Obstructive Sleep Apnea: An Overview and Discussion of Inpatient Management

Authors

Katelyn E. Milam, University of LynchburgFollow

Specialty

Internal Medicine

Advisor

Dr. Thomas Colletti

Abstract

Obstructive sleep apnea (OSA) affects a predicted 22 million people in the United States with 80% of moderate to severe cases being undiagnosed.¹ It has been shown that uncontrolled OSA can have an effect on cardiovascular health, specifically heart failure and recurrence of atrial fibrillation, as well as daytime alertness and quality of life.^1,2 Continuous positive airway pressure (CPAP) is the primary treatment for OSA; CPAP is a nasally applied device that provides constant positive pressure that keeps the upper airway open while an individual is sleeping.³ Compliance with CPAP is a continuous battle medical providers fight, and many patients opt not to wear their CPAP complaining about comfort and convenience.⁴OSA is a national health epidemic; therefore, it is important to risk stratify patients while they are admitted in the hospital. Whether the hospital admission be for cardiovascular problems or not, if a person fits the demographics or voices a concern for having sleep apnea, health providers need to consult an inpatient sleep service or provide patient with an outpatient follow-up appointment. Addressing patients with sleep concerns who may be experiencing OSA while they are in the hospital helps to further treat a health issue that can affect the larger picture of a patient’s health. OSA control can help prevent exacerbations of further health issues and keep patients out of the hospital.

Keywords: Obstructive sleep apnea, cardiovascular, continuous positive airway pressure

Recommended Citation

Milam KE. Obstructive Sleep Apnea: An Overview and Discussion of Inpatient Management. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2019; 1(3).