Journal
JOURNAL OF CLINICAL SLEEP MEDICINE
Volume 17, Issue 5, Pages 1039-1050Publisher
AMER ACAD SLEEP MEDICINE
DOI: 10.5664/jcsm.9132
Keywords
COVID-19; sleep disorders in hospitalized patients; mechanical ventilation; mortality
Categories
Funding
- Michigan Medicine Department of Emergency Medicine
- Joyce and Don Massey Family Foundation
Ask authors/readers for more resources
This study aimed to determine the prevalence of obstructive sleep apnea and other sleep disorders in COVID-19 hospitalized patients and their association with disease outcomes. The results showed that there was no significant relationship between sleep disorders and outcomes after hospitalization for COVID-19. Future evaluations should focus on earlier outcomes after exposure to severe acute respiratory syndrome coronavirus 2.
Study Objectives: Obstructive sleep apnea and other sleep disorders overlap with comorbidities associated with poor outcomes related to severe acute respiratory syndrome coronavirus 2 infection. However, the prevalence of obstructive sleep apnea among patients hospitalized for COVID-19 and relationship to outcomes is poorly characterized, and the relevance of other sleep disorders remains unknown. The objective of this study was to identify the prevalence of pre-existing sleep disorders and association with outcomes related to severe COVID-19 illness. Methods: Patients with severe acute respiratory syndrome coronavirus 2 infection admitted to the University of Michigan Hospital System were included. Electronic medical records were queried for sleep disorders diagnostic codes. Data were extracted from polysomnography and home sleep testing in a subgroup with previous diagnostic testing at our center. Logistic regression was used to examine the association of sleep disorders with mechanical ventilation requirement, treatment with vasopressors, and death and Cox proportional hazards regression for time to discharge. Results: Among n = 572 adult patients hospitalized for COVID-19, 113 (19.8%) patients had obstructive sleep apnea, 4 patients had central sleep apnea (0.7%), 5 had hypoventilation (0.9%), 63 had insomnia (11.0%), and 22 had restless legs syndrome or periodic limb movements disorder (3.9%). After adjusting for age, sex, body mass index, and race, no significant relationship was apparent between sleep disorders diagnoses or indices of sleep-disordered breathing severity and outcomes. Conclusions: This is the first study to determine the prevalence of obstructive sleep apnea and other sleep disorders in a well-characterized cohort of patients hospitalized for COVID-19. Once hospitalized, a significant contribution of sleep disorders to outcomes was not identified. Therefore, future evaluations should focus on earlier outcomes, such as infection or clinical manifestations after exposure to severe acute respiratory syndrome coronavirus 2.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available