ABSTRACT

Excessive daytime sleepiness (EDS) affects approximately half of patients with obstructive sleep apnea (OSA) and can persist in some despite normalization of breathing, oxygenation, and sleep quality with primary OSA therapy, such as continuous positive airway pressure (CPAP). EDS is often overlooked and under discussed in the primary care setting and in the follow-up of CPAP-treated patients due to difficult assessment of such a multi-dimensional symptom. This review aims to provide suggestions for procedures that can be implemented into routine clinical practice to identify, evaluate, and manage EDS in patients treated for OSA, including how to appropriately use various self-report and objective assessments along the clinical pathway and options for pharmacotherapy. In addition, examples of when it is appropriate to refer a patient to a sleep specialist for evaluation are discussed.

摘要

白天过度嗜睡 (EDS) 影响了大约一半的阻塞性睡眠呼吸暂停 (OSA) 患者，并且尽管通过主要 OSA 治疗（例如持续气道正压通气 (CPAP)）呼吸、氧合和睡眠质量恢复正常，但仍有一些患者会持续存在。由于难以评估这种多维症状，因此在初级保健机构和接受 CPAP 治疗的患者的随访中，EDS 经常被忽视和讨论不足。本综述旨在为可在常规临床实践中实施以识别、评估和管理 OSA 治疗患者的 EDS 的程序提供建议，包括如何在临床路径和药物治疗选择中适当使用各种自我报告和客观评估. 此外，