Prevalence of obstructive sleep apnea in patients who have started empirical therapy with CPAP during their hospitalization for SARS COV-2
DOI:
https://doi.org/10.60108/ce.282Keywords:
Sleep Apnea, Obstructive, COVID-19, SARS- CoV-2, Respiratory Distress Syndrome, Adult, CPAP, PolysomnographyAbstract
During the SARS Cov-2 pandemic, the use of CPAP became widespread. Medical societies recommend its use in patients with acute respiratory failure secondary to infection as it has been proven to reduce the need for invasive mechanical ventilation and prevent or delay admission to the ICU. In some patients, empiric treatment with CPAP was initiated during their admission due to suspected undiagnosed obstructive sleep apnea, and treatment was continued at home.
The objective of this study was to determine the prevalence of OSA in patients who initiated empirical CPAP therapy for suspected OSA during their hospitalization for ARDS secondary to SARS CoV-2.
Methodology: This is a prospective, observational and analytical study.
A sleep study, baseline polysomnography, was performed on patients who started empirical therapy with CPAP due to symptoms suggestive of OSA during their admission with SARS CoV-2 ARDS between March 2020 and December 2021 and who continued with the treatment at home without a diagnostic test.
Results: Of the 348 patients who required ventilatory support, 43 patients had a previous diagnosis of OSA (12.35%). Of the 14 patients recruited, the diagnosis of OSA was confirmed in 85.7% of the cases after the sleep study, with a mean AHI in patients with ICU admission of 54.4/h and without ICU admission of 32.2/h.
Conclusion: There is a tendency that the severity of OSA is associated with a worse evolution of SARS CoV-2 disease.
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