Published 7 April 2009, doi:10.1136/bmj.b1165
Cite this as: BMJ 2009;338:b1165
Practice
Easily Missed?
Obstructive sleep apnoea in adults
Sophie D West, consultant1,
Helen A McBeath, general practitioner2,
John R Stradling, professor1
1 Sleep Unit, Oxford Centre for Respiratory Medicine, Churchill Hospital, Oxford OX3 7LJ,
2 St Clements Surgery, Oxford OX4 1JS
Correspondence to: S D West sophie@west66.freeserve.co.uk
| The first 150 words of the full text of this article appear below. |
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A 50 year old long distance lorry driver attends for a review of his heavy goods vehicle licence. His body mass index is 30, and he says his wife complains that he snores loudly. The history of loud snoring in this overweight man should raise concern about possible obstructive sleep apnoea. As he is a lorry driver this diagnosis is particularly important.
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Obstructive sleep apnoea is characterised by snoring, recurrent episodes of upper airway obstruction during sleep (apnoeas and hypopnoeas), and arousals. The resulting sleep disturbance can cause excessive and disabling daytime sleepiness. The term obstructive sleep apnoea syndrome is used for people who have features of obstructive sleep apnoea on a sleep study and also have resulting daytime sleepiness.
- Prevalence varies according to the population studied
- In the US state of Wisconsin a cohort study of 30-60 year old workers found that 24% of men and 9% of women . . . [Full text of this article]
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