Clinical evaluation and management of obstructive sleep Apnoea- Our experienc

Abstract

Background: The consequences of untreated sleep Apnea on daily function include increased day time sleepiness, impaired cognitive function, mood and personality changes, reduced quality of life and there can be adverse effects on others including impaired relationship between spouses and partners. Objectives: To evaluate the typical clinical features, mode of presentation, physical findings, diagnosis and effects of treatment that helps to identify patients with obstructive sleep Apnea along with documentation of associated risk factors and co-morbid conditions. Methods: We performed a study of total 40 patients with high index of suspicion of OSA (Loud snoring, daytime sleepiness, etc) after detailed examination and completing the questionnaire as per the format were advised to undergo PSG. Their data are analyzed and studied. Additional investigations were done wherever necessary. Results: Observations of our study showed obstructive sleep Apnea is a disorder of middle age, with male predominance 3:1; obesity was found to be a major risk factor. Hypertension (54%) was found in majority of patients suggesting strong relationship between the two. Among the females studied, even though the number was small, most of them were of post menopause status (6/10). Conclusion: Snoring and excessive day time sleepiness are most common presentation and obtaining a PSG for diagnosis and follow up of obstructive sleep Apnea.