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Clinical Approach to Patients with COVID-19 and Unrecognized Obstructive Sleep Apnea
Melany Ćurić1, Frano Marinelli1, Vuk Prica1
1Department of Pulmonology, Clinic for Internal Medicine, Clinical Hospital Center Rijeka, Tome Strižića 3, 51000 Rijeka, Croatia.
Clinics and Practice
|April 26, 2024
Summary
Undiagnosed obstructive sleep apnea (OSA) may worsen COVID-19 respiratory failure. Continuous positive airway pressure (CPAP) treatment improved oxygenation and symptoms in severe OSA patients with COVID-19.
Area of Science:
- Pulmonology
- Infectious Diseases
- Sleep Medicine
Background:
- COVID-19 can cause respiratory failure.
- Obstructive sleep apnea (OSA) is a common condition that may affect respiratory health.
- The interplay between OSA and COVID-19 outcomes requires further investigation.
Observation:
- Seven male COVID-19 patients with respiratory failure and suspected OSA were studied.
- Cardiorespiratory polygraphy confirmed severe OSA (apnea/hypopnea index > 30) in all patients.
- Clinical features suggested OSA in patients with severe COVID-19.
Findings:
- All patients diagnosed with severe obstructive sleep apnea (OSA).
- Continuous positive airway pressure (CPAP) treatment led to improved overnight oxygenation.
- Patients reported symptom improvement after one month of CPAP therapy.
Implications:
- Undiagnosed OSA may negatively impact COVID-19 outcomes by exacerbating respiratory failure.
- Early recognition and CPAP treatment can optimize management for COVID-19 patients with OSA.
- This case series highlights the importance of considering OSA in respiratory failure during COVID-19.
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