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Evaluation of the predictive value of red blood cell distribution width for onset of cerebral infarction in the patients with obstructive sleep apnea hypopnea syndrome.

Abstract Red blood cell distribution width (RDW) is a risk factor for the complications caused by obstructive sleep apnea hypopnea syndrome (OSAHS). This study was aimed to evaluate the predictive value of RDW for the occurrence of cerebral infarction in patients with OSAHS.We conducted a prospective study of 129 consecutive patients who were admitted to the Sleep Laboratory of in the Tenth People's Hospital of Shanghai (China) with complaints of snoring, apnea, or daytime sleepiness. All patients underwent polysomnography between June 2011 and May 2012. In total, 90 patients met the study criteria and were included in the study; there are 71 men and 19 women.RDW correlated positively with the apnea hypopnea index (AHI) (P = .00, r = 0.76). Logistic regression analysis showed correlations between each variation and cerebral infarction, high blood pressure (odds ratio [OR] = 4.72, P = .220), diabetes (OR = 2.67, P = .490), hyperlipidemia (OR = 7.42, P = .190), RDW (OR = 58.24, P = .020), and AHI (OR = 243.92, P = .001). RDW ≥ 15% showed a higher predictive value for the occurrence of cerebral infarction in patients with OSAHS (area under curve 0.837; sensitivity 0.919; specificity 0.755), with positive and negative predictive values of 0.697 and 0.938, respectively.RDW correlates positively with AHI. RDW values ≥15% are predictive for the occurrence of cerebral infarction in patients with OSAHS.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28723745
OWN - NLM
STAT- MEDLINE
DA  - 20170720
DCOM- 20170728
LR  - 20170801
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 29
DP  - 2017 Jul
TI  - Evaluation of the predictive value of red blood cell distribution width for onset
      of cerebral infarction in the patients with obstructive sleep apnea hypopnea
      syndrome.
PG  - e7320
LID - 10.1097/MD.0000000000007320 [doi]
AB  - Red blood cell distribution width (RDW) is a risk factor for the complications
      caused by obstructive sleep apnea hypopnea syndrome (OSAHS). This study was aimed
      to evaluate the predictive value of RDW for the occurrence of cerebral infarction
      in patients with OSAHS.We conducted a prospective study of 129 consecutive
      patients who were admitted to the Sleep Laboratory of in the Tenth People's
      Hospital of Shanghai (China) with complaints of snoring, apnea, or daytime
      sleepiness. All patients underwent polysomnography between June 2011 and May
      2012. In total, 90 patients met the study criteria and were included in the
      study; there are 71 men and 19 women.RDW correlated positively with the apnea
      hypopnea index (AHI) (P = .00, r = 0.76). Logistic regression analysis showed
      correlations between each variation and cerebral infarction, high blood pressure 
      (odds ratio [OR] = 4.72, P = .220), diabetes (OR = 2.67, P = .490),
      hyperlipidemia (OR = 7.42, P = .190), RDW (OR = 58.24, P = .020), and AHI (OR =
      243.92, P = .001). RDW >/= 15% showed a higher predictive value for the
      occurrence of cerebral infarction in patients with OSAHS (area under curve 0.837;
      sensitivity 0.919; specificity 0.755), with positive and negative predictive
      values of 0.697 and 0.938, respectively.RDW correlates positively with AHI. RDW
      values >/=15% are predictive for the occurrence of cerebral infarction in
      patients with OSAHS.
FAU - Shen, Chang-Xing
AU  - Shen CX
AD  - Shanghai Tenth People's Hospital, Shanghai, China.
FAU - Tan, Min
AU  - Tan M
FAU - Song, Xiao-Lian
AU  - Song XL
FAU - Xie, Shuan-Shuan
AU  - Xie SS
FAU - Zhang, Guo-Liang
AU  - Zhang GL
FAU - Wang, Chang-Hui
AU  - Wang CH
LA  - eng
PT  - Evaluation Studies
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Cerebral Infarction/*blood/*pathology/physiopathology
MH  - Erythrocyte Indices
MH  - Erythrocytes/*pathology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Polysomnography
MH  - Prognosis
MH  - Prospective Studies
MH  - Severity of Illness Index
MH  - Sleep Apnea Syndromes/*blood/*pathology/physiopathology
PMC - PMC5521885
EDAT- 2017/07/21 06:00
MHDA- 2017/07/29 06:00
CRDT- 2017/07/21 06:00
AID - 10.1097/MD.0000000000007320 [doi]
AID - 00005792-201707210-00010 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(29):e7320. doi: 10.1097/MD.0000000000007320.