OBJECTIVES: To describe the clinical features and therapeutic response to continuous positive airway pressure (CPAP) in elderly obstructive sleep apnea syndrome (OSAS) patients with sleepiness and falling-asleep-related injured falls. PATIENTS AND METHODS: In 2 geriatric units, 4 consecutive OSAS patients with falling-asleep-related injured falls were diagnosed. They were treated with CPAP and followed for 9 to 24 months. RESULTS: Mean age at initial observation was 82 years. All patients shared the following characteristics: self-reported daytime sleepiness, falling-asleep-related injured falls, recurrent fall history, medical comorbid conditions, PSG confirmed OSAS, and successful treatment with CPAP. They declared resolution of sleepiness and attention without any further fall under CPAP therapy. CONCLUSION: A causal relationship exists between OSAS and falling-asleep-related injured falls in the elderly. Treatment of OSAS with CPAP can improve attention, daytime vigilance, and consequently gait and balance control and prevent falls in these patients.
OBJECTIVES: To describe the clinical features and therapeutic response to continuous positive airway pressure (CPAP) in elderly obstructive sleep apnea syndrome (OSAS) patients with sleepiness and falling-asleep-related injured falls. PATIENTS AND METHODS: In 2 geriatric units, 4 consecutive OSAS patients with falling-asleep-related injured falls were diagnosed. They were treated with CPAP and followed for 9 to 24 months. RESULTS: Mean age at initial observation was 82 years. All patients shared the following characteristics: self-reported daytime sleepiness, falling-asleep-related injured falls, recurrent fall history, medical comorbid conditions, PSG confirmed OSAS, and successful treatment with CPAP. They declared resolution of sleepiness and attention without any further fall under CPAP therapy. CONCLUSION: A causal relationship exists between OSAS and falling-asleep-related injured falls in the elderly. Treatment of OSAS with CPAP can improve attention, daytime vigilance, and consequently gait and balance control and prevent falls in these patients.
Authors: Christine M Swanson; Steven A Shea; Katie L Stone; Jane A Cauley; Clifford J Rosen; Susan Redline; Gerard Karsenty; Eric S Orwoll Journal: J Bone Miner Res Date: 2015-02 Impact factor: 6.741
Authors: Carl Stepnowsky; Kathleen F Sarmiento; Shay Bujanover; Kathleen F Villa; Vicky W Li; Natalia M Flores Journal: J Clin Sleep Med Date: 2019-02-15 Impact factor: 4.062
Authors: Nalaka S Gooneratne; Kathy C Richards; Marshall Joffe; Regina W Lam; Fran Pack; Bethany Staley; David F Dinges; Allan I Pack Journal: Sleep Date: 2011-04-01 Impact factor: 5.849
Authors: Craig A Bauman; James D Milligan; Tejal Patel; Sarah Pritchard; Tammy Labreche; Sharon Dillon-Martin; Alexandra Ilich; John J Riva Journal: J Can Chiropr Assoc Date: 2014-09