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Sleep disordered breathing in hospitalized patients

  • Sleeping and Breathing (T Lee-Chiong, Section Editor)
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Abstract

Sleep is a ubiquitous phenomenon that is both adaptive and restorative. Obstructive sleep apnea, obesity–hypoventilation syndrome, primary central sleep apnea, and Cheyne–Stokes breathing/complex sleep apnea are the most common sleep-related breathing disorders encountered in the hospitalized population. Sleep disordered breathing (SDB) is commoner in hospitalized patients with obesity, congestive cardiac failure, COPD, and osteoarthritis. Various hospital and ICU-related factors contribute to disruption of sleep architecture and circadian rhythm. Sleep deprivation has been linked to higher incidence of delirium, prolonged hospitalization, and mortality during the hospital stay and long-term cognitive impairment. Persistent sleep deprivation also causes impairment in immune response. There is now a conclusive body of evidence linking SDB with higher prevalence of cardiovascular disease, stroke, diabetes, perioperative complications, and worse outcome. Hence, early recognition and treatment of SDB has become important for patients admitted in medical wards, critical care units, and post-surgical wards.

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Authors and Affiliations

  1. Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India

    Anant Mohan & Ashesh Dhungana

  2. Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, National Jewish Health, University of Colorado, 1400 Jackson Street, Denver, CO, USA

    Vipin Malik

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Mohan, A., Dhungana, A. & Malik, V. Sleep disordered breathing in hospitalized patients. Curr Pulmonol Rep 5, 116–122 (2016). https://doi.org/10.1007/s13665-016-0143-y

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