scholarly journals P061 The effect of anxiety on symptom burden in patients with obstructive sleep apnoea

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A41-A41
Author(s):  
L Kelley ◽  
G Hamilton
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Functional Outcomes ◽  
Depression Scale ◽  
Symptom Burden ◽  
Severity Index ◽  
Sleep Apnoea ◽  
Common Symptom ◽  
Fatigue Score ◽  
Obstructive Sleep ◽  
History Of

Abstract Background There is a high prevalence of anxiety in patients with obstructive sleep apnoea and such patients often describe fatigue in addition to sleepiness. We currently use the Epworth Sleepiness Scale (ESS) to quantify sleepiness in our patients, but we do not have useful tools for assessing fatigue. Fatigue is a common symptom in patients with many medical conditions but has not been well studied in patients presenting to sleep services. Our hypothesis is that patients with obstructive sleep apnoea who have a comorbid anxiety disorder, as measured by the Hospital Anxiety and Depression Scale (HADS) are likely to have increased symptom burden such as fatigue or poorer functional outcomes of sleep. Methods Analysis of prospectively collected data from 128 adult patients referred for suspected obstructive sleep apnea to Monash University Health Sleep Clinic. All patients have completed a comprehensive questionnaire prior to their first clinical review assessing their symptom burden at baseline. Questionnaires completed include extensive symptom and medical history assessment, the Fatigue Severity Scale (FSS), ESS, HADS, Functional Outcomes of Sleep Questionnaire (FOSQ), Insomnia Severity Index (ISI) and Global Fatigue Score. All patients were subsequently reviewed by a clinician and have overnight polysomnography data available. Progress to date; Data collected for all 128 participants. Preliminary analysis currently underway. Intended outcome & impact; We intend to examine whether the comorbidity of anxiety results in an increased or different symptom burden in patients referred for suspected obstructive sleep apnoea when compared to patients without a history of anxiety.

scholarly journals Self-reported sleepiness and not the apnoea hypopnoea index is the best predictor of sleepiness-related accidents in obstructive sleep apnoea

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
P. Philip ◽  
S. Bailly ◽  
M. Benmerad ◽  
J. A. Micoulaud-Franchi ◽  
Y. Grillet ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Traffic Accidents ◽  
Sleep Apnoea ◽  
Near Miss ◽  
Cross Sectional ◽  
Periodic Leg Movements ◽  
Obstructive Sleep ◽  
History Of ◽  
Respiratory Polygraphy ◽  
Sectional Analysis

Abstract To evaluate the value of apnoea + hypopnoea index versus self-reported sleepiness at the wheel in anticipating the risk of sleepiness-related accidents in patients referred for obstructive sleep apnoea. A cross-sectional analysis of the French national obstructive sleep apnoea registry. 58,815 subjects referred for a suspicion of obstructive sleep apnoea were investigated by specific items addressing sleepiness at the wheel and sleepiness-related accidents. Apnoea + hypopnoea index was evaluated with a respiratory polygraphy or full polysomnography. Subjects had a median age of 55.6 years [45.3; 64.6], 65% were men, with a median apnoea + hypopnoea index of 22 [8; 39] events/h. Median Epworth sleepiness scale score was 9 [6; 13], 35% of the patients reported sleepiness at the wheel (n = 20,310), 8% (n = 4,588) reported a near-miss accident and 2% (n = 1,313) reported a sleepiness-related accident. Patients reporting sleepiness at the wheel whatever their obstructive sleep apnoea status and severity exhibited a tenfold higher risk of sleepiness-related accidents. In multivariate analysis, other predictors for sleepiness-related accidents were: male gender, ESS, history of previous near-miss accidents, restless leg syndrome/periodic leg movements, complaints of memory dysfunction and nocturnal sweating. Sleep apnoea per se was not an independent contributor. Self-reported sleepiness at the wheel is a better predictor of sleepiness-related traffic accidents than apnoea + hypopnoea index.

scholarly journals Nocturnal sweating—a common symptom of obstructive sleep apnoea: the Icelandic sleep apnoea cohort

BMJ Open ◽  
2013 ◽  
Vol 3 (5) ◽  
pp. e002795 ◽  
Author(s):  
Erna Sif Arnardottir ◽  
Christer Janson ◽  
Erla Bjornsdottir ◽  
Bryndis Benediktsdottir ◽  
Sigurdur Juliusson ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Common Symptom ◽  
Obstructive Sleep

Antrochoanal polyp and obstructive sleep apnoea in children

2004 ◽  
Vol 118 (6) ◽  
pp. 453-458 ◽  
Author(s):  
Florian Brausewetter ◽  
Martin Hecht ◽  
Wolfgang Pirsig
Keyword(s):  
Cystic Fibrosis ◽  
Obstructive Sleep Apnoea ◽  
Nasal Polyps ◽  
18Th Century ◽  
Sleep Apnoea ◽  
Antrochoanal Polyp ◽  
Endoscopic Endonasal ◽  
Historical Aspects ◽  
Obstructive Sleep ◽  
History Of

Antrochoanal polyps were first documented in the 18th century. They represent one of the most common types of nasal polyps in children without cystic fibrosis. Only a few reports on children who had a history of snoring due to an antrochoanal polyp and only two cases where the antrochoanal polyp caused documented obstructive sleep apnoea (OSA) have been published so far. This report adds a third case of paediatric OSA induced by an antrochoanal polyp in a 12-year-old boy. After endonasal endoscopically-controlled polypectomy and a recurrence, transoral osteoplastic antrotomy in combination with endoscopic endonasal polypectomy eliminated the antrochoanal polyp and OSA was resolved. The authors have reviewed essential historical aspects about children suffering from snoring and/or OSA caused by an antrochoanal polyp.

scholarly journals Association of napping with incident cardiovascular events in a prospective cohort study

Heart ◽  
2019 ◽  
Vol 105 (23) ◽  
pp. 1793-1798 ◽  
Author(s):  
Nadine Häusler ◽  
Jose Haba-Rubio ◽  
Raphael Heinzer ◽  
Pedro Marques-Vidal
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Lower Risk ◽  
Previous History ◽  
Population Based ◽  
Sleep Apnoea ◽  
Obstructive Sleep ◽  
History Of ◽  
Relationship Of

ObjectiveThere is controversy regarding the effect of napping on cardiovascular disease (CVD), with most studies failing to consider napping frequency. We aimed to assess the relationship of napping frequency and average nap duration with fatal and non-fatal CVD events.Methods3462 subjects of a Swiss population based cohort with no previous history of CVD reported their nap frequency and daily nap duration over a week, and were followed over 5.3 years. Fatal and non-fatal CVD events were adjudicated. Cox regressions were performed to obtain HRs adjusted for major cardiovascular risk factors and excessive daytime sleepiness or obstructive sleep apnoea.Results155 fatal and non-fatal events occurred. We observed a significantly lower risk for subjects napping 1–2 times weekly for developing a CVD event (HR 0.52, 95% CI 0.28 to 0.95) compared with non-napping subjects, in unadjusted as well as adjusted models. The increased HR (1.67, 95% CI 1.10 to 2.55) for subjects napping 6–7 times weekly disappeared in adjusted models (HR 0.89, 95% CI 0.58 to 1.38). Neither obstructive sleep apnoea nor excessive daytime sleepiness modified this lower risk. No association was found between nap duration and CVD events.ConclusionSubjects who nap once or twice per week have a lower risk of incident CVD events, while no association was found for more frequent napping or napping duration. Nap frequency may help explain the discrepant findings regarding the association between napping and CVD events.

scholarly journals O044 PROMISing questionnaires to measure sleep disturbance and impairment

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A19-A20
Author(s):  
A Antonov ◽  
G Hamilton
Keyword(s):  
Sleep Disturbance ◽  
Depression Scale ◽  
Symptom Burden ◽  
Sleep Apnoea ◽  
Adult Patients ◽  
Surrogate Markers ◽  
Sleep Impairment ◽  
Obstructive Sleep ◽  
Patient Reported ◽  
The Relationship

Abstract Background Obstructive sleep apnoea (OSA) is highly prevalent in Australia with significant health and economic impacts. OSA severity as measured by Apnoea Hypopnoea Index (AHI) does not reliably predict symptom burden as measured by questionnaires such as the Epworth Sleepiness Scale (ESS) or Functional Outcomes of Sleep Questionnaire (FOSQ). Our hypothesis is that utilising the standardised, scenario-agnostic, evidence-based Patient-Reported Outcomes Information System (PROMIS) questionnaires would yield better clinical utility. The primary aim was to validate PROMIS questionnaires in detecting symptom burden of OSA and its relationship to AHI. Secondary outcomes were to investigate the relationship between PROMIS questionnaires and other commonly used measures of sleep impairment and disturbance, and the relationship between PROMIS questionnaires and surrogate markers of sleep impairment on a Polysomnogram. Methods Analysis of prospectively collected data from 122 adult patients referred to an Australian University and Tertiary Hospital associated sleep apnoea clinic. All adult patients who completed extensive pre-assessment questionnaires and subsequently underwent polysomnography following clinician review were included in this study. Questionnaires included: PROMIS Sleep Disturbance, Sleep Related Impairment and Cognitive Function-Abilities questionnaires, FOSQ, ESS, Insomnia Severity Index (ISI) and Hospital Anxiety and Depression Scale (HADS). Progress to date Data collected for all 122 participants. Preliminary analysis currently underway. Intended outcome and impact: Examine utility of the novel PROMIS scales in measuring symptom burden in patients referred for suspected OSA and its relationship to AHI. Investigate the relationship between PROMIS scales, surrogate markers of sleep impairment and other validated sleep disorder questionnaires.

Parapharyngeal mass presenting with sleep apnoea

1989 ◽  
Vol 103 (10) ◽  
pp. 961-963 ◽  
Author(s):  
D. Veitch ◽  
M. Rogers ◽  
J. Blanshard
Keyword(s):  
Salivary Gland ◽  
Sleep Disturbance ◽  
Obstructive Sleep Apnoea ◽  
Current Literature ◽  
Sleep Apnoea ◽  
Salivary Gland Tumour ◽  
Sleep Study ◽  
Obstructive Sleep ◽  
History Of ◽  
Gland Tumour

AbstractA 60-year-old man presented with a history of progressive sleep disturbance due to an intraoral parapharyngeal salivary gland tumour.The sleep study performed post-operatively showed rapid resolution of nocturnal hypoxic episodes. This appears to be the first recorded case of a parapharyngeal mass causing sleep apnoea and we review the current literature on obstructive sleep apnoea.

scholarly journals Splenic infarction associated with obstructive sleep apnoea/hypopnoea syndrome: a case report

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052095469
Author(s):  
Yuhong Li ◽  
Hanyun Liu ◽  
Yingqing Shi
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Abdominal Distension ◽  
Sleep Apnoea ◽  
Splenic Infarction ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Obstructive Sleep ◽  
History Of ◽  
Upper Abdomen ◽  
Thrombotic Diseases

Splenic infarction is rare, resulting from occlusion of the splenic artery or its branches. Its aetiology is complex and multifactorial involving various vascular and thrombotic diseases, thus, misdiagnosis or missed diagnosis is common. Here, the case of a 45-year old male patient diagnosed with splenic infarction caused by secondary erythrocytosis associated with obstructive sleep apnoea/hypopnoea syndrome (OSAHS) is reported. The patient presented with 10 days of abdominal distension and pain that worsened after eating, and had developed to include nausea, vomiting and fever. The patient had a history of night snoring for over 10 years without treatment, a diagnosis of chronic pulmonary heart disease and secondary polycythaemia 5 years previously, and diagnosis of OSAHS 1 year previously. He had not received previous non-invasive ventilation or oxygen therapy. Enhanced upper abdomen computed tomography (CT) showed splenic infarction, bone marrow cytology suggested secondary polycythaemia, and sleep polysomnography revealed severe OSAHS. Low molecular-weight heparin, ceftriaxone, fluid and oxygen treatment gradually relieved abdominal distension and pain. Enhanced CT showed splenic infarction improvement. The present case highlights that splenic embolism should not be ignored as a potential complication of OSAHS.

Dislocation of the inferior turbinates: a rare complication of nasal surgery, presenting as obstructive sleep apnoea

2011 ◽  
Vol 125 (8) ◽  
pp. 859-860
Author(s):  
V Gupta ◽  
H Singh ◽  
M Gupta ◽  
S Singh
Keyword(s):  
Nasal Obstruction ◽  
Obstructive Sleep Apnoea ◽  
English Language ◽  
Rare Complication ◽  
Sleep Apnoea ◽  
Nasal Surgery ◽  
Obstructive Sleep ◽  
History Of ◽  
One Year ◽  
Language Literature

AbstractObjective:We report a very rare complication of nasal surgery: dislocation of the inferior turbinates into the nasopharynx, presenting as sleep apnoea and persistent nasal obstruction.Case report:A 56-year-old woman presented with a history of obstructive sleep apnoea for one year and nasal obstruction for seven years. She had undergone nasal surgery one year previously. Non-contrast computed tomography of the nose and paranasal sinuses showed a mass near the posterior choana on both sides, confirmed by nasal endoscopy. The displaced turbinates were removed, after resecting their attachment at the posterior choanae, and the patient's symptoms were relieved.Conclusion:This is a very rare complication of nasal surgery; to the best of our knowledge, we report only the second published case in the English language literature. We suggest that such cases be closely followed up post-operatively.

A simple diagnostic scale based on the analysis and screening of clinical parameters in paediatric obstructive sleep apnoea hypopnea syndrome

2017 ◽  
Vol 131 (4) ◽  
pp. 363-367 ◽  
Author(s):  
D Wu ◽  
X Li ◽  
X Guo ◽  
J Qin ◽  
S Li
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Accurate Method ◽  
Sleep Apnoea ◽  
Palatine Tonsil ◽  
Stepwise Logistic Regression ◽  
Clinical Parameters ◽  
Stepwise Logistic Regression Analysis ◽  
Obstructive Sleep ◽  
History Of ◽  
Hypopnea Syndrome

AbstractObjective:This study aimed to develop a simple and accurate method to diagnose paediatric obstructive sleep apnoea hypopnea syndrome.Methods:A total of 311 children with suspected paediatric obstructive sleep apnoea hypopnea syndrome were included in the study. Multiple clinical parameters, including sex, age, body mass index, history of snoring or gasping, history of nasal obstruction, history of running nose, palatine tonsil size, adenoid to nasopharynx ratio, and tympanogram type, were compared with polysomnography results using relevant correlation and regression analyses. A diagnostic scale was established using the regression equation and the correlation between the polysomnography result and scale result was determined.Results:The apnoea–hypopnea index correlated significantly with a history of snoring or gasping, palatine tonsil size, and tympanogram type. Stepwise logistic regression analysis revealed that the polysomnography result correlated significantly with a history of snoring or gasping, palatine tonsil size, and the adenoid to nasopharynx ratio. The percentage correlation between the scale and polysomnography results was 77.8 per cent.Conclusion:The diagnostic scale can be used to diagnose paediatric obstructive sleep apnoea hypopnea syndrome for clinical application when polysomnography cannot be performed. However, it is not suitable for assessing the severity of paediatric obstructive sleep apnoea hypopnea syndrome.

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