Cheyne-Stokes breathing is not recognized in a sample of in-hospital patients
DOI:
https://doi.org/10.4181/RNC.2004.12.186Keywords:
Respiração periódica, Respiração de Cheyne-Stokes, Apnéia central, Sono, Apnéia do sonoAbstract
Background. Periodic breathing refers to a variety of respiratory patterns where the most recognized one is called Cheyne-Stokes breathing (CSB), that is defined as a “crescendo and decrescendo” breathing associated to oxyhemoglobin disaturation. Objective. To analyze the prevalence of CSB at Hospital Sao Paulo wards, diseases associated with CSB, and mostly to verify if medical staff recognized the CSB during in-hospital stay, and also if CSB patients are more allowed to die or be readmitted in the hospital compared to non-CSB patients during 30 days follow-up. Methods. We included 10 CSB and 10 non-CSB patients matched for age, gender and diseases from general, orthopedic, intensive care unit, and emergency room wards. After recognizing CSB pattern we search for any description of CSB pattern on medical records. Oxyhemoglobin saturation was recorded during sleep and wake states. Results. No medical record demonstrates CSB recognition by the clinical staff caring for those patients. Mortality and hospital readmission were not different between CSB and non-CSB. Oxygen saturation for CSB patients was lower than for non-CSB patients, either during the wakefulness and sleep
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Copyright (c) 2004 Sara Regina Delgado de A. Franco, Esther A. Kubo1 , Lucila B. F. Prado, Gilmar F. Prado

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