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Case Report
DOI: 10.1016/j.rcpeng.2017.09.006
Obstructive sleep apnea syndrome in patients attending a psychiatry outpatient service: A case series
Síndrome de apnea obstructiva del sueño en personas atendidas en consulta externa de psiquiatría: serie de casos
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Nathalie Tamayo Martínez
Corresponding author
nathalietamayo@gmail.com

Corresponding author.
, Diego Rosselli Cock
Departamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, Colombia
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Table 1. General characteristics of patients (n=58).
Abstract
Background

Obstructive sleep apnea syndrome (OSAS) is a condition associated with multiple negative outcomes. People with mental illness might be at increased risk of having it, given that medication given has adverse effects on weight and there are alterations in sleep associated with them; however, there are few studies in this population.

Objective

Describe the patients and the results of polysomnography ordered based on clinical symptoms in a psychiatric outpatient clinic between 2012 and 2014.

Methods

A case series in which medical records were evaluated.

Results

58 patients who underwent polysomnography, 89% of them had OSAS, 16% were obese and 19% were been treated with benzodiazepines.

Conclusions

This is a condition that must be considered during the clinical evaluation of patients with mental illness, since its presence should make clinicians think about drug treatment and follow up.

Keywords:
Obstructive sleep apnea syndrome
Depressive disorder
Anxiety disorders
Schizophrenia
Bipolar disorder
Observational study
Resumen

El síndrome de apnea obstructiva del sueño (SAOS) se asocia a múltiples desenlaces negativos. Se ha propuesto que las personas con enfermedad mental están en mayor riesgo, en parte por sobrepeso y por las alteraciones del sueño asociadas con algunos medicamentos. Sin embargo, son pocos los estudios en esta población.

Objetivo

Describir a la población y el resultado de las polisomnografías solicitadas ante sospecha clínica en pacientes de consulta externa de una clínica psiquiátrica.

Métodos

Estudio descriptivo de una muestra de pacientes consecutivos atendidos entre 2012 y 2014.

Resultados

De los 58 pacientes de los que se solicitó polisomnografía, 52 (89%) presentaban SAOS. De estos, el 16% cursaba con obesidad y el 19% tomaba benzodiacepinas.

Conclusiones

Esta es una enfermedad que se debe tener en cuenta durante la evaluación clínica de los pacientes con enfermedad mental, dado que su presencia implica precaución al plantear el tratamiento farmacológico y hacer el seguimiento.

Palabras clave:
Síndrome de apnea obstructiva del sueño
Trastorno depresivo
Trastornos de ansiedad
Esquizofrenia
Trastorno afectivo bipolar
Reporte de casos

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