Hypothesis is that the occurrence of nocturnal Vaso-Occlusive Crisis (VOC) and priapism in adults might be related to episodes of nocturnal desaturation secondary to a sleep apnea syndrome. Investigator hypothesize that chronic biological consequences of Obstructive Sleep Apnea (hypercoagulability, endothelial dysfunction ...) favour VOC and acute manifestations (nocturnal desaturation) favour nocturnal VOC. The confirmation of this hypothesis will lead investigator to propose a systematic screening of obstructive sleep apnea (OSA) in patients with nocturnal VOC. Moreover, systematic treatment of OSA in sickle cell patients could help significantly reduce the number and severity of nocturnal VOC.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
114
Blood collection is a specific intervention of protocol for the 3 arms. Polysomnography is a specific intervention for the arms " Diurnal VOC " and " Slightly symptomatic "
Henri Mondor Hospital
Créteil, France
Percentage of patients with nocturnal desaturation and patients with OSA
Time frame: at 1 year
Oxygen desaturation index
Time frame: at 1 year
Minimum oxygen saturation level
Time frame: at 1 year
Quantitative analysis of biomarkers in plasma samples
Time frame: at 1 year
Quantitative analysis of proinflammatory and anti-inflammatory cytokines
Time frame: at 1 year
Minimum oxygen saturation level during rapid eye movement (REM) sleep in patients with recurrent priapism and in patients who never presented priapism
Time frame: at 1 year
Apnea-Hypopnea Index
Time frame: at 1 year
Sleep time with arterial oxygen saturation less than 90%
Time frame: at 1 year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.