Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213-2593, USA.
Gen Hosp Psychiatry. 2012 Nov-Dec;34(6):660-4. doi: 10.1016/j.genhosppsych.2012.06.015. Epub 2012 Jul 24.
Obstructive sleep apnea (OSA) is linked to significant morbidity and mortality. OSA has received more attention recently, but the literature on OSA is scant in patients with severe mental illness (SMI). This project was undertaken to improve clinician knowledge and screening of OSA in persons with SMI.
One hundred SMI patients attending a primary care clinic were screened for symptoms and risk factors associated with OSA. The Epworth Sleepiness Scale was used to assess daytime sleepiness, and the STOP-Bang score was used to classify those at high risk for OSA.
Sixty-nine percent of patients were found to be at high risk for OSA. Sixteen percent had a previously confirmed diagnosis of OSA. Most patients reported that OSA was never discussed with them, and 71% of those at high risk were willing to be referred for a sleep evaluation.
Patients with SMI are at high risk for OSA, and screening for OSA appears to be inadequate. This screening can be done easily, seems acceptable to patients and may prove very beneficial as OSA diagnosis and treatment can improve mental and physical health outcomes in SMI patients.
阻塞性睡眠呼吸暂停（OSA）与重大发病率和死亡率相关。OSA 最近受到了更多关注，但严重精神疾病（SMI）患者的 OSA 文献却很少。该项目旨在提高临床医生对 SMI 患者 OSA 的认识和筛查。
对 100 名在初级保健诊所就诊的 SMI 患者进行了与 OSA 相关的症状和危险因素筛查。使用 Epworth 嗜睡量表评估白天嗜睡，使用 STOP-Bang 评分对 OSA 高危人群进行分类。
发现 69%的患者存在 OSA 高风险。16%的患者此前被确诊为 OSA。大多数患者表示从未与他们讨论过 OSA，且 71%的高危患者愿意接受睡眠评估。
SMI 患者患 OSA 的风险很高，而 OSA 的筛查似乎不足。这种筛查可以很容易地进行，似乎可以被患者接受，并且可能非常有益，因为 OSA 的诊断和治疗可以改善 SMI 患者的身心健康状况。
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