Sleep disorders

Oxford Handbook of Psychiatry ◽

10.1093/med/9780199693887.003.0011 ◽

2013 ◽

pp. 413-460

Keyword(s):

Circadian Rhythm ◽

Sleep Disorders ◽

Management Strategies ◽

Sleep Stages ◽

Sleep Related Breathing Disorders ◽

General Management ◽

Breathing Disorders ◽

Circadian Rhythm Sleep Disorders ◽

Normal Sleep

Introduction Normal sleep: stages and cycles Assessment of sleep disorders Insomnia 1: overview Insomnia 2: general management strategies Sleep-related breathing disorders Hypersomnia 1: overview Hypersomnia 2: narcolepsy Hypersomnia 3: other causes Circadian rhythm sleep disorders 1: overview Circadian rhythm sleep disorders 2: management Parasomnias 1: overview...

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Excessive sleepiness

New Oxford Textbook of Psychiatry ◽

10.1093/med/9780199696758.003.0119 ◽

2012 ◽

pp. 938-943

Author(s):

Michel Billiard

Keyword(s):

Circadian Rhythm ◽

Sleep Disorders ◽

Clinical Work ◽

Sleep Related Breathing Disorders ◽

Excessive Sleepiness ◽

Breathing Disorders ◽

Delayed Sleep Phase Syndrome ◽

Central Origin ◽

Delayed Sleep ◽

Waking Up

Excessive sleepiness is not an homogeneous concept. It can manifest itself as bouts of sleepiness, irresistible and refreshing sleep episodes, abnormal lengthening of night sleep with a major difficulty waking up in the morning or at the end of a nap or even periods of a week or so of almost continuous sleep recurring at several months’ intervals. According to the recent second edition of the International Classification of Sleep Disorders (ICSD-2), disorders of excessive sleepiness are distributed within three chapters: sleep-related breathing disorders, hypersomnias of central origin not due to a circadian rhythm sleep disorder, sleep-related breathing disorders, or other cause of disturbed nocturnal sleep, and circadian rhythm sleep disorders. However in this volume aimed at psychiatrists, the presentation of disorders of excessive sleepiness will obey another logic. Following “Generalities” including epidemiology, morbidity, clinical work-up, and laboratory tests, the various aetiologies will be presented according to the following six subchapters: ♦ Hypersomnia not due to substance or known physiological condition (non-organic hypersomnia or psychiatric hypersomnia) ♦ Hypersomnia due to drug or substance ♦ Behaviourally induced insufficient sleep syndrome ♦ Hypersomnia in the context of sleep-related breathing disorders ♦ Hypersomnias of central origin ♦ And the special case of delayed sleep phase syndrome.

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0998 Health Care Utilization of Pediatric Sleep Disorders in Cerner Health Facts Database

SLEEP ◽

10.1093/sleep/zsaa056.994 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A379-A379

Author(s):

B Al-Shawwa ◽

E Glynn ◽

M Hoffman ◽

Z Ehsan ◽

D Ingram

Keyword(s):

Health Care ◽

Circadian Rhythm ◽

Health Care Utilization ◽

Sleep Disorders ◽

Movement Disorders ◽

Access To Health Care ◽

Care Utilization ◽

Sleep Related Breathing Disorders ◽

Breathing Disorders ◽

Circadian Rhythm Disorders

Abstract Introduction This study was aimed to identify health care utilization of sleep disorders in pediatrics and adults by using Cerner health facts database. Methods Health facts database has unidentified health records from all the participating facilities that have Cerner as their electronic medical records software. There are 68.7 million patients in the data warehouse with about 506.9 million encounters in about 100 healthcare systems. Sleep disorders are mostly seen in outpatient settings and therefore this study included outpatient records between the years 2010 to 2017. Results There were 20.5 million patients with total of 127.4 million outpatient encounters. In pediatric patients (ages 0-18 years), healthcare utilization of major sleep diagnoses per 100,000 encounters showed sleep related breathing disorders are the most commonly seen followed by parasomnia, insomnia, sleep movement disorders, hypersomnolence then circadian rhythm disorders (820.1, 258.1, 181.6, 68.3, 48.1 and 16.2 per 100,000 encounters). However, for adult patients the ranking was: sleep related breathing disorders, insomnia, sleep related movement disorders, hypersomnolence, parasomnia then circadian rhythm disorders (1352.6, 511.6, 166.3, 79.1, 25.7 and 4.2 per 100,000 encounters). Further analysis for the age groups showed bimodal pattern for sleep related breathing disorders and sleep movement disorders with the highest utilization were between the ages of 2-11 year and 40-60 years. Adolescents (age 12-18 years) showed increase utilization in the areas of circadian rhythm disorders. Conclusion Patients with sleep disorders have relatively low health care utilization despite high prevalence of these sleep disorders in the general population. This may highlight underrecognized sleep problem or decreased access to health care. In addition, this study highlights the effect of age on different sleep disorders which may have an impact on allocating resources. Support None

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