Sleep Apnea - ACP PDF
Preview Sleep Apnea - ACP
Sleep Apnea ACP Oct 26, 2014 Bashir Chaudhary, MD Sleep Institute of Augusta, Augusta GA Emeritus Professor of Medicine and Assistant Dean of Clinical Affairs, CAHS Medical College of Georgia, Georgia Health Sciences University Future of Sleep Medicine? • Main sleep problem will continue to be OSA • In-lab studies are going to decrease • Home studies are going to increase • Shift of studies to PCPs • Shift to studies to commercial companies • Type of patients are going to be different • New therapeutic modalities Outcome Studies Equivalence between HST and in-lab PSG • – Patient satisfaction • – Quality of Life • – Epworth and other sleep measurement tools • – CPAP adherence (one study ↑ home) Multi-Center Studies of HST Rosen CL, et al, Sleep 35:757, 2012 • CPAP compliance (3months) • 219 mins 281 mins p=0.001 • Change in Epworth score -7.4 -7.0 p=0.65 • Change in FOSQ +3.6 3.1 p=0.38 Improved CPAP compliance but no difference in changes in other outcomes between two pathways Sleep Apnea • Snoring • Sleepiness / tiredness • Disturbed sleep Clinical Features of OSA • Awakenings / gasping or choking • Awakenings for uncertain reasons • Restless sleep • Non-refreshing sleep • Poor memory / intellectual function • Irritability / personality change • Morning headache / confusion
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