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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

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Obstructive Sleep Apnea in Psychiatric Inpatients.

Maria Tanielian¹, Karl Doghramji, Kenneth Certa

¹Sleep Disorders Center, Thomas Jefferson University Hospitals.

The Journal of Nervous and Mental Disease

|January 14, 2020

Summary

Psychiatric inpatients have a high risk for obstructive sleep apnea (OSA), with over half screening positive. Key predictors include psychiatric medication use and daytime sleepiness.

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Area of Science:

Psychiatry
Sleep Medicine
Clinical Research

Background:

Obstructive sleep apnea (OSA) is a prevalent sleep disorder.
Psychiatric inpatients represent a vulnerable population with potentially undiagnosed sleep issues.

Purpose of the Study:

To determine the prevalence of high OSA risk in hospitalized psychiatric patients.
To identify clinical predictors associated with heightened OSA risk within this cohort.

Main Methods:

Utilized STOP-BANG and Epworth Sleepiness Scale (ESS) questionnaires.
Collected demographic and clinical data from inpatient charts.
Employed multivariate regression to analyze OSA risk predictors.

Main Results:

58.2% of psychiatric inpatients screened positive for high OSA risk.
Significant predictors included mood stabilizers, CNS depressants, CNS stimulants, and excessive daytime sleepiness (ESS).
Older age and specific psychiatric medication use were associated with elevated OSA risk.

Conclusions:

A substantial proportion of psychiatric inpatients face a high risk of OSA.
Targeted screening and management of OSA are crucial in psychiatric settings.
Psychiatric medication regimens and patient demographics are important considerations for OSA risk assessment.