Sleep-Wake Disorders Center, Montefiore Medical Center and Albert Einstein College of Medicine, New York, USA.
Sleep-Wake Disorders Center, Montefiore Medical Center and Albert Einstein College of Medicine, New York, USA.
Sleep Med. 2020 Oct;74:86-90. doi: 10.1016/j.sleep.2020.07.013. Epub 2020 Jul 18.
With the onset of the COVID-19 outbreak there has been concern that patients with obstructive sleep apnea (OSA) who develop COVID-19 may be at risk of greater morbidity and mortality than patients without OSA. COVID-19 is associated with an increased mortality in the elderly and particularly those with obesity, hypertension and diabetes, features which are typically seen in patients with OSA. This article describes the COVID-19 environment in New York City in which patients were evaluated and treated for OSA.
A telephone questionnaire survey of 112 OSA patients determined the occurrence of COVID-19 in the sleep apnea population and the patients' perspective on sleep apnea Positive Airway Pressure (PAP) management during the COVID-19 outbreak. The three main objectives of the survey were as follows: (1) To discover how patients were coping with COVID-19 pandemic in terms of their sleep apnea and PAP use, (2) To determine whether PAP usage changed after the onset of the outbreak in terms of adherence, and (3) To find out if patients were concerned about whether they were at greater risk of contracting COVID-19 because of their sleep apnea and, if they became infected, whether COVID-19 might result in greater complications because of the presence of sleep apnea.
RESULTS/CONCLUSIONS: The adjustment in clinical management of OSA patients is described both during the peak of the outbreak in New York State (NYS), as well as the proposed modifications that will be instituted in order to return to full sleep center activities.
随着 COVID-19 疫情的爆发，人们担心患有阻塞性睡眠呼吸暂停（OSA）的患者如果感染 COVID-19，其发病率和死亡率可能高于没有 OSA 的患者。COVID-19 与老年人的死亡率增加有关，尤其是肥胖、高血压和糖尿病患者，这些特征通常见于 OSA 患者。本文描述了纽约市的 COVID-19 环境，在该环境中，对 OSA 患者进行了评估和治疗。
对 112 例 OSA 患者进行了电话问卷调查，以确定睡眠呼吸暂停人群中 COVID-19 的发生情况，以及患者对 COVID-19 爆发期间睡眠呼吸暂停正压通气（PAP）管理的看法。该调查的三个主要目的如下：（1）了解患者在睡眠呼吸暂停和 PAP 使用方面如何应对 COVID-19 大流行；（2）确定在疫情爆发后，在遵守 PAP 方面是否发生了变化；（3）了解患者是否担心自己因睡眠呼吸暂停而感染 COVID-19 的风险更大，如果感染 COVID-19，是否由于存在睡眠呼吸暂停，COVID-19 可能导致更大的并发症。
结果/结论：描述了在纽约州（NYS）疫情高峰期对 OSA 患者进行临床管理调整的情况，以及为了恢复全面睡眠中心活动而拟议进行的修改。
