Navegando por Palavras-chave "daytime sleepiness"

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    Avaliação de fatores preditores para a sonolência excessiva residual em pacientes com apneia obstrutiva do sono em tratamento com CPAP
    (Universidade Federal de São Paulo (UNIFESP), 2016-08-30) Otuyama, Leonardo Jun [UNIFESP]; Poyares, Dalva Lucia Rollemberg [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Residual excessive sleepiness (RES) is associated with reduced quality of life and increased risk for accidents in CPAP-treated obstructive sleep apnea patients. We designed a prospective study to identify polysomnographic, clinical and demographic risk factors for RES incidence. Out of 218 consecutive patients, we included 202 with apnea/hypopnea index >20. At baseline, all participants underwent clinical interview, Epworth sleepiness scale and baseline and CPAP-titration polysomnographies. After one-year of CPAP treatment, sleepiness and treatment compliance were assessed. Multiple sleep latency test was used to rule out narcolepsy, and a further increase in CPAP pressure was applied to rule out undertitration if Epworth score >10. Participants were assigned to two groups [RES(+); RES(-)] according to presence of RES. We compared baseline characteristics between those groups and a regression model including 11 variables was conducted to predict RES. The analysis included 113 CPAP-compliant participants. Before treatment, RES(+) (12%) had significantly shorter sleep onset latency, lower N1% and higher Epworth score than RES(-). Regression analysis identified baseline Epworth score as a predictor of RES after treatment (b=0.19, 95%CI 0.06-0.33). In conclusion, we found that having higher baseline excessive sleepiness may be a risk factor for RES, suggesting that these patients need a sleepiness-specific treatment along with CPAP.
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    Estudo sobre o impacto do uso de aparelho de emissão de pressão positiva contínua nas vias aéreas superiores na hipersonia diurna em portadores da síndroma de apneia do sono
    (Elsevier B.V., 2009-03-01) Franco, Clelia Maria Ribeiro [UNIFESP]; Bonanni, Juliana Cestaro; Jaguaribe, Anna Myrna; Ataide, Luiz; Universidade Federal de São Paulo (UNIFESP); FIR; Universidade Federal de Pernambuco (UFPE); Fisioterapeuta Fac Integrada Recife FIR; Universidade de São Paulo (USP)
    Background: Obstructive sleep apnoea-hypopnoea syndrome (OSAHS) is a respiratory disorder with high morbidity and mortality. Continuous positive airway pressure (CPAP) is the most commonly prescribed conservative treatment for adults with OSAHS. CPAP therapy normalises or decreases OSAHS symptoms and can reduce and prevent OSAHS complications.Aims: To evaluate adherence to nasal CPAP treatment and CPAP impact on daytime drowsiness.Method: A sample of 20 patients evaluated for daytime drowsiness using the Epworth sleepiness scale and interviewed for adherence to nasal CPAP use.Results: There was a significant decrease in the level of daytime sleepiness of the patients users of nasal CPAP (p=0.017); patients not using nasal CPAP experienced a decrease without statistical significance (p=0.162). 100% of CPAP users reported benefits and 50% of these reported related discomforts.Conclusions: Patients with OSAHS that use CPAP have a greater reduced level of sleepiness than those who do not use it.