Hubungan derajat friedman tounge position dengan nilai apnea-hypopnea index dan nilai low oksigen saturation pada pasien obstructive sleep apnea

Authors

  • Ahmad Effendi Bagian Ilmu Kesehatan THT-KL Fakultas Kedokteran Universitas Diponegoro, Indonesia
  • Willy Yusmawan Bagian Ilmu Kesehatan THT-KL Fakultas Kedokteran Universitas Diponegoro, Indonesia
  • Anna Mailasari Kusuma Dewi Bagian Ilmu Kesehatan THT-KL Fakultas Kedokteran Universitas Diponegoro, Indonesia
  • Zulfikar Naftali Bagian Ilmu Kesehatan THT-KL Fakultas Kedokteran Universitas Diponegoro, Indonesia
  • Muyassaroh Muyassaroh KSM Kesehatan THT-KL RSUP Dr. Kariadi Semarang, Indonesia
  • Dwi Antono KSM Kesehatan THT-KL RSUP Dr. Kariadi Semarang, Indonesia
  • Herlina Suryawati KSM Neurologi RSUP Dr. Kariadi Semarang, Indonesia
  • Kanti Yunika Bagian Ilmu Kesehatan THT-KL Fakultas Kedokteran Universitas Diponegoro, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v9i1.651

Keywords:

Obstructive sleep apnea, friedman tongue position, Apnea-Hyponea index, Low saturation.

Abstract

ABSTRACT 

Background: Obstructive Sleep Apnea (OSA) is characterized by an airway obstruction that causes breathing to stop momentarily, either totally or partially. OSA can cause serious complications. The definitive diagnosis of OSA with polysomnography (PSG). PSG is not widely available in health facilities, Friedman tongue position (FTP) examination is expected to be an initial simple examination that can be done to diagnose patients with suspected OSA.

Objective: To determine the relationship between the degree of FTP with the Apnea Hyponea index (AHI) andvalues Low saturation (LSAT)in OSA patients at Dr. Kariadi Semarang.

Methods: Cross-sectional study design, samples were taken from patients diagnosed with OSA by polysomnography in May – July 2021. AHI and LSAT values ??were taken from polysomnography results. FTP is determined by physical examination of the throat. Data analysis with Spearman correlation test.

Results: The highest number of samples was 44 male, 32 samples (72.7%). The highest age group was 46-65 years, 26 (59.1%), the youngest was 18 years and the oldest was 81 years, the mean age was 64 years +17-81 years. , the most FTP results are type 2, the most AHI values ??are severe degrees, the most LSAT values ??are moderate degrees. There is a very strong positive significant relationship between the degree of FTP and the AHI value, there is no significant relationship between the degree of FTP and the LSAT value. 

Conclusion: There is a relationship between FTP and the AHI value, there is no FTP relationship with the LSAT value

Keywords: Obstructive sleep apnea, friedman tongue position, Apnea-Hyponea index, Low saturation.

 

Downloads

Download data is not yet available.

References

Rachmawati EZK, Arief W, Tamin S, Yunizaf R, Fardizza F, Patogenesis dan diagnosis gangguan napas saat tidur dengan Drug Induce Sleep Endoscopy (DISE).ORLI .2017; Vol. 47 No. 2.

Gamaldo C, Buenaver L, Chernyshev O, Derose S, Mehra R, Vana K, et al; OSA Assessment tools task force of the american academy of sleep medicine. Evaluation of clinical tools to screen and assess for obstructive sleep apnea. J Clin Sleep Med. 2018;14(7):1239–44.

Johnson DA, Guo N, Rueschman M, Wang R, Wilson JG, Redline S. Prevalence and correlates of obstructive sleep apnea among African Americans: the Jackson Heart Sleep Study. Sleep. 2018 Oct 1;41(10):zsy154.

Bahagia W, Ayu P R. Sindrom obstructive sleep apnea. Medula volume 9 Nomor 4 Januari 2020 :705

Rasjid HS M, Yogiarto M. Obstructive sleep apnea(OSA). Med tadulako, J Ilm Kedokt. 2015;2(3):9–24

Friedman M, Salapatas A M, BonzelaarL B, Updated friedman staging system for obstructive sleep otorhinolaryngol. Basel, Karger, 2017, vol 80, pp 41–48

Kline LR. Clinical presentation and diagnosis of obstructive sleep apnea in adults. UpToDate. 2019;1–7

Virk JS, Kotecha B. Otorhinolaryngological aspects of sleep-related breathing disorders. J Thorac Dis. 2018;8(2):1–11.

Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Mary SM, Morrell MJ et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis, Lancet Respir Med. 2019

Benerje D. Obstructive sleep apneu: medical management. In: Watkinson JC, Clarke RW, editors. Scott-brown’s otolaryngology head & neck surgery. 8th ed. London: CRC Press; 2019. p. 1061–70

Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Mary SM, Morrell MJ et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis, Lancet Respir Med. 2019.

Kaffah S, Susanto A, Pengaruh obstructive sleep apnea (OSA) terhadap fungsi kogniti, J Respir Indo.2015; Vol. 35 No. 4.

Cahyono A, Hermani B, Mangunkusumo E, Perdana RS, Hubungan obstructive sleep apnea dengan penyakit sistem kardiovaskuler, ORLI .2018;Vol. 41 No. 1

Natsios G, et al. Age, Daytime and nocturnal hypoxia as predictorsof hypertension in patients with obstructive sleep apnea. the journal of clinical hypertension.2017; Vol 18 No 2.

Yuniarti, Tursina A, Santoso SD, Febianti A, Nissa PAE, Friedman tongue position with the obstructive sleep apnea syndrome (OSAS) correlation on patient with ischemic stroke, GMHC. 2019;7(2):87–92

Ahn SH et all. Tongue volume influences lowest oxygen saturation but not apnea-hypopnea index in obstructive sleep apnea. PLoS One. 2017 Aug 17;10(8):e0135796.

Natsios G, Pastaka C, Vavougios G, et al. Age, Body mass index, and daytime and nocturnal hypoxia as predictorsof hypertension in patients with obstructive sleep apnea. the journal of clinical hypertension.2017; Vol 18 No 2.

Sada K, Nishikawa T, Kukidome D, Yoshinaga T, Kajihara N, Sonoda K, et al. Hyperglycemia induces cellular hypoxia through production of mitochondrial ROS followed by Suppression of Aquaporin-1. PLoS ONE. 2018;11(7): e0158619.

Additional Files

Published

2022-03-28

How to Cite

1.
Effendi A, Yusmawan W, Kusuma Dewi AM, Naftali Z, Muyassaroh M, Antono D, Suryawati H, Yunika K. Hubungan derajat friedman tounge position dengan nilai apnea-hypopnea index dan nilai low oksigen saturation pada pasien obstructive sleep apnea. Medica Hospitalia J. Clin. Med. [Internet]. 2022 Mar. 28 [cited 2024 Apr. 18];9(1):1-5. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/651

Issue

Vol. 9 No. 1 (2022): Med Hosp; Maret 2022

Section

Original Article

Citation Check

License

Copyrights Notice
Copyrights:
Researchers publishing manuscrips at Medica Hospitalis: Journal of Clinical Medicine agree with regulations as follow:
Copyrights of each article belong to researchers, and it is likewise the patent rights
Researchers admit that Medica Hospitalia: Journal of Clinical Medicine has the right of first publication
Researchers may submit manuscripts separately, manage non exclusive distribution of published manuscripts into other versions (such as: being sent to researchers’ institutional repository, publication in the books, etc), admitting that manuscripts have been firstly published at Medica Hospitalia: Journal of Clinical Medicine
License:
Medica Hospitalia: Journal of Clinical Medicine is disseminated based on provisions of Creative Common Attribution-Share Alike 4.0 Internasional It allows individuals to duplicate and disseminate manuscripts in any formats, to alter, compose and make derivatives of manuscripts for any purpose. You are not allowed to use manuscripts for commercial purposes. You should properly acknowledge, reference links, and state that alterations have been made. You can do so in proper ways, but it does not hint that the licensors support you or your usage.