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Published on: December 6, 2016
Obstructive Sleep Apnea after COVID-19: An Observational Study
George-Cosmin Popovici1,2, Costinela-Valerica Georgescu3,4, Mihaela-Camelia Vasile1,5
1School for Doctoral Studies in Biomedical Sciences, "Dunarea de Jos" University from Galati, 800008 Galati, Romania.
Insights
Hospitalized COVID-19 patients frequently develop severe obstructive sleep apnea (OSA). Risk factors include male gender, age over 60, obesity, and cardiovascular issues, necessitating further sleep disorder management strategies.
Area of Science:
- Pulmonology
- Sleep Medicine
- Infectious Diseases
Background:
- Risk factors for severe COVID-19 and obstructive sleep apnea (OSA) share commonalities.
- Post-COVID-19 complications, including sleep disorders, require further investigation.
- Understanding the link between COVID-19 hospitalization and OSA is crucial for patient management.
Purpose of the Study:
- To determine the prevalence of obstructive sleep apnea (OSA) in adult patients hospitalized for COVID-19 in southeastern Romania.
- To identify associated factors contributing to the development of OSA post-COVID-19 hospitalization.
- To inform clinical practice and future research directions for managing sleep disorders in post-COVID-19 patients.
Main Methods:
- A follow-up study involving adult patients hospitalized for COVID-19 between 2021-2022.
- Assessment of OSA using the Epworth and STOP-BANG questionnaires, alongside nocturnal polygraphy monitoring.
- Evaluation conducted 12 weeks post-hospitalization for COVID-19.
Main Results:
- Out of 331 patients, 257 were evaluated for sleep apnea.
- A high prevalence of severe obstructive sleep apnea (OSA) was observed at 57.97%.
- Significant associations identified include male gender, age >60, obesity, and cardiovascular comorbidities.
Conclusions:
- Severe OSA is highly prevalent in patients hospitalized for COVID-19.
- Male gender, older age, obesity, and cardiovascular comorbidities are key associated factors.
- Recommendations include non-invasive ventilatory therapy (NIV) and lifestyle modifications; further strategies for diagnosis and monitoring are needed.
Abstract:
The risk factors of hospitalized COVID-19 and obstructive sleep apnea (OSA) overlap. The aim of this study is to evaluate the prevalence and associated factors of post-COVID-19 OSA in hospitalized adult patients from southeastern Romania. A follow-up study was conducted on patients hospitalized for COVID-19 at the Pneumology Hospital in Galati, Romania, between 2021 and 2022. OSA was evaluated using the Epworth and STOP-BANG questionnaires and nocturnal polygraphy monitoring. Out of 331 patients, 257 were evaluated for sleep apnea in the 12th week. The prevalence of severe OSA was 57.97%. Significant associations were found with male gender, an age over 60, obesity, and cardiovascular co-morbidities. Non-invasive ventilatory therapy (NIV) and a hygienic-dietary regimen were recommended based on severity following a control visit after a month. Developing strategies for diagnosing and monitoring sleep disorders, including home sleep apnea tests and patient education, are the next directions for post-COVID-19 management.
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