Obstructive Sleep Apnea in Patients with Difficult to Treat Asthma:

Taimoor Ali Khan; Zakia Gul; Muhammad Abdul Basit Ashraf; Umar Usman; Mehr Muhammad Imran; Zaheer Ahmad

doi:10.29054/apmc/2024.1398

Taimoor Ali Khan Senior Registrar, Department of Pulmonology, DHQ Hospital, Faisalabad Pakistan
Zakia Gul Women Medical Officer, THQ Chowk Azam, Layyah Pakistan
Muhammad Abdul Basit Ashraf Assistant Professor, Department of Physiology, Faisalabad Medical University, Faisalabad Pakistan
Umar Usman Assistant Professor, Department of Pulmonology, DHQ Hospital, Faisalabad Pakistan
Mehr Muhammad Imran Senior Registrar, Department of Pulmonology, Allied Hospital, Faisalabad Pakistan
Zaheer Ahmad Senior Registrar, Department of Medicine, Allied Hospital, Faisalabad Pakistan

DOI: https://doi.org/10.29054/apmc/2024.1398

Keywords: Bronchial asthma, Asthma, Difficult-to-treat Asthma, Obstructive Sleep Apnea, Asthmatic patients, Obstructive syndrome, Upper Airway resistance, OSAHS, Sleep apnea

Abstract

Background: Bronchial Asthma(BA) is quite a common chronic ailment affecting more than 334 million people worldwide. Many patients have poorly controlled asthma despite adequate treatment. Many factors are known to influence asthma control. Previously, various authors reveal the association between Obstructive sleep apnea(OSA) and BA regarding risk and popularity. The essential point of this examination was to research the occurrence of OSA in patients with difficult-to-treat asthma (DTA). Objective: Our objective was to determine the frequency of OSA in difficult to treat asthma patients. Study Design: Cross-sectional study. Settings: The study was conducted in the Department of Pulmonology, District Head Quarter (DHQ) Hospital, Faisalabad Pakistan. Duration: The time duration was 6 months starting from July 2018 to December 2018. Methods: 73 patients fulfilling the selection criteria were enrolled in the study from the Department of Pulmonology, DHQ Hospital, Faisalabad. Information regarding their demographic data was noted in the proforma. The frequency of obstructive sleep apnea in difficult-to-treat asthma was noted. Results: Mean age was 39.44+7.62 years, males were 43.8%(n=32) whereas female were 56.2% (n=41). Frequency of OSA in patients with difficult to treat asthma in our study was recorded in 56.16% (n=41) of the cases. Conclusion: We concluded that the frequency of OSA in difficult to treat asthmatic cases is very high. However, identification of this condition is important to reduce the cost of morbidity and quality of life, early and effective management.