Obstructive sleep apnea co-morbidity in patients with fibromyalgia: a single-center retrospective analysis and literature review

Autor: Jack H. Owens, Murali Rao, Angelos Halaris, Edwin Meresh, Cara Joyce, Alvaro J.L. La Rosa, Steven Birch, Hewa Artin, David Daniels
Rok vydání: 2019
Předmět:
Zdroj: Open Access Rheumatology: Research and Reviews. 11:103-109
ISSN: 1179-156X
DOI: 10.2147/oarrr.s196576
Popis: Background: Fibromyalgia (FM) is a chronic medical condition characterized by widespread pain, sleep disturbance, and cognitive dysfunction. Sleep disorders are thought to play a prominent role in the etiology and symptomatic management of FM, specifically obstructive sleep apnea (OSA). In order to provide collaborative care, we need a better understanding of any overlapping presentation of FM and OSA. We conducted a site-wide review of patients from 2012-2016 to identify FM patients diagnosed with OSA. Methods: Charts were reviewed in patients aged 18 and above from 2012-2016 using ICD codes from a clinical data repository. Intersection of patients with a diagnosis of FM and OSA in clinics of psychiatry, sleep, rheumatology, and other outpatient clinics was compared. Polysomnography order patterns for FM patients were investigated. Results: Co-morbidity was highest in the sleep clinic (85.8%) compared to psychiatry (42.0%), rheumatology (18.7%), and other outpatient clinics (3.6%) (p
Databáze: OpenAIRE