Eurasian Journal of Emergency Medicine (Jun 2021)

Levels of Total Platelet Mass in Patients Admitted to Emergency Department and Diagnosed with Obstructive Sleep Apnea Syndrome

  • Eyyüp Sabri Şeyhanlı,
  • İbrahim Halil Yasak

DOI
https://doi.org/10.4274/eajem.galenos.2020.13284
Journal volume & issue
Vol. 20, no. 2
pp. 107 – 112

Abstract

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Aim:The objective of this study was to investigate the possibility of a relationship between the value of the platelet mass index and obstructive sleep apnea syndrome (OSAS) and to compare biochemical parameters among comorbidity groups in OSAS patients.Materials and Methods:The patients were divided into two groups; the patient group consisted of patients who had previously presented to the emergency department of our hospital and were diagnosed with OSAS through polysomnography, while the control group included individuals who had no diagnosed chronic diseases.The patients in the OSAS group were further divided into subgroups of patients with diabetes, diabetes + hypertension, diabetes + hyperlipidemia, diabetes + cardiovascular disease, diabetes + hypertension + hyperlipidemia, hyperlipidemia, cardiovascular disease, and hypertension.Physical examination, complete blood count, and biochemical test outcomes of both groups as well as polysomnography data of the patient group were evaluated retrospectively.Results:The mean BMI value was statistically significantly higher in OSAS patients than in with patients of the control group (24.28±1.00 vs 29.73±2.51 kg/m2). The mean platelet volume (MPV) was significantly higher in the control group (10.13±1.09) than in the OSAS group (7.98±1.32) (p<0.001). The total platelet mass index, calculated by multiplying the platelet count by the MPV, was significantly higher in the control group (2,737.92±548.90) than in the OSAS patient group (2,104.89±462.86) (p<0.001).Conclusion:According to the results of this study, the platelet mass index, MPV, and/or total platelet count are not diagnostic. However, in patients presenting to the emergency department with complaints of fatigue, headache, inattention, and daytime drowsiness, they may be warning parameters indicating the possibility of OSAS.

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