1073 What Happens To Patients After A Diagnosis Of Sleep Apnea?
Notice bibliographique
Résumé
Obstructive sleep apnea (OSA) common in older family medicine patients, yet hard to identify and even more challenging to treat. Little has been described about what happens to patients after a diagnosis is made and treatment is recommended. What determines which patients will adopt and persist with treatment? Consecutive older family medicine patients (n=35, M, age = 58) underwent in-laboratory polysomnography (PSG) and completed sleep-related questionnaires. Those receiving a diagnosis of OSA were followed for treatment according to usual medical practice. After two years, we enquired about what OSA treatment they had declined, initiated, maintained, or had given up. We examined their baseline responses to the Sleep Symptom Checklist (SSC) which assesses severity of sleep-related difficulty in four domains. Thirty-one patients (13 men, 18 women) received a diagnosis of OSA. All were recommended treatment, including CPAP, dental appliance, surgery, nasal sprays, etc. Only 17 patients initiated treatment. Of the 13 who initiated CPAP treatment (2 men, 14 women), 10 (all women) were still using their machines at 2-year follow-up. Fourteen participants with OSA, 8 men and 6 women, refused treatment. Reasons given were: could not afford CPAP machine, did not want to sleep with a machine, did not believe in OSA. Group comparisons show that those who persisted with CPAP treatment showed more severe sleep-related symptoms at baseline than those who refused treatment, including worse daytime functioning (p<.01), sleep disorder symptoms (p<.006), and psychological adjustment (p<.01). There were no significant differences between these two groups in severity of insomnia symptoms or of OSA as measured by the AHI or SpO2. This older family medicine sample was not typical of a sleep clinic population since they were all offered sleep testing regardless of suspected OSA. The most notable results include 1) a high presence of OSA, 2). a high proportion of women volunteering for testing, and 3) that having more severe daytime, sleep disorder, and psychological symptoms may be an important motivation for adopting and persisting with CPAP therapy. Canadian Institutes of Health Research.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; les deux têtes enseignantes s’accordent sur ce qui est montré ici.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».