Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Samson, Pamela ; Casey, Kenneth R. ; Knepler, James ; Panos, Ralph J.
Samson, Pamela ; Casey, Kenneth R. ; Knepler, James ; Panos, Ralph J. Less -
Description:
Introduction

Obstructive sleep apnea (OSA) is a common disorder that is associated with significant morbidity. Veterans may be at an elevated risk for OSA because of increased prevalence of factors associated with the development and progression of OSA. The objective of this study was to determine the clinical characteristics, comorbidities, polysomnographic findings, and response to treatment of veterans with OSA.

Methods

We performed a retrospective chart review of 596 patients undergoing polysomnography at the Cincinnati Veterans Affairs Medical Center from February 2005 through December 2007. We assessed potential correlations of clinical data with polysomnography findings and response to treatment.

Results

Polysomnography demonstrated OSA in 76% of patients; 30% had mild OSA, 23% moderate OSA, and 47% severe OSA. Increasing body mass index, neck circumference, Epworth Sleepiness Scale score, hypertension, congestive heart failure, and type 2 diabetes correlated with increasing OSA severity. Positive airway pressure treatment was initiated in 81% of veterans with OSA, but only 59% reported good adherence to this treatment method. Of the patients reporting good adherence, a greater proportion of those with severe OSA (27%) than with mild or moderate disease (0%-12%) reported an excellent response to treatment.

Conclusion

The prevalence of metabolic and cardiovascular comorbidities increased with increasing OSA severity. Only 59% of treated patients reported good adherence to treatment with positive airway pressure, and response to treatment correlated with OSA severity.


Subject:
[+]
Adult
Aged
Continuous Positive Airway Pressure
Female
Hospitals, Veterans
Humans
Male
Middle Aged
Original Research
Patient Compliance
Sleep Apnea, Obstructive
Veterans

Source:
Prev Chronic Dis. 2012; 9.
Document Type:
Journal Article
Name as Subject:
United State Department of Veterans Affair
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:4f9c73abed5183732eafe89c66fdb81ad45b55222c2339c997c6e3096315bf83
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E46.nxml	txt

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