OBJECTIVES: Military personnel undergoing polysomnography are typically diagnosed only with obstructive sleep apnea (OSA). Comorbid insomnia with OSA is a well-established, underappreciated diagnosis. We sought to determine if military personnel with mild OSA met clinical criteria for insomnia and if there was a pattern of polysomnogram (PSG) variables that identified insomnia in these patients. METHODS: Retrospective chart review of military personnel with mild OSA; cluster analysis to describe PSG variables. RESULTS: 206 personnel assessed, predominately male (96.6%), mean age 36.5 ± 8.14 years, body mass index 30.2 ± 3.66 kg/m(2) and apnea hypopnea index of 8.44 ± 2.92 per hour; 167 (81.1%) met criteria for insomnia. Cluster analysis identified a group of patients (N = 52) with PSG variables of increased wakefulness after sleep onset 77.3 minutes (27.7) (p < 0.001) and decreased sleep efficiency 82.6% (5.82) (p < 0.001) consistent with insomnia. Patients in this group were more likely to meet criteria for insomnia with an odds ratio 5.27 (1.20, 23.1), (p = 0.009). CONCLUSIONS: The majority of military personnel with mild OSA meet criteria for insomnia. Roughly one-third of these patients can be identified by a pattern of PSG variables. Recognizing and treating both comorbid insomnia and OSA could improve clinical outcomes. Reprint &
OBJECTIVES: Military personnel undergoing polysomnography are typically diagnosed only with obstructive sleep apnea (OSA). Comorbid insomnia with OSA is a well-established, underappreciated diagnosis. We sought to determine if military personnel with mild OSA met clinical criteria for insomnia and if there was a pattern of polysomnogram (PSG) variables that identified insomnia in these patients. METHODS: Retrospective chart review of military personnel with mild OSA; cluster analysis to describe PSG variables. RESULTS: 206 personnel assessed, predominately male (96.6%), mean age 36.5 ± 8.14 years, body mass index 30.2 ± 3.66 kg/m(2) and apnea hypopnea index of 8.44 ± 2.92 per hour; 167 (81.1%) met criteria for insomnia. Cluster analysis identified a group of patients (N = 52) with PSG variables of increased wakefulness after sleep onset 77.3 minutes (27.7) (p < 0.001) and decreased sleep efficiency 82.6% (5.82) (p < 0.001) consistent with insomnia. Patients in this group were more likely to meet criteria for insomnia with an odds ratio 5.27 (1.20, 23.1), (p = 0.009). CONCLUSIONS: The majority of military personnel with mild OSA meet criteria for insomnia. Roughly one-third of these patients can be identified by a pattern of PSG variables. Recognizing and treating both comorbid insomnia and OSA could improve clinical outcomes. Reprint &
Authors: Peter J Colvonen; Tonya Masino; Sean P A Drummond; Ursula S Myers; Abigail C Angkaw; Sonya B Norman Journal: J Clin Sleep Med Date: 2015-04-15 Impact factor: 4.062
Authors: Christopher B Miller; Delwyn J Bartlett; Anna E Mullins; Kirsty L Dodds; Christopher J Gordon; Simon D Kyle; Jong Won Kim; Angela L D'Rozario; Rico S C Lee; Maria Comas; Nathaniel S Marshall; Brendon J Yee; Colin A Espie; Ronald R Grunstein Journal: Sleep Date: 2016-11-01 Impact factor: 5.849
Authors: Eric A Dedert; Paul A Dennis; Katherine C Cunningham; Christi S Ulmer; Patrick S Calhoun; Nathan Kimbrel; Terrell A Hicks; Julia M Neal; Jean C Beckham Journal: Behav Sleep Med Date: 2018-02-26 Impact factor: 2.964
Authors: Shannon Stark Taylor; Jaime M Hughes; Cynthia J Coffman; Amy S Jeffreys; Christi S Ulmer; Eugene Z Oddone; Hayden B Bosworth; William S Yancy; Kelli D Allen Journal: BMC Musculoskelet Disord Date: 2018-03-09 Impact factor: 2.362