TY - JOUR T1 - Using the overnight pulse oximetry for the total screening of obstructive sleep apnoea in the Rehabilitation Centre JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.sleepandbreathing-2017.P32 VL - 3 IS - suppl 1 SP - P32 AU - Roman Buzunov AU - Alena Gavrilova AU - Irina Legeyda AU - Zulphiya Albeeva Y1 - 2017/04/01 UR - http://openres.ersjournals.com/content/3/suppl_1/P32.abstract N2 - Goal To identify the prevalence of the obstructive sleep apnea (OSA) among the Rehabilitation Center (RC) patients and to determine the appropriateness of using the overnight pulse oximetry (OPO) for total screening of OSA.Materials and methods The total OPO screening was performed in all primary patients who admitted to RC from December, 1st, 2014 to April, 30th, 2016 (16 months). The pulse oximeter PulseOX 7500 (SPO Medical, Israel) was used. The polysomnography (PSG) was recommended to all patients with the desaturation index (DI)≥5 per hour. PSG systems Somnolab 2 (Weinmann, Germany) or Somte PSG (Compumedics, Australia) were used.Results 541 primary patients were admitted to the RC during the selected period. OPО was performed in 510 (94,3%) patients. 39 (7,2%) patients were excluded from the analysis due to refusals and technical reasons. So, 502 (92,8%) patients were included into the analysis: 254 (50,6%) men and 248 (49,4%) women. The average age was 64,4+13,3 (21-95) y.o. The average BMI was 29,3+5,2 kg/m2. Distribution of the patients according to DI: < 5 - 90 (18%), 5 - 14 - 156 (31,0%), 15 - 29 - 169 (33,7%), ≥ 30 - 87 (17,3%). PSG was performed in 75 (18,2%) out of 412 patients with DI ≥ 5. Distribution of the patients according to apnea-hypopnea index (AHI): < 5 - 4 (5,3%), 5-14 - 8 (24%), 15 - 29 - 19 (25,3%), ≥ 30 - 34 patients (45,3%). In case of DI ≥ 15 OPO showed sensitivity 83% and specificity 81% for detection of OSA.Conclusion The OPO was the effective method for total screening for OSA in RC. The prevalence of OSA among the RC patients was high. The OPO was a highly reliable method of diagnosis of moderate to severe cases of OSA. ER -