Sleep Disorders

Sep 01, 2021 Issue
Melatonin to Treat Insomnia in Older Adults [FPIN's Clinical Inquiries]

Melatonin preparations reduce sleep-onset latency, increase total sleep time, and slightly improve sleep efficiency. Prolonged-release melatonin reduces sleep-onset latency in older adults and has rates of adverse effects similar to those of placebo.

May 15, 2021 Issue
Post-ICU Care in the Outpatient Setting [Article]

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.

May 1, 2021 Issue
Positional Therapies for Obstructive Sleep Apnea [FPIN's Clinical Inquiries]

Positional therapies for obstructive sleep apnea produce moderate improvements (16% to 40%) in clinical apnea measures compared with no treatment.

Apr 1, 2021 Issue
Obstructive Sleep Apnea and Chronic Insomnia Disorder: Updated Guidelines from the VA/DoD [Practice Guidelines]

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.

Feb 15, 2021 Issue
Lemborexant (Dayvigo) for the Treatment of Insomnia [STEPS]

Lemborexant (Davigo) is labeled for adults with insomnia to improve with sleep onset and maintenance.

Oct 1, 2020 Issue
Persistent Night Sweats: Diagnostic Evaluation [Article]

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.

Jan 1, 2020 Issue
Positional Therapy for Obstructive Sleep Apnea [Cochrane for Clinicians]

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...

Sep 1, 2018 Issue
Management of Insomnia Disorder in Adults [Implementing AHRQ Effective Health Care Reviews]

What are the effectiveness, comparative effectiveness, and adverse effects of interventions for insomnia disorder in adults?

Feb 15, 2018 Issue
Light Therapy Improves Behavioral Disturbances, Sleep, Depression in Older Patients with Cognitive Impairment [POEMs]

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...

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