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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.
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.
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