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Management of Obstructive Sleep Apnea in Hospitalized Patients

Authors :
Abdullah Khalid
Tanvi H. Mukundan
Raeesa Khalid
Snigdha Pusalavidyasagar
Akram Khan
Source :
Applied Sciences, Vol 13, Iss 4, p 2108 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

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.

Details

Language :
English
ISSN :
20763417
Volume :
13
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Applied Sciences
Publication Type :
Academic Journal
Accession number :
edsdoj.4b63c88f8744b3b957583a5d9322b6
Document Type :
article
Full Text :
https://doi.org/10.3390/app13042108