CLINICAL CORRELATION OF DIAMETER OF PHARYNX AND VARIOUS COMORBITIES IN PATIENTS OF OBSTRUCTIVE SLEEP APNEA
Govind Narayan Srivastava, *Shivam Dixit, Mohit Bhatia, Devendra Pratap Yadav, Arya Krisnan and Wazid Hussain
ABSTRACT
OSA is one of the emerging disease due to changing lifestyle of people. There are many challenges in it’s management like less awareness for disease in patients and multiple comorbities associated with it. We conducted a case control study on obese patients attending a tertiary care centre in North India from a peroid of July 2020 to June 2022. Out of 50 cases, mean age was 58.06 ±12.36 and that in 20 controls was 57.85±11.7. Screening with STOP BANG questionnaire showed average score of 4.72 in case group and 1.3 in control group with significant p value < 0.001. Screening with Epswoth Sleepiness scale also showed significance with p value of <0.001. Average transverse diameter of pharynx in case group was 10.06±1.75mm and that in control group was 16.19±1.75mm with significant p value of < 0.001 and r value of – 0.38. Comorbities were also assessed in patients and cor pulmonale was found to be associated significantly with OSA with p value 0.04. Other comorbidies like HTN and T2DM were also found higher in case group but there was no significant correlation. It is essential to increase awareness of OSA in population and also assess the patients for various commorbities as OSA is asscociated with various commorbidites. By assessing transverse diameter through MRI we can screen the patient for OSA as PSG is cumbersome and often is delayed due to availability of machines.
Keywords: OSA, STOP BANG Questionnaire, phaynx, cor pulmonale.
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