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Prevalence and factors associated with probable obstructive sleep apnea among patients with hypertension in two primary care clinics in Miri, Sarawak, Malaysia


Citation

Ching, Siew Mooi and Singh, Rajvinder and Azmi, Fatimah Shahidah and Chong, Khian Lu and Ong, Cynthia Ruey Shyuan and Ayob, Nur Afiqah and Patil, Mansi and Lee, Kai Wei and Ramachandran, Vasudevan and Arora, Viresh (2023) Prevalence and factors associated with probable obstructive sleep apnea among patients with hypertension in two primary care clinics in Miri, Sarawak, Malaysia. Irish Journal of Medical Science, 193 (1). pp. 375-382. ISSN 0021-1265; eISSN: 1863-4362

Abstract

Purpose: Obstructive sleep apnea (OSA) has been increasingly recognized as an important factor contributing to medical morbidity and mortality. It was reported that more than half of the population with hypertension had OSA. Limited studies have been done on assessing OSA in hypertensive patients. This study aimed to determine the prevalence, socio-demographic characteristics, and factors associated with probable OSA in hypertensive patients in primary care clinics in Sarawak. Methods: A cross-sectional study was carried out using a systematic random sampling method in hypertensive patients who attended two government primary care clinics in Sarawak. The STOP-Bang questionnaire was used to screen for OSA, and social-demographic data was captured with a questionnaire. Multiple logistic regressions were used to examine the determinants of the OSA. Results: A total of 410 patients were enrolled in this study. The mean age of study population patients was 56.4 years, with more than half being female. The mean blood pressure was 136/82. The prevalence of probable OSA among patients with hypertension was 54.4. According to multiple logistic regression analyses, smoking (odds ratio OR 14.37, 95% confidence interval CI 3.335–61.947), retirees (OR 3.20, 95% CI 1.675–6.113), and being Chinese (OR 2.21, 95% CI 1.262–3.863) had a significant positive association with probable OSA. Conclusions: Because of the high prevalence of probable OSA among patients with hypertension, primary care physicians should be more vigilant in identifying hypertensive patients with OSA risk. Early detection and intervention would reduce disease complications and healthcare costs.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1007/s11845-023-03397-4
Publisher: Springer Science and Business Media Deutschland GmbH
Keywords: Adult; Article; Controlled study; Cross-sectional study; Demographics; Disease association; Female; General practitioner; Government; Health care cost; Hospital; Human; Human tissue; Hypertension; Hypertensive patient; Major clinical study; Malaysia; Male; Mean arterial pressure; Middle aged; Multicenter study; Obstructive sleep apnea; Pensioner; Prevalence; Primary medical care; Risk factor; Screening; Smoking; Sociodemographics; Stop-bang questionnaire
Depositing User: Mohamad Jefri Mohamed Fauzi
Date Deposited: 09 Oct 2024 02:31
Last Modified: 09 Oct 2024 02:31
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1007/s11845-023-03397-4
URI: http://psasir.upm.edu.my/id/eprint/105767
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