Publicação
Sonolência excessiva diurna após tratamento com CPAP na síndrome da apneia obstrutiva do sono
| Resumo: | Introduction: Excessive daytime sleepiness (EDS) is one of the most common and troublesome symptoms in OSAS patients. Some patients continue to experience sleepiness under CPAP treatment. In this situation, the patient should undergo a clinical re-evaluation in order to investigate and treat the sleepiness. However, after having optimized CPAP and excluded other sleepiness-associated disorders, a few patients remain sleepy. Methods: In a longitudinal observational study, 28 patients with OSAS who remained sleepy under CPAP treatment were followed to investigate the causes of their excessive daytime sleepiness and treat them. In the end of the follow-up, it was assessed their EDS. Results: All the patients followed were diagnosed with a sleepiness-associated condition. The treatment of those conditions improved the EDS in 17 patients (60,7%). However, 4 patients (14,3%) continue to experience sleepiness in this study, despite treatment of the recent diagnosed causes of EDS. Discussion and Conclusion: Our study suggests that physicians should regularly evaluate the CPAP-treated patients that remain with EDS, actively searching for other potential causes, because their treatment improves sleepiness. |
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| Autores principais: | Pereira, Flávio Miguel Lourenço |
| Assunto: | Sonolência excessiva Síndrome da apneia obstrutiva do sono Tratamento |
| Ano: | 2014 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | português |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | Introduction: Excessive daytime sleepiness (EDS) is one of the most common and troublesome symptoms in OSAS patients. Some patients continue to experience sleepiness under CPAP treatment. In this situation, the patient should undergo a clinical re-evaluation in order to investigate and treat the sleepiness. However, after having optimized CPAP and excluded other sleepiness-associated disorders, a few patients remain sleepy. Methods: In a longitudinal observational study, 28 patients with OSAS who remained sleepy under CPAP treatment were followed to investigate the causes of their excessive daytime sleepiness and treat them. In the end of the follow-up, it was assessed their EDS. Results: All the patients followed were diagnosed with a sleepiness-associated condition. The treatment of those conditions improved the EDS in 17 patients (60,7%). However, 4 patients (14,3%) continue to experience sleepiness in this study, despite treatment of the recent diagnosed causes of EDS. Discussion and Conclusion: Our study suggests that physicians should regularly evaluate the CPAP-treated patients that remain with EDS, actively searching for other potential causes, because their treatment improves sleepiness. |
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