{"id":1548,"date":"2026-07-11T13:41:52","date_gmt":"2026-07-11T11:41:52","guid":{"rendered":"https:\/\/dr-holger-hein.de\/reloaded\/?p=1548"},"modified":"2026-07-11T13:41:52","modified_gmt":"2026-07-11T11:41:52","slug":"positionsabhaengige-obstruktive-schlafapnoe-posa-bei-12-000-patienten","status":"publish","type":"post","link":"https:\/\/dr-holger-hein.de\/reloaded\/2026\/07\/11\/positionsabhaengige-obstruktive-schlafapnoe-posa-bei-12-000-patienten\/","title":{"rendered":"Positionsabh\u00e4ngige obstruktive Schlafapnoe (POSA) bei 12.000 Patienten"},"content":{"rendered":"Eine retrospektive Analyse von 12.036 Polysomnographien (September 2017\u2013August 2023) an einem brasilianischen Schlafzentrum zeigte, dass zwei Drittel aller OSA-Patienten eine positionsabh\u00e4ngige Schlafapnoe (POSA) aufweisen. 66,3 % der Patienten (61,6 % M\u00e4nner, Alter 47,9 \u00b1 13,5 Jahre, BMI 29,9 \u00b1 4,9 kg\/m\u00b2) erf\u00fcllten nach Cartwright-Kriterium die POSA-Definition (AHI im Liegen auf dem R\u00fccken \u2265 doppelt so hoch wie in Nicht-R\u00fcckenlage), 27,8 % zeigten eine ausschlie\u00dflich r\u00fcckenlagenbezogene Form (e-POSA). Im Vergleich zu Nicht-POSA-Patienten waren POSA-Patienten signifikant j\u00fcnger (47,6 vs. 48,3 Jahre) und hatten einen niedrigeren BMI (29,2 vs. 31,4 kg\/m\u00b2, p < 0,001). POSA-Patienten zeigten ein g\u00fcnstigeres Schlafprofil: niedrigerer AHI in REM- und NREM-Schlaf, weniger Zeit mit Sauerstoffs\u00e4ttigung < 90 %, h\u00f6here mittlere Sauerstoffs\u00e4ttigung, weniger Schlaffragmentierung, mehr Tiefschlaf (N3) und REM-Schlaf sowie h\u00f6here Schlafeffizienz (alle p < 0,001). Diese Unterschiede blieben nach Adjustierung f\u00fcr den Gesamt-AHI gr\u00f6\u00dftenteils bestehen, waren jedoch klein und bei milderer Erkrankung st\u00e4rker ausgepr\u00e4gt als bei schwererer OSA. Es fand sich eine asymmetrische \u00dcberlappung mit REM-assoziierter OSA: Nur 32 % der POSA-Patienten hatten zugleich eine REM-OSA, w\u00e4hrend umgekehrt fast 70 % der Patienten mit REM-OSA auch eine POSA aufwiesen. <br \/>(Rosa CFA, Chillcce KAS, Cahali MB, Boldt MS, Soares VHD, Rosa OA, Passos PHV, Alves MRS, Minniti EGO, Rodrigues JE, Ribas GRW. Analysis of positional obstructive sleep apnea features in 12,000 patients at a sleep center. Sleep Breath. 2026;30:207)<br \/>","protected":false},"excerpt":{"rendered":"<p>Eine retrospektive Analyse von 12.036 Polysomnographien (September 2017\u2013August 2023) an einem brasilianischen Schlafzentrum zeigte, dass zwei Drittel aller OSA-Patienten eine positionsabh\u00e4ngige Schlafapnoe (POSA) aufweisen. 66,3 % der Patienten (61,6 % M\u00e4nner, Alter 47,9 \u00b1 13,5 Jahre, BMI 29,9 \u00b1 4,9 kg\/m\u00b2) erf\u00fcllten nach Cartwright-Kriterium die POSA-Definition (AHI im Liegen auf dem R\u00fccken \u2265 doppelt so [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1548","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Eine retrospektive Analyse von 12.036 Polysomnographien (September 2017\u2013August 2023) an einem brasilianischen Schlafzentrum zeigte, dass zwei Drittel aller OSA-Patienten eine positionsabh\u00e4ngige Schlafapnoe (POSA) aufweisen. 66,3 % der Patienten (61,6 % M\u00e4nner, Alter 47,9 \u00b1 13,5 Jahre, BMI 29,9 \u00b1 4,9 kg\/m\u00b2) erf\u00fcllten nach Cartwright-Kriterium die POSA-Definition (AHI im Liegen auf dem R\u00fccken \u2265 doppelt so&hellip;","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1548","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=1548"}],"version-history":[{"count":2,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1548\/revisions"}],"predecessor-version":[{"id":1554,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1548\/revisions\/1554"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=1548"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=1548"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=1548"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}