ITEMS IN AFP WITH KEYWORD:
Because an increasing percentage of patients are surviving to intensive care unit (ICU) discharge and require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for common post-ICU complications. Patients should be screened for physical and psychological complications, such as weakness, cognitive impairment, depression, anxiety, and posttraumatic stress disorder, and treated when indicated.
Positional therapies for obstructive sleep apnea produce moderate improvements (16% to 40%) in clinical apnea measures compared with no treatment.
The U.S. Department of Veterans Affairs and Department of Defense (VA/DoD) approved a clinical practice guideline for the management of obstructive sleep apnea and chronic insomnia disorder.
Lemborexant (Davigo) is labeled for adults with insomnia to improve with sleep onset and maintenance.
Night sweats are a nonspecific symptom that patients commonly experience but rarely discuss with their physicians without prompting. Conditions commonly associated with night sweats include menopause, mood disorders, gastroesophageal reflux disease, hyperthyroidism, and obesity. Serious causes should be considered when the history and physical examination do not reveal a specific cause.
Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy and, therefor...
What are the effectiveness, comparative effectiveness, and adverse effects of interventions for insomnia disorder in adults?
In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. nonresponders or on the potential adverse effects of treatment.
Nov 15, 2017 Issue
Home Sleep Testing for Diagnosing Obstructive Sleep Apnea [FPIN's Help Desk Answers]
Home portable monitoring can be used as a substitute for in-laboratory polysomnography for the diagnosis of OSA in patients with a high pretest probability. Most patients prefer home monitoring, and clinical outcomes among patients diagnosed by either method are comparable regarding sleepiness, slee...
The use of PAP for adults with sleep apnea does not reduce adverse CV events or mortality. Patients who experience daytime fatigue at baseline benefit from reduced sleepiness and improved physical and mental well-being. Order sleep testing only in patients with signs or symptoms of sleep apnea who a...