Prevalence of high alcohol and benzodiazepine consumption in sleep apnea patients studied with blood and urine tests

Nerfeldt, Pia; Gräf, Peter; Borg, Stefan; Friberg, Danielle

doi:10.1080/00016480410017729

Cited by 7 publications

(3 citation statements)

References 14 publications

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“…2 The domains sleep subjective quality, latency, duration and efficiency, consumption of hypnotics and day dysfunction of the ICSP-VC used as insomnia markers were altered in a frequency much higher than that expected for the Colombian general population and according to what has been reported in the literature. 22,23 The anxious and depressive symptoms presented with higher frequency in the patients evaluated, similarly to what was expected among alcoholics. 20 According to the high prevalence of chronic insomnia found with the ICSP-VC in the studied population, alcoholics deserve medical care and treatment for their sleeping problem within their therapeutic plan.…”

Section: Discussionsupporting

confidence: 66%

Complaints of insomnia in hospitalized alcoholics

Escobar-Córdoba

Ávila-Cadavid

Cote-Menéndez

2009

Rev. Bras. Psiquiatr.

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Section: Discussionsupporting

confidence: 66%

Complaints of insomnia in hospitalized alcoholics

Escobar-Córdoba

Ávila-Cadavid

Cote-Menéndez

2009

Rev. Bras. Psiquiatr.

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“…28 Overall, therefore, the case is not strong for a direct relationship between alcohol use and development of OSA, though for people who have the condition, alcohol may worsen OSA symptoms. Physical exercise is a further candidate confounding variable.…”

Section: Possible Confounders and Effect Modifiers Affecting Prevalenmentioning

confidence: 99%

Obstructive sleep apnea and depression

Harris

Glozier

Ratnavadivel

et al. 2009

Sleep Medicine Reviews

273

195

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Phone +61 2 9515 8630 Fax +61 2 9515 7070 For correspondence Dr Harris can now be contacted at melanie.harris@unisa.edu.au.Please cite this as: . Obstructive sleep apnea and depression. Sleep Medicine Reviews, 13(6), 437-444. doi:10.1016437-444. doi:10. /j.smrv.2009437-444. doi:10. .04.001 Copyright 2009 Elsevier.Archived at Flinders University: dspace.flinders.edu.au AbstractThere are high rates of depression in people with obstructive sleep apnea (OSA) in both community and clinical populations. A large community study reported a rate of 17% and reports for sleep clinic samples range between 21% and 41%. A large cohort study found OSA to be a risk factor for depression, but we are unaware of any longitudinal study of the reverse association. However correlations have not generally been found in smaller studies. Well-designed longitudinal studies are needed to examine temporal relationships between the two conditions and further research is needed to establish the role of confounders, and effect modifiers such as gender, in any apparent relationship. Symptoms common to OSA and depression, such as sleepiness and fatigue, are obstacles to determining the presence and severity of one condition in the presence of the other, in research and clinically. Sleep clinicians are advised to consider depression as a likely cause of sleepiness and fatigue. Several possible causal mechanisms linking OSA and depression have been proposed but not established. Patients who have depression as well as OSA appear worse off than those with OSA only, and depressive symptoms persist in at least some patients in short term studies of treatment for OSA. Direct treatment of depression in OSA might improve acceptance of therapy, reduce sleepiness and fatigue and improve quality of life, but intervention trials are required to answer this question.

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“…The results also showed that 6.6% of the patients had a history of opium use. In this regard, Nerfeldt et al reported that the prevalence of drug use among patients with obstructive sleep apnea syndrome (OSAS) was 3.2 % based on laboratory tests (20). Doctors can also consider this point in treating OSA patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical Audit of Obstructive Sleep Apnea: A Case Study in Sleep Disorders

Mirzaei-Alavijeh

Khazaie

Alipourian

et al. 2022

J Health Rep Technol

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Background: Clinical audit (CA) is a standard method for improving the quality of health service. Objectives: This study aimed to determine the CA status of obstructive sleep apnea (OSA) clinical services at the sleep disorders research center of Kermanshah University of Medical Sciences (KUMS), Iran. Methods: The current research was conducted on 91 patients with OSA records in 2019 - 2020. The CA steps were performed, and the data extracted from the checklist were described using SPSS software version 16. Results: The age average of the patients was 50.10 (standard deviation = 13.16), ranging from 16 to 76 years. The services were provided to all patients (100%) based on indicators such as training in a healthy lifestyle related to OSA (weight control, not drinking alcohol, and sleep health behaviors) and appropriate prescribing of medications and devices, including continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP). Follow-up on prescribing CPAP and BiPAP devices, informing patients about the frequency of possible surgeries, and follow-up treatment were weak indicators and did not follow the standards. Conclusions: Based on the results, the treatment follow-up indicators of OSA patients are not in compliance with the standards, and attention must be paid to these indicators in providing clinical services to OSA patients in western Iran.

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Prevalence of high alcohol and benzodiazepine consumption in sleep apnea patients studied with blood and urine tests

Cited by 7 publications

References 14 publications

Complaints of insomnia in hospitalized alcoholics

Complaints of insomnia in hospitalized alcoholics

Obstructive sleep apnea and depression

Clinical Audit of Obstructive Sleep Apnea: A Case Study in Sleep Disorders

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