Management of Obstructive Sleep Apnea in Hospitalized Patients

Abdullah Khalid, Tanvi H. Mukundan, Raeesa Khalid, Snigdha Pusalavidyasagar, Akram Khan

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish (US)
Article number2108
JournalApplied Sciences (Switzerland)
Volume13
Issue number4
DOIs
StatePublished - Feb 2023

Keywords

  • OSA
  • OSA CHF
  • OSA in-hospital
  • SDB
  • auto-CPAP
  • inpatient sleep medicine

ASJC Scopus subject areas

  • General Materials Science
  • Instrumentation
  • General Engineering
  • Process Chemistry and Technology
  • Computer Science Applications
  • Fluid Flow and Transfer Processes

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