Clinical and Polysomnographic Characteristics of Adult Patients with Suspected Obstructive Sleep Apnea from Different Sleep Clinics at a Single Tertiary Center.

IF 3.9 3区医学 Q1 CLINICAL NEUROLOGY

Neurology and Therapy Pub Date : 2024-04-01 Epub Date: 2024-02-03 DOI:10.1007/s40120-024-00581-1

Eunmi Lee, Hyunjo Lee

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引用次数: 0

Abstract

Introduction: The characteristics of patients across different sleep clinics may vary because they selectively visit specific specialists on the basis of their primary symptoms. This study aimed to compare the clinical and polysomnography (PSG) features of patients with suspected obstructive sleep apnea (OSA) at three sleep specialty clinics (otolaryngology [ENT], neurology [NR], and psychiatry [PSY]).

Methods: We retrospectively analyzed the medical records and PSG reports of adult patients who underwent full-night PSG between January 2022 and June 2023 at a tertiary medical center. The demographic, questionnaire, and PSG variables were compared.

Results: Of the 407 patients, 83.0% exhibited sleep-disordered breathing (apnea-hypopnea index ≥ 5) with varying severity among the specialty pathways. Patients in the ENT group (n = 231) were the youngest and had the shortest sleep latency and most severe OSA markers with the highest positive airway pressure (PAP) acceptance, while those in the NR group (n = 79) had similar OSA-related PSG parameters to those in the ENT group but were older and had more OSA-related comorbidities, although their PAP acceptance was relatively low. The PSY group (n = 97) included a significant proportion of patients with normal or mild OSA, a female majority, high levels of depression, and subjective sleep distress.

Conclusion: Our results highlight the multidisciplinary aspects of sleep medicine and diverse patients, and specialist needs for diagnosing sleep disorders and PAP acceptance. Exploring the potential differences in prognosis and treatment responses across various sleep specialty clinics would facilitate the development of personalized strategies.

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一家三级医疗中心不同睡眠诊所疑似阻塞性睡眠呼吸暂停成人患者的临床和多导睡眠图特征。

简介不同睡眠专科门诊的患者特征可能有所不同，因为他们会根据主要症状选择性地就诊于特定的专科医生。本研究旨在比较三家睡眠专科诊所（耳鼻喉科[ENT]、神经内科[NR]和精神科[PSY]）疑似阻塞性睡眠呼吸暂停（OSA）患者的临床和多导睡眠图（PSG）特征：我们回顾性分析了一家三级医疗中心在 2022 年 1 月至 2023 年 6 月期间接受整夜 PSG 的成年患者的病历和 PSG 报告。比较了人口统计学、问卷调查和 PSG 变量：在 407 名患者中，83.0% 的患者表现出睡眠呼吸障碍（呼吸暂停-低通气指数≥ 5），各专科路径的严重程度不同。耳鼻喉科组患者（n = 231）最年轻，睡眠潜伏期最短，OSA指标最严重，气道正压（PAP）接受度最高；而NR组患者（n = 79）的OSA相关PSG参数与耳鼻喉科组相似，但年龄较大，OSA相关合并症较多，但气道正压接受度相对较低。PSY 组（n = 97）中有相当一部分患者的 OSA 正常或轻度，女性占多数，抑郁程度高，主观上有睡眠困扰：我们的研究结果凸显了睡眠医学的多学科性和患者的多样性，以及诊断睡眠障碍和接受 PAP 的专业需求。探索不同睡眠专科门诊在预后和治疗反应方面的潜在差异将有助于制定个性化策略。

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来源期刊

Neurology and Therapy CLINICAL NEUROLOGY-

CiteScore

5.40

自引率

8.10%

发文量

103

审稿时长

6 weeks

期刊介绍： Aims and Scope Neurology and Therapy aims to provide reliable and inclusive, rapid publication for all therapy related research for neurological indications, supporting the timely dissemination of research with a global reach, to help advance scientific discovery and support clinical practice. Neurology and Therapy is an international, open access, peer reviewed, rapid publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world and health outcomes research around the discovery, development, and use of neurological and psychiatric therapies, (also covering surgery and devices). Studies relating to diagnosis, pharmacoeconomics, public health, quality of life, and patient care, management, and education are also welcomed. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, case reports, trial designs, communications and letters. 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