Children with public insurance experienced longer intervals from initial evaluation to PSG or surgery. Almost half of patients with PSG requested were lost to follow-up, regardless of SES.
Children with OSAS appeared to have greater impulsivity when crossing streets. Results highlight the need for heightened awareness of the consequences of untreated sleep disorders and identify a possible target for pediatric injury prevention.
Home respiratory polygraphy recordings emerge as a potentially useful and reliable approach for the diagnosis of OSAS in children. However, more research is required for the diagnosis of mild OSAS using HRP in children.
Ibuprofen in combination with acetaminophen provides safe and effective analgesia in children undergoing tonsillectomy. Post-tonsillectomy morphine use should be limited, as it may be unsafe in certain children.
Early postmenopausal women who were not on hormone replacement therapy completed a REDCap survey on demographics and risk factor, Berlin questionnaire and Mail-in Cognitive Function Screening Instrument (MCFSI) score to assess cognitive impairment. Early postmenopausal women at high risk for OSAS reported more cognitive impairment than those at low risk for OSAS.
This review discusses the pathophysiology, consequences, screening and diagnosis of Obesity Hypoventilation Syndrome (OHS). An overview of the treatment options for the management of OHS is included.
This review discusses the pathological commonalities between OSA and Alzheimer’s Disease. The potential prevention of cognitive decline in middle-aged and elderly persons with treatment of OSA is reviewed.
In this study, the authors examined the prevalence of chronic widespread musculoskeletal pain (CWP) in patients who were undergoing PSG for suspected OSAS. They found that 41 of the 74 patients (55%) had CWP. Female patients had a greater risk of CWP than male patients. Female OSAS patients with CWP had higher pain levels, greater disability levels, higher BMIs and a lower quality of life.
This review suggests that there is “no significant difference in the postoperative adverse events between CPAP and no-CPAP treatment. Patients using CPAP had significantly lower postoperative AHI and a trend toward shorter LOS. There may be potential benefits in the use of CPAP during the perioperative period”
Delirium and sleep disruption are both common in the older patients who are hospitalized. Sleep disruption, including changes in sleep patterns and architecture, and decreased quality of sleep are commonly observed in older subjects. In a preliminary study, we monitored sleep in 50 patients (mean age 66 ± 11 years) with wrist actigraphy for 3 days before and 3 days after surgery. Postoperative delirium was measured using the Confusion Assessment Method. By actigraphy, the preoperative sleep for patients who ultimately developed postoperative delirium showed disruption beginning 2 days before surgery. The incidence of postoperative delirium observed during any of the 3 postoperative days was 14%. For the 7 patients with postoperative delirium, wake after sleep onset (WASO) as a percentage of total sleep time was significantly higher (44% ± 22%) during the night before surgery compared to the patients without delirium (21% ± 20%, p = 0.012). Patients with WASO < 10% did not experience postoperative delirium. We concluded in this pilot study that sleep disruption was more severe in the days just before surgery in the patients who experienced postoperative delirium. Our novel finding of sleep disruption beginning before surgery provides important guidance for clinical assessment and interventions to improve sleep before surgery. Specifically, future work should target the etiology of nocturnal wake time in the period immediately before the planned surgery.