Resumo
Introdução: O trabalho do policial militar pode aumentar a privação de sono e desencadear chances de acidentes automobilísticos, lesões provocadas por perseguições em ambientes sem iluminação, abordagens errôneas e fatalidades em confrontos com armas de fogo ou decaimento no desempenho do trabalho. Objetivo: O objetivo deste trabalho é relatar a prevalência do risco para síndrome da apneia obstrutiva do sono (SAOS) e sonolência diurna entre PMs na região metropolitana de Belém, no estado do Pará. Metodologia: Este foi um estudo piloto transversal, a qual utilizou-se de 80 PMs que trabalham no estado do Pará, norte do Brasil para responder 3 questionários digitalizados. Os questionários foram aplicados pela plataforma google forms e o primeiro questionário foi sobre perguntas epidemiológicas, o segundo foi o questionário STOP-Bang (QSB),o terceiro foi a Escala de Sonolência de Epworth (ESS) e a análise estática foi realizada por frequência relativa e absoluta. Resultados: 6 indivíduos os quais tinham tanto risco intermediário quanto risco a sonolência diurna, com as patentes mais prevalentes de ocorrer esse evento foram em ordem decrescente: cabo; sargento, capitão e major. Já outros 5 indivíduos apresentaram quadros mais alarmantes derisco alto para SAOS quanto risco a sonolência diurna e assim como supracitado novamente as patentes mais prevalentes desta ocorrência foram cabo; sargento e capitão. Conclusão:Concluímos que apesar do número reduzido da amostra identificou-se alta prevalência da apneia obstrutiva do sono em policiais militares trabalhando em turno ou escala noturna quando comparada à população em geral do estudo.
Referências
Rajaratnam S, Barger L, Lockley S, Shea S, Wang W, Landrigan C, et al. Sleep disorders, health, and safety in police officers. JAMA. 2011, 21; 306(23): 2567-78.
Sanna A, Passali D, De Benedetto M, Marano G, Loglisci M, Garbarino S. Obstructive sleep apnea syndrome and public health: the Italian way. Sleep Breath. 2017; 21 (4): 995-996.
Aydın Güçlü Ö, Karadağ M, İntepe Y, Acıcan T, Arslan S, Sertoğullarından B. Assessment of the risk of obstructive sleep apnoea syndrome among healthcare workers. Tuberk Toraks. 2019; 67(1):47-54.
Verde-Tinoco S, Santana-Miranda R, Gutiérrez-Escobar R, Haro R, Miranda-Ortiz J, Berruga-Fernandez T, et al. Sleep Architecture in Night Shift Workers Police Officers with Obstructive Sleep Apnea-hypopnea Syndrome. Sleep Sci. 2017; 10(4):136-141.
Pepin E, Gillet P, Sauvet F, Gomez-Merino D, Thaon I, Chennaoui M, et al. Shift work, night work and sleep disorders among pastry cookers and shopkeepers in France: a cross-sectional survey. BMJ Open. 2018, 9; 8(5):e019098.
Sakamoto Y, Porto-Sousa F, Salles C. Prevalence of obstructive sleep apnea in shift workers: a systematic review. Cien Saude Colet. 2018; 23(10): 3381-3392.
Cori J, Jackson M, Barnes M, Westlake J, Emerson P, Lee J, et al. The Differential Effects of Regular Shift Work and Obstructive Sleep Apnea on Sleepiness, Mood and Neurocognitive Function. J Clin Sleep Med. 2018, 15;14(6): 941-951.
Good C, Brager A, Capaldi V, Mysliwiec V. Sleep in the United States Military. Neuropsychopharmacology. 2020; 45(1):176-191.
Klawe J, Laudencka A, Miśkowiec I, Tafil-Klawe M. Occurrence of obstructive sleep apnea in a group of shift worked police officers. J Physiol Pharmacol. 2005; 56 Suppl 4:115-7.
Tafil-Klawe M, Laudencka A, Klawe J, Miśkowiec I. Does night work favor sleep-related accidents in police officers? J Physiol Pharmacol. 2005; 56 Suppl 4:223-6.
Laudencka A, Klawe J, Tafil-Klawe M, Złomańczuk P. Does night-shift work induce apnea events in obstructive sleep apnea patients? J Physiol Pharmacol. 2007; 58 Suppl 5(Pt 1):345-7.
Barger L, Rajaratnam S, Cannon C, Lukas M, Im K, Goodrich E, et al. Short Sleep Duration, Obstructive Sleep Apnea, Shiftwork, and the Risk of Adverse Cardiovascular Events in Patients After an Acute Coronary Syndrome. J Am Heart Assoc. 2017, 10; 6(10):e006959.
Van Ryswyk E, Mukherjee S, Chai-Coetzer C, Vakulin A, McEvoy R. Sleep Disorders, Including Sleep Apnea and Hypertension. Am J Hypertens. 2018, 16; 31(8):857-864.
McDermott M, Brown D, Chervin R. Sleep disorders and the risk of stroke. Expert Rev Neurother. 2018; 18(7):523-531.
Ogilvie R, Patel S. The Epidemiology of Sleep and Diabetes. Curr Diab Rep. 2018, 17;18(10):82.
de Camargo F, DeMoura J, Cepeda F, de Almeida Correia M, Nascimento R, Fortes-Queiroz L, et al. Photobiomodulation by low-level laser therapy in patients with obstructive sleep apnea: Study protocol clinical trial (SPIRIT compliant). Medicine (Baltimore). 2020; 99 (12):e19547.
Komada Y, Nishida Y, Namba K, Abe T, Tsuiki S, Inoue Y. Elevated risk of motor vehicle accident for male drivers with obstructive sleep apnea syndrome in the Tokyo metropolitan area. Tohoku J Exp Med. 2009; 219(1):11-6.
Chung F, Abdullah H, Liao P. STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea. Chest. 2016; 149 (3): 631-8.
Chung F, Yegneswaran B, Liao P, Chung S, Vairavanathan S, Islam S, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008; 108(5):812-21.
Nagappa M, Liao P, Wong J, Auckley D, Ramachandran S, Memtsoudis S, et al. Validation of the STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea among Different Populations: A Systematic Review and Meta-Analysis. PLoS One. 2015, 14; 10(12):e0143697.
Goh J, Tang J, Cao J, Hao Y, Toh S. Apnoeic and Hypopnoeic Load in Obstructive Sleep Apnoea: Correlation with Epworth Sleepiness Scale. Ann Acad Med Singap. 2018; 47 (6): 216-222.
Soler X, Liao S, Marin J, Lorenzi-Filho G, Jen R, DeYoung P, et al. Age, gender, neck circumference, and Epworth sleepiness scale do not predict obstructive sleep apnea (OSA) in moderate to severe chronic obstructive pulmonary disease (COPD): The challenge to predict OSA in advanced COPD. PLoS One. 2017, 16; 12(5):e0177289.
Chen L, Chapman J, Yee B, Wong K, Grunstein R, Marshall N, et al. Agreement between electronic and paper Epworth Sleepiness Scale responses in obstructive sleep apnoea: secondary analysis of a randomised controlled trial undertaken in a specialised tertiary care clinic. BMJ Open. 2018, 8; 8(3):e019255.
Hurlston A, Foster S, Creamer J, Brock M, Matsangas P, Moore B, et al. The Epworth Sleepiness Scale in Service Members with Sleep Disorders. Mil Med. 2019, 1; 184(11-12):e701-e707.
Wirth M, Burch J, Violanti J, Burchfiel C, Fekedulegn D, Andrew M, et al. Shiftwork duration and the awakening cortisol response among police officers. Chronobiol Int. 2011; 28(5):446-57.
Fekedulegn D, Burchfiel C, Charles L, Hartley T, Andrew M, Violanti J. Shift Work and Sleep Quality Among Urban Police Officers: The BCOPS Study. J Occup Environ Med. 2016; 58(3):e66-71.
Wirth M, Andrew M, Burchfiel C, Burch J, Fekedulegn D, Hartley T, et al. Association of shiftwork and immune cells among police officers from the Buffalo Cardio-Metabolic Occupational Police Stress study. Chronobiol Int. 2017; 34(6):721-731.
Waggoner L, Grant D, Van Dongen H, Belenky G, Vila B. A combined field and laboratory design for assessing the impact of night shift work on police officer operational performance. Sleep. 2012, 1;35(11):1575-7.
Jensen M, Hansen Å, Kristiansen J, Nabe-Nielsen K, Garde A. Changes in the diurnal rhythms of cortisol, melatonin, and testosterone after 2, 4, and 7 consecutive night shifts in male police officers. Chronobiol Int. 2016; 33(9):1280-1292.
Tingting X, Danming Y, Xin C. Non-surgical treatment of obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol. 2018; 275(2):335-346.
Epstein L, Kristo D, Strollo P Jr, Friedman N, Malhotra A, Patil S, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009, 15;5(3):263-76.
Gottlieb D, Punjabi N. Diagnosis and Management of Obstructive Sleep Apnea: A Review. JAMA. 2020, 14;323(14):1389-1400.
Faber J, Faber C, Faber A. Obstructive sleep apnea in adults. Dental Press J Orthod. 2019, 1;24(3):99-109.
Marklund M, Braem M, Verbraecken J. Update on oral appliance therapy. Eur Respir Rev. 2019, 25;28(153):190083.
García N, Blaya F, Urquijo E, Heras E, D'Amato R. Oral appliance for Obstructive Sleep Apnea: Prototyping and Optimization of the Mandibular Protrusion Device. J Med Syst. 2019, 18;43(5):107.
Sutherland K, Almeida F, de Chazal P, Cistulli P. Prediction in obstructive sleep apnoea: diagnosis, comorbidity risk, and treatment outcomes. Expert Rev Respir Med. 2018; 12(4):293-307.
Barewal R. Obstructive Sleep Apnea: The Role of Gender in Prevalence, Symptoms, and Treatment Success. Dent Clin North Am. 2019; 63(2):297-308.
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Copyright (c) 2023 Carlos Adriano Bentes Horta, Danielle Flexa Ribeiro Horta, Renata Pimentel Oliveira, Karina Corrêa Flexa Ribeiro, Carlos Eduardo Vieira da Silva Gomes, Ricardo Fonseca