Differences in patient and bed partner-assessed quality of life in sleep-disordered breathing

J. Gabrielle Breugelmans, Daniel E Ford, Philip L Smith, Naresh M Punjabi

Research output: Contribution to journalArticle

Abstract

Sleep-disordered breathing (SDB) is associated with daytime sleepiness and impaired quality of life. Clinical experience suggests that there is a discrepancy between the information provided by the patient and the bed partner. Although this discrepancy is widely recognized, it is not known whether there are differences in quality of life ratings as reported by the patient and by the bed partner on the patient's behalf. Using the Short-Form 36 to assess quality of life in 122 patients with SDB (apnea-hypopnea index ≥ 5 events/ hour), this study found that patients with SDB generally rate their quality of life higher than their respective bed partners. Systematic differences existed between the two raters in the following Short-Form 36 domains: physical functioning, general health, and vitality. Moreover, male patients reported a higher functional status compared with female patients relative to their respective bed partners. In contrast, no differences were noted between self and bed partner quality of life in normal subjects (n = 15) without SDB (apnea-hypopnea index <5 events/hour) recruited from the general community. This study suggests that systematic differences exist between patient- and bed partner-assessed quality of life in SDB. Bed partner ratings provide supplemental information on quality of life impairment in SDB.

Original languageEnglish (US)
Pages (from-to)547-552
Number of pages6
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume170
Issue number5
DOIs
StatePublished - Sep 1 2004

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Sleep Apnea Syndromes
Quality of Life
Apnea
Health

Keywords

  • Bed partner
  • Proxy ratings
  • Quality of life
  • Short-Form 36
  • Sleep-disordered breathing

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

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abstract = "Sleep-disordered breathing (SDB) is associated with daytime sleepiness and impaired quality of life. Clinical experience suggests that there is a discrepancy between the information provided by the patient and the bed partner. Although this discrepancy is widely recognized, it is not known whether there are differences in quality of life ratings as reported by the patient and by the bed partner on the patient's behalf. Using the Short-Form 36 to assess quality of life in 122 patients with SDB (apnea-hypopnea index ≥ 5 events/ hour), this study found that patients with SDB generally rate their quality of life higher than their respective bed partners. Systematic differences existed between the two raters in the following Short-Form 36 domains: physical functioning, general health, and vitality. Moreover, male patients reported a higher functional status compared with female patients relative to their respective bed partners. In contrast, no differences were noted between self and bed partner quality of life in normal subjects (n = 15) without SDB (apnea-hypopnea index <5 events/hour) recruited from the general community. This study suggests that systematic differences exist between patient- and bed partner-assessed quality of life in SDB. Bed partner ratings provide supplemental information on quality of life impairment in SDB.",
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