Prevalence of sleep-related symptoms in a primary care population — their relation to asthma and COPD

Abstract

Aims: The aim of this study was to clarify the association between obstructive sleep apnoea/hypopnoea syndrome (OSAHS)-related symptoms and physician-diagnosed asthma and COPD.Methods: 1501 subjects aged 19-90 years completed a structured questionnaire and underwent spirometry and respiratory physician assessment in 10 primary care centres.Results: Frequent snoring was reported in 45.6%, breathing pauses during sleep in 11.0%, and excessive daytime sleepiness in 6.7% of the sample. COPD patients were more likely to report frequent snoring (OR=1.34; 95% CI:1.04-1.71), breathing pauses (OR=1.46; 95% CI:1.01-2.10), and excessive daytime sleepiness (OR=2.04; 95% CI:1.33-3.14). In contrast, there was no significant association between asthma patients and OSAHS-related symptoms. Gender differences were recognised as well. Conclusions:The increased likelihood for OSAHS-related symptoms in COPD patients, in contrast to patients with asthma, designates them as a target group for the screening of OSAHS in primary care.

COPD prevalence and the differences between newly and previously diagnosed COPD patients in a spirometry program

“…briefly, the presence of a long standing history of asthma-like symptoms from childhood or adolescence, along with seasonal distribution and a history of atopy, and the presence of significant reversibility of airway obstruction on spirometry. 21 Again, the final diagnosis was based on the global clinical evaluation by the study physicians. Patients with asthma were included in the analysis as non-COPD patients.…”

Evaluation of the PHQ-9 Item 3 as a Screen for Sleep Disturbance in Primary Care

“…1,2 Insomnia is common among the general population, with numerous population-based studies reporting prevalence rates of approximately 30% for insomnia complaint and 10% for chronic insomnia, 3 with rates in primary care even higher. 1,[4][5][6] Prevalence rates for EDS vary even more widely (from 1% to 30%) based on the operationalization of the term.…”

Set-up and pilot of a population cohort for the study of the natural history of COPD and OSA: the PULSAIB study

“…The interrelationship between COPD and OSA has not yet been completely determined, although an increase in OSA-related symptoms in COPD patients, in contrast to asthma patients, identifies the former as a target group for the screening of OSA in primary care. 9 The natural history of any given disease refers to a description of the uninterrupted progression of the disease in an individual, from the moment of exposure to causal agents, until recovery or death. 10 Knowledge of the natural history of disease is considered fundamental for the causal understanding of mechanisms and the control of disease.…”