Sindrome delle apnee del sonno, terapia con CPAP ed attività lavorativa

Translated title of the contribution: Sleep apnea syndrome, therapy with CPAP and work-related activity

Bruno Balbi, Sonia Carli, Mirella Crevacore, Massimo Godio, Alessandro Danioni, Carlo Sacco, Alberto Braghiroli

Research output: Contribution to journalArticle

Abstract

Obstructive Sleep Apnea syndrome (OSAS) is largely prevalent among the general adult population, particularly among obese subjects. Diurnal somnolence is a characteristic feature of OSAS, one that can interfere on daily life of the patients and also on his/her work-related activities. Aim of this study was to evaluate the impact of OSAS, its symptoms and its therapy with Continuous Positive Airway Pressure (CPAP) may have on work-related activities. Fourty-eight subjects were studied, all > 18 years old and in a work-related age (<65 years for men, <60 years for women). There were 34 males and 14 females, 38 actively working, 3 unemployed, 7 not actively working. Before diagnosis the Epworth Sleepiness Scale (ESS) was 12±4, after the use of CPAP it was 4±4 (p<0.001), the Apnea Hypopnea Index (AHI) before CPAP use was 44±24, after CPAP use 4±4 (p<0.001). CPAP compliance was very good (mean hours of CPAP/night 5±2). At yearly follow-up, work activity was confirmed in all patients, as all employed patients were still working. Our data seem to indicate that not only OSAS interferes with working performance, mainly due to OSAS-related diurnal somnolence, but also that appropriate CPAP therapy, reinforced with educational activities and followed after one year, is able to ameliorate OSAS-related symptoms, potential cause of inefficiency an occupational risk at work.

Original languageItalian
Pages (from-to)17-21
Number of pages5
JournalGiornale Italiano di Medicina del Lavoro ed Ergonomia
Volume36
Issue number1
Publication statusPublished - 2014

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Continuous Positive Airway Pressure
Sleep Apnea Syndromes
Obstructive Sleep Apnea
Therapeutics
Apnea
Education
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Sindrome delle apnee del sonno, terapia con CPAP ed attivit{\`a} lavorativa",
abstract = "Obstructive Sleep Apnea syndrome (OSAS) is largely prevalent among the general adult population, particularly among obese subjects. Diurnal somnolence is a characteristic feature of OSAS, one that can interfere on daily life of the patients and also on his/her work-related activities. Aim of this study was to evaluate the impact of OSAS, its symptoms and its therapy with Continuous Positive Airway Pressure (CPAP) may have on work-related activities. Fourty-eight subjects were studied, all > 18 years old and in a work-related age (<65 years for men, <60 years for women). There were 34 males and 14 females, 38 actively working, 3 unemployed, 7 not actively working. Before diagnosis the Epworth Sleepiness Scale (ESS) was 12±4, after the use of CPAP it was 4±4 (p<0.001), the Apnea Hypopnea Index (AHI) before CPAP use was 44±24, after CPAP use 4±4 (p<0.001). CPAP compliance was very good (mean hours of CPAP/night 5±2). At yearly follow-up, work activity was confirmed in all patients, as all employed patients were still working. Our data seem to indicate that not only OSAS interferes with working performance, mainly due to OSAS-related diurnal somnolence, but also that appropriate CPAP therapy, reinforced with educational activities and followed after one year, is able to ameliorate OSAS-related symptoms, potential cause of inefficiency an occupational risk at work.",
keywords = "Apnea Hypopnea Index, CPAP, Epworth Sleepiness Scale, OSAS, Work-related risk",
author = "Bruno Balbi and Sonia Carli and Mirella Crevacore and Massimo Godio and Alessandro Danioni and Carlo Sacco and Alberto Braghiroli",
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AU - Balbi, Bruno

AU - Carli, Sonia

AU - Crevacore, Mirella

AU - Godio, Massimo

AU - Danioni, Alessandro

AU - Sacco, Carlo

AU - Braghiroli, Alberto

PY - 2014

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N2 - Obstructive Sleep Apnea syndrome (OSAS) is largely prevalent among the general adult population, particularly among obese subjects. Diurnal somnolence is a characteristic feature of OSAS, one that can interfere on daily life of the patients and also on his/her work-related activities. Aim of this study was to evaluate the impact of OSAS, its symptoms and its therapy with Continuous Positive Airway Pressure (CPAP) may have on work-related activities. Fourty-eight subjects were studied, all > 18 years old and in a work-related age (<65 years for men, <60 years for women). There were 34 males and 14 females, 38 actively working, 3 unemployed, 7 not actively working. Before diagnosis the Epworth Sleepiness Scale (ESS) was 12±4, after the use of CPAP it was 4±4 (p<0.001), the Apnea Hypopnea Index (AHI) before CPAP use was 44±24, after CPAP use 4±4 (p<0.001). CPAP compliance was very good (mean hours of CPAP/night 5±2). At yearly follow-up, work activity was confirmed in all patients, as all employed patients were still working. Our data seem to indicate that not only OSAS interferes with working performance, mainly due to OSAS-related diurnal somnolence, but also that appropriate CPAP therapy, reinforced with educational activities and followed after one year, is able to ameliorate OSAS-related symptoms, potential cause of inefficiency an occupational risk at work.

AB - Obstructive Sleep Apnea syndrome (OSAS) is largely prevalent among the general adult population, particularly among obese subjects. Diurnal somnolence is a characteristic feature of OSAS, one that can interfere on daily life of the patients and also on his/her work-related activities. Aim of this study was to evaluate the impact of OSAS, its symptoms and its therapy with Continuous Positive Airway Pressure (CPAP) may have on work-related activities. Fourty-eight subjects were studied, all > 18 years old and in a work-related age (<65 years for men, <60 years for women). There were 34 males and 14 females, 38 actively working, 3 unemployed, 7 not actively working. Before diagnosis the Epworth Sleepiness Scale (ESS) was 12±4, after the use of CPAP it was 4±4 (p<0.001), the Apnea Hypopnea Index (AHI) before CPAP use was 44±24, after CPAP use 4±4 (p<0.001). CPAP compliance was very good (mean hours of CPAP/night 5±2). At yearly follow-up, work activity was confirmed in all patients, as all employed patients were still working. Our data seem to indicate that not only OSAS interferes with working performance, mainly due to OSAS-related diurnal somnolence, but also that appropriate CPAP therapy, reinforced with educational activities and followed after one year, is able to ameliorate OSAS-related symptoms, potential cause of inefficiency an occupational risk at work.

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