CLINCIAL AUDIT OF PATIENT HAVING OBSTRUCTIVE SLEEP APNEA IN CAVAN GENERAL HOSPITAL, IRELAND

Abstract

Objective: To audit the practise of diagnosis & treatment of patient having Obstructive Sleep Apnoea between 2009 to 2010.Audit Criteria: The criteria set out by Scottish Intercollegiate Guidelines Network (SIGN), for the Diagnosis and Treatment of OSA, guidelines 2007Methodology: Retrospective chart review of 60 patients having OSA was done in Pulmonary Lab. All notes, test results and relevant documents were reviewed. Verbal interviews were done and the results were analysed in percentages.Results: Total number of patients included in this audit were 60(n=60).Eighty two percent were males and 18% females. Age varied from 31 to 76 years (mean: 50 years) and weight varied from 70.7kg to 130 kg (mean: 100.3 kg). All the patients had associated diseases. Utilisation of diagnostic services was 100%. The AHI Index analysis showed that 42.8% had mild, 9.5% moderate and 47.6% had severe disease. Fifty one percent patients complied with CPAP treatment, 35% didn’t show up for treatment after being diagnosed with OSA, 13.34% gave up the treatment as they could not tolerate CPAP machine. CPAP treatment was offered to 100% of the patients. Only 8.3% of the patients adhered to dietary and behavioural modification. No patient was offered IOD. Twenty one percent reported significant improvement in their quality of life after CPAP treatment while 43.4% didn’t show any improvement.Conclusion: Public awareness campaigned should be launched for OSA. People who are have a High BMI and snore with apnic symptoms should be investigated & aggressively followed up. Family support should be sought out. IODs should be offered to all the patients who are not inclined to use CPAP machine. Dietary and behavioural modification should be emphasised.