Rastreamento da síndrome da apneia e hipopneia obstrutiva do sono em hipertensos na Atenção Primária à Saúde

Abstract

Introduction: Obstructive Sleep Apnea and Hypopnea Syndrome (OSAHS) is the most commom sleep. -disordered breathing, associated with easily identifiable conditions such a systemic arterial hypertension. Objective: To determine the prevalence of positive screening for Obstructive Sleep Apnea and Hypopnea Syndrome (OSAHS) and to identify associated factors in hypertensive population in Primary Health Care (PHC) service. Methods: This was a cross-sectional study with 326 hypertensive individuals assigned to a PHC unit in a medium-sized city in the state of Minas Gerais. Anthropometric, clinical and sociodemographic variables were obtained. The Short Assessment of Health Literacy for Portuguese-Speaking Adults questionnaire was used to identify literacy in health; the Morisky Medication Adherence Scale, for medication adherence and Snoring, Tiredness, Observed Apnea, High Blood Pressure, Bodymass index, Age, Neck Circumference, and Gender - STOP-Bang, for the screening of OSAHS. Results: The majority were female (66.3%) and the mean treatment time for high blood pressure was 12.51 ± 9.83 years. The study identified prevalence of 86.5% of positive screening for OSAHS and male sex and obesity as factors associated with this condition (p <0.01). Conclusion: The systematic screening of OSAHS in PHC services should be incorporated into the practice of health professionals, as it is done for other chronic non-communicable diseases.