related OSA, and the acceptance rate to CPAP use is low. Further research is needed to explore novel therapeutic approaches, or combination of currently available non-CPAP therapies, in patients with REM OSA.
format	article
author	Po-Yueh Chen Tzu-Ying Chen Pin-Zhir Chao Wen-Te Liu Chyi-Huey Bai Sheng-Teng Tsao Yi-Chih Lin
author_facet	Po-Yueh Chen Tzu-Ying Chen Pin-Zhir Chao Wen-Te Liu Chyi-Huey Bai Sheng-Teng Tsao Yi-Chih Lin
author_sort	Po-Yueh Chen
title	REM-related obstructive sleep apnea and vertigo: A retrospective case-control study.
title_short	REM-related obstructive sleep apnea and vertigo: A retrospective case-control study.
title_full	REM-related obstructive sleep apnea and vertigo: A retrospective case-control study.
title_fullStr	REM-related obstructive sleep apnea and vertigo: A retrospective case-control study.
title_full_unstemmed	REM-related obstructive sleep apnea and vertigo: A retrospective case-control study.
title_sort	rem-related obstructive sleep apnea and vertigo: a retrospective case-control study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/765cdb48b7d54e87b86595a16e429161
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REM-related obstructive sleep apnea and vertigo: A retrospective case-control study.

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