frequency and predictors of obesity hypoventilation in hospitalized patients at a tertiary health care institution
Clicks: 113
ID: 134734
2014
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Steady Performance
30.0
/100
113 views
19 readers
AI Quality Assessment
Not analyzed
Readership in this journal
SteadyRanked #50 of 56 articles by views in saudi journal of anaesthesia
Most read
Least read
Bar heights use a square-root scale.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Objectives: Patients with obesity hypoventilation syndrome (OHS) have significant morbidity and mortality. Early diagnosis and treatment is important and there are limited data on its prevalence and predictive factors. The objective of this observational study was to determine the frequency and predictors of OHS in hospitalized patients at a tertiary health care institution.
Materials and Methods: All blood gas analyses of hospitalized adult (age over 18 years) patients were prospectively recruited from the biochemistry laboratory at a tertiary health care center between August 2009 and July 2010. Patients who had hypercapnia (PaCO 2 ≥ 45 mmHg) while breathing room air were included and clinical and laboratory data were obtained from hospital records. A standard questionnaire was also filled by face-to-face interview with patients and/or relatives.
Results: A total of 9480 patients′ arterial blood gases were evaluated and 330 patients (3.4%) who met the selection criteria were included in the analysis during the study period. Hypoventilation was associated with acute diseases in 64.2% and chronic diseases in 35.8% of the patients. Of the chronic hypoventilation patients, 24.4% had OHS. Univariate logistic regression analysis showed that, female gender, body mass index (BMI), smoking, PaO 2 , SaO 2 and a PaCO 2 /BMI <1.5 were significantly related to OHS. In multivariate logistic regression analysis, BMI >35 kg/m 2 , SaO 2 <91.4% and PaCO 2 /BMI <1.5 were significantly related to OHS. A PaCO 2 /BMI <1.5 was an independent variable strongly predictive of OHS (odds ratio: 36.9, 95% of the confidence interval: 2.75-492.95, P = 0.007).
Conclusions: OHS is a common cause of chronic alveolar hypoventilation. A careful examination PaCO 2 /BMI ratio may prevent misdiagnoses among hypercapnic patients.
| Reference Key |
blbl2014annalsfrequency
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | ;Yilmaz Bülbül;Sibel Ayik;Tevfik Ozlu;Asim Orem |
| Journal | saudi journal of anaesthesia |
| Year | 2014 |
| DOI |
10.4103/1817-1737.128851
|
| URL | |
| Keywords |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.