| Residual Excessive Daytime Sleepiness After Positive Airway Pressure Therapy in Obstructive Sleep Apnea Patients |
Jong Kwan Kim
, Myoung Su Choi
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| Department of Otolaryngology-Head and Neck Surgery, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea |
| 폐쇄성 수면무호흡 환자에서 양압기 치료 후 잔존 주간졸림증상 분석 |
| 김종관
, 최명수
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| 을지대학교 의과대학 대전을지대학교병원 이비인후과학교실 |
| Correspondence |
Myoung Su Choi ,Tel: +82-42-611-3129, Fax: +82-42-611-3136, Email: mschoi@eulji.ac.kr
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Received: 26 July 2024; Revised: September 11, 2024 Accepted: 11 September 2024. Published online: 24 December 2024. |
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| ABSTRACT |
Background and Objectives
The aim of this study was to investigate the prevalence, risk factors, and possible causes of residual excessive daytime sleepiness (EDS) in patients with obstructive sleep apnea (OSA) who were treated with positive airway pressure (PAP) machines.
Subjects and Method
We retrospectively analyzed medical records of 108 patients diagnosed with OSA from July 2021 to July 2023. PAP compliance, the presence of EDS, and EDS risk factors were assessed using the Epworth Sleepiness Scale and telephone interviews with patients who had received PAP treatment for more than 6 months.
Results
The overall prevalence of residual EDS was 17.6% (19/108 patients). Among them, 8 cases (42.1%) had explainable causes such as lack of sleep, depression, and chronic diseases, while 11 cases (57.9%) had idiopathic EDS. A high depression score (odds ratio [OR]=1.159, p=0.010) and the use of PAP for less than 4 hours (OR=4.554, p=0.018) significantly increased the risk of residual EDS.
Conclusion
Through this study, we found that the risk factors for residual EDS in OSA patients were high depression scores and insufficient PAP usage time. |
| Keywords:
Excessive daytime sleepinessㆍ Obstructive sleep apneaㆍ Positive airway pressure |
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