Fast Facts: Excessive Daytime Sleepiness Associated with Obstructive Sleep Apnea

W.T. McNicholas, U. Kallweit, G.J. Lammers, J. Steier

• Éditeur: S. Karger
• Année: 2022
• ISBN:
  9783318071320
• Sujet: Medicine
• Sous-sujet: Neurology

Excessive daily sleepiness associated with obstructive sleep apnea is a multifaceted complaint that usually involves disabling symptoms. Despite being a common complaint, best practice regarding the management of patients is not well defined, and failure to recognize the severity of the effects of symptoms on quality of life results in underdiagnosis, preventing patients from receiving adequate treatment. 'Fast Facts: Excessive Daily Sleepiness Associated with Obstructive Sleep Apnea' discusses the difficulties in formulating a single definition of excessive daily sleepiness that appropriately considers the experiences and features of daytime sleepiness, alongside an up-to-date overview of how to accurately assess patients, and ensure effective management and support. Table of Contents: • Epidemiology and etiology • Clinical features and diagnosis • Management • Patient impact and support

INDEX

abbreviations list 5

actigraphy 24, 25

adherence to treatments 33

age differences 12–13

alcohol 44, 46

alertness 34–7, 44

apnea–hypopnea index (AHI) 10, 32

arousal threshold 14

assessment 19, 21, 33

see also clinical features/diagnosis

automatic behaviors 7, 18, 19, 27

biphasic sleep 46

cardiovascular comorbidities 37, 45

children 37–8

circadian problems 21, 42

clinical features/diagnosis 17–27

assessment 19, 21, 23

diagnosis 20–7

EDS definition 10, 18, 19

ICSD-3 18, 42–3

key points 27

phenotypes 19

tests/questionnaires 23–7

tiredness/fatigue distinction 18

cognitive performance 44

comorbidities 13, 37, 45

continuous positive pressure airway pressure (CPAP) 14, 49

country-based variations 45–6, 47

cultural aspects 45–6, 47

daytime sleeping 44, 46, 47

see also excessive daytime sleepiness (EDS)

definitions

EDS 10, 18, 19

excessive need for sleep 19

fatigue/tiredness 18

insufficient sleep 44

sleep disorders ICSD-3 18, 42–3

tests/investigations 23–7

delayed sleep phase syndrome 21

depression 30, 31, 33

diagnosis see clinical features/diagnosis

Driver and Vehicle Licensing Agency (DVLA) 45, 50, 52

driving fitness/ability 44, 45, 52

drugs see medications

EDS see excessive daytime sleepiness (EDS)

elderly people 12, 21, 37

ENS (excessive need for sleep) 19, 20, 23–7

epidemiology/etiology 9–15

age differences 12–13

comorbidities 13, 37, 45

definitions 10, 18, 19

genetic factors 13–14

key points 15

pathophysiological factors 1...