Abstract
Obstructive sleep apnea (OSA) is highly prevalent in the general population. In addition, patients with comorbid OSA are frequently hospitalized for unrelated conditions. This review focuses on managing patients with comorbid OSA in inpatient and acute care settings for inpatient providers. OSA can impact the length of stay, the risk of intubation, the transfer to the intensive care unit, and mortality. Screening questionnaires such as STOP-BANG can help with screening hospitalized patients at admission. High-risk patients can also undergo additional screening with overnight pulse oximetry, which can be used to guide management. Options for empiric treatment include supplemental oxygen, continuous positive airway pressure therapy (CPAP), auto adjusting-PAP, bilevel positive airway pressure therapy (BPAP), or high-flow nasal cannula. In addition, discharge referral to a board-certified sleep physician may help improve these patients’ long-term outcomes and decrease readmission risks.
Original language | English (US) |
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Article number | 2108 |
Journal | Applied Sciences (Switzerland) |
Volume | 13 |
Issue number | 4 |
DOIs | |
State | Published - Feb 2023 |
Bibliographical note
Publisher Copyright:© 2023 by the authors.
Keywords
- auto-CPAP
- inpatient sleep medicine
- OSA
- OSA CHF
- OSA in-hospital
- SDB