Recognizing and managing obstructive sleep apnea in primary care.

Primary Care Companion to the Journal of Clinical Psychiatry
Larry Culpepper, Thomas Roth

Abstract

This review aims to impart information regarding recognition of obstructive sleep apnea (OSA) and associated excessive sleepiness (ES) in the primary care setting in order to provide optimal care to patients with this common but serious condition. This review will also discuss the prevalence and treatment of depression in patients with OSA. A MEDLINE search of articles published between 1990 and 2008 was conducted using the search terms obstructive sleep apnea AND excessive sleepiness, obstructive sleep apnea AND depression, and obstructive sleep apnea AND primary care. Searches were limited to articles in English concerned with adult patients. In total, 239 articles were identified. Articles concerning other sleep disorders and forms of apnea were excluded. The reference lists of identified articles were searched manually to find additional articles of interest. Primary care physicians can aid in the diagnosis of OSA and associated ES by being vigilant for lifestyle and physical risk factors associated with this condition. In addition, primary care physicians should maintain a high level of clinical suspicion when presented with illnesses that are commonly comorbid with OSA, such as psychiatric disorders and depression, in par...Continue Reading

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Citations

Oct 22, 2011·Journal of Chiropractic Medicine·Thaddeus R Gala, David R Seaman
Jan 18, 2014·Journal of Mental Health·Mary V Seeman
Dec 28, 2018·Neurology. Clinical Practice·Martha A MulveyXue Ming
Jun 29, 2021·Cranio : the Journal of Craniomandibular Practice·Lutfu SeneldirSelim Kul

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