TY - JOUR
T1 - Sleep disorders in regional sleep centers
T2 - A national cooperative study
AU - Punjabi, Naresh M.
AU - Welch, Dawn
AU - Strohl, Kingman
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2000/6/15
Y1 - 2000/6/15
N2 - Study Objective: In the last two decades there has been an increase in the awareness of and professional expertise in sleep disorders. The objective of this study was to determine the spectrum of sleep-related disorders diagnosed in regional sleep centers and compare this to a previous survey published in 1982. Design: A two-month prospective point-prevalence survey. Setting: Nineteen accredited regional sleep centers in the United States. Participants: Patients evaluated at regional sleep centers during a two-month period. Interventions: NA. Results: Obstructive sleep apnea, narcolepsy, and restless legs syndrome were the top three reported primary diagnoses with a prevalence of 67.8%, 4.9%, and 3.2%, respectively. The entire range of sleep disorders, however, was represented in the study sample. Nearly a third of patients had either a primary or secondary diagnosis of a non-respiratory sleep disorder. Referral physicians were most likely to be from internal medicine, pulmonary medicine, and otolaryngology. Compared to the previous survey from 1982, there has been an absolute increase in patient referrals/center with a two- to four-fold increase in the number of patients/center with a final diagnosis of a non-respiratory sleep-related problem. Moreover, there has been a greater than twenty-fold increase in the diagnosis of obstructive sleep apnea. Conclusion: Regional sleep centers are encountering increasing patient referrals and a broad range of sleep-related disorders. The predominant reasons for referral are related to obstructive sleep apnea, narcolepsy, and restless legs syndrome.
AB - Study Objective: In the last two decades there has been an increase in the awareness of and professional expertise in sleep disorders. The objective of this study was to determine the spectrum of sleep-related disorders diagnosed in regional sleep centers and compare this to a previous survey published in 1982. Design: A two-month prospective point-prevalence survey. Setting: Nineteen accredited regional sleep centers in the United States. Participants: Patients evaluated at regional sleep centers during a two-month period. Interventions: NA. Results: Obstructive sleep apnea, narcolepsy, and restless legs syndrome were the top three reported primary diagnoses with a prevalence of 67.8%, 4.9%, and 3.2%, respectively. The entire range of sleep disorders, however, was represented in the study sample. Nearly a third of patients had either a primary or secondary diagnosis of a non-respiratory sleep disorder. Referral physicians were most likely to be from internal medicine, pulmonary medicine, and otolaryngology. Compared to the previous survey from 1982, there has been an absolute increase in patient referrals/center with a two- to four-fold increase in the number of patients/center with a final diagnosis of a non-respiratory sleep-related problem. Moreover, there has been a greater than twenty-fold increase in the diagnosis of obstructive sleep apnea. Conclusion: Regional sleep centers are encountering increasing patient referrals and a broad range of sleep-related disorders. The predominant reasons for referral are related to obstructive sleep apnea, narcolepsy, and restless legs syndrome.
KW - Clinical epidemiology
KW - Clinical outcome
KW - Obstructive sleep apnea
KW - Sleep disorders
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U2 - 10.1093/sleep/23.4.471
DO - 10.1093/sleep/23.4.471
M3 - Article
C2 - 10875554
AN - SCOPUS:0034660498
VL - 23
SP - 471
EP - 478
JO - Sleep
JF - Sleep
SN - 0161-8105
IS - 4
ER -