Dados do Trabalho

Título

Profile of patients with COMISA from a private clinic in São Paulo

Introdução

Insomnia is the most common sleep disorder followed by obstructive sleep apnea. Both constitute a public health problem in isolation due to the impact on the individual's health, as well as the increase in health costs. The comorbidity of insomnia and OSA (COMISA) is even more challenging and still underexplored.

Objetivo

Map the profile of patients with COMISA treated at a private clinic in SP city.

Métodos

Between March and June 2022, all patients who attended the clinic were invited to answer the Insomnia Severity Index (ISI) questionnaire. The questionnaire was sent via a link to the patient's cell phone and the result was stored in a database, attached to the patient's medical record and a copy sent to their email. To assess the severity of OSA, we used the AHI taken from the previous polysomnografy result. About the use of medication, patients were asked about and registered in their medical records. When analyzing the medications, we separated them into 4 classes: Z drugs, benzodiazepines, antidepressants and others (anticonvulsants, cannabidiol and analgesics).

Resultados

A total of 317 patients were invited to answer the questionnaire, 10 of which did not have a cell phone and/or were unable to respond, 6 refused to complete the survey and 300 responded to the questionnaire. Our sample consisted of 209 (69,66%) male patients and 91 (30,33%) aged between 25 and 89 years (mean: 59,96), the mean age among women was 65,59 and men 57,51. When assessing the severity of OSA, our population consisted of 150 (50%) patients severe OSA, 67 (22,33) moderate OSA, 20 (6,66 %) with mild OSA and 63 (21%) who did not bring baseline polysomnography, only titration or medical prescription for CPAP use. As a result of the ISI, we found 91 (30,33%) of the patients did not present clinically relevant symptoms of insomnia, but 53 used some type of medication, 116 (38,66%) were classified as mild insomnia and 44 of them used medication, 79 (26,33) were classified as moderate insomnia and 37 of them used medication and 14 were considered to have severe insomnia and 5 of them used medication. All women in the study were classified as without insomnia because they did not present clinically significant symptoms, but 64 (70,32%) of them were using medication. As for the use of medication, only 81 men (38.75%) reported using it.

Conclusões

COMISA was very prevalent (69.66%) in our population measured by symptoms, and may be more frequent as many were already using medication.

Palavras -chave

COMISA, OSA, insomnia