Obstructive Sleep Apnea as a Predictor of Clinical Deterioration in Hospitalized Patients on the Wards

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 502A
Author(s):  
Patrick Lyons ◽  
Matthew Churpek ◽  
Frank Zadravecz ◽  
Dana Edelson ◽  
Babak Mokhlesi
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Hospitalized Patients ◽  
Clinical Deterioration ◽  
Obstructive Sleep

scholarly journals Risk of Obstructive Sleep Apnea (OSA) in Hospitalized Patients

CHEST Journal ◽  
2010 ◽  
Vol 138 (4) ◽  
pp. 779A ◽  
Author(s):  
Sunita Kumar ◽  
David McElligott ◽  
Amit Goyal ◽  
Matthew Baugh ◽  
Ramona N. Ionita
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Hospitalized Patients ◽  
Obstructive Sleep

A Prospective Assessment of Risk of Obstructive Sleep Apnea in Hospitalized Patients at the Lagos University Teaching Hospital

CHEST Journal ◽  
2011 ◽  
Vol 140 (4) ◽  
pp. 804A
Author(s):  
Obianuju Ozoh ◽  
Ayesha Akinkugbe ◽  
Nkiru Asoegwu ◽  
Njideka Okubadejo ◽  
Amam Mbakwem ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Teaching Hospital ◽  
Hospitalized Patients ◽  
University Teaching ◽  
Obstructive Sleep ◽  
Prospective Assessment

Obstructive sleep apnea among hospitalized patients in Spain, analysis of hospital discharge data 2008–2012

2015 ◽  
Vol 19 (3) ◽  
pp. 841-848 ◽  
Author(s):  
Javier de Miguel-Díez ◽  
Pilar Carrasco-Garrido ◽  
Rodrigo Jiménez-García ◽  
Luis Puente-Maestu ◽  
Valentín Hernández-Barrera ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Hospital Discharge ◽  
Hospitalized Patients ◽  
Hospital Discharge Data ◽  
Discharge Data ◽  
Obstructive Sleep

scholarly journals 0496 Screen to Treat Comorbid Obstructive Sleep Apnea Among Hospitalized Patients Before Discharge

SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A198-A199
Author(s):  
Jin Mou ◽  
S Shirley Ho ◽  
Kimberly Mebust ◽  
Jessica Ross ◽  
Mikal Williams ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Hospitalized Patients ◽  
Obstructive Sleep

Overnight Rostral Fluid Shifts Exacerbate Obstructive Sleep Apnea After Stroke

Stroke ◽  
2021 ◽  
Author(s):  
Devin L. Brown ◽  
Azadeh Yadollahi ◽  
Kevin He ◽  
Yuliang Xu ◽  
Bryan Piper ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Ischemic Stroke ◽  
Sleep Apnea ◽  
Population Based ◽  
Hospitalized Patients ◽  
Fluid Volume ◽  
Calf Circumference ◽  
Fluid Shift ◽  
Obstructive Sleep ◽  
Fluid Shifts

Background and Purpose: Overnight shifts of fluid from lower to upper compartments exacerbate obstructive sleep apnea (OSA) in some OSA populations. Given the high prevalence of OSA after stroke, decreased mobility and use of IV fluids among hospitalized patients with stroke, and improvement in OSA in the months after stroke, we hypothesized that overnight fluid shifts occur and are associated with OSA among patients with subacute ischemic stroke. Methods: Within a population-based project, we performed overnight sleep apnea tests (ApneaLink Plus) during ischemic stroke hospitalizations. Before sleep that evening, and the following morning before rising from bed, we assessed neck and calf circumference, and leg fluid volume (bioimpedance spectroscopy). The average per subject overnight change in the 3 fluid shift measurements was calculated and compared with zero. Linear regression was used to test the crude association between each of the 3 fluid shift measurements and the respiratory event index (REI). Results: Among the 292 participants, mean REI was 24 (SD=18). Within individuals, calf circumference decreased on average by 0.66 cm (SD=0.75 cm, P <0.001), leg fluid volume decreased by a mean of 135.6 mL (SD=132.8 mL, P <0.001), and neck circumference increased by 0.20 cm (SD=1.71 cm, P =0.07). In men, when the overnight change of calf circumference was negative, an interquartile range (0.8 cm) decrease in calf circumference overnight was significantly associated with a 25.1% increase in REI ( P =0.02); the association was not significant in women. The relationship between overnight change in leg fluid volume and REI was U shaped. Conclusions: This population-based, multicenter, cross-sectional study showed that in hospitalized patients with ischemic stroke, nocturnal rostral fluid shifts occurred, and 2 of the 3 measures were associated with greater OSA severity. Interventions that limit overnight fluid shifts should be tested as potential treatments for OSA among patients with subacute ischemic stroke.

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