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Excessive daytime sleepiness and sex-related differences in the clinical presentation of obstructive sleep apnea in Italian patients

Title: Excessive daytime sleepiness and sex-related differences in the clinical presentation of obstructive sleep apnea in Italian patients
Authors: Insalaco G.; Braghiroli A.; Buzzi F.; Cappellano S.; Castelli A.; Castelnuovo A.; Fanfulla F.; Ferini Strambi L.; Lo Bue A.; Marelli S.; Pizza F.; Placidi F.; Plazzi G.; Pronzato C.; Romigi A.; Sacco T.; Salvaggio A.; Bonsignore M. R.
Contributors: Insalaco, G.; Braghiroli, A.; Buzzi, F.; Cappellano, S.; Castelli, A.; Castelnuovo, A.; Fanfulla, F.; Ferini Strambi, L.; Lo Bue, A.; Marelli, S.; Pizza, F.; Placidi, F.; Plazzi, G.; Pronzato, C.; Romigi, A.; Sacco, T.; Salvaggio, A.; Bonsignore, M. R.
Publication Year: 2025
Collection: IRIS Università degli Studi di Bologna (CRIS - Current Research Information System)
Subject Terms: Clinical presentation; Epidemiology; Excessive daytime sleepiness (EDS); Obstructive sleep apnea (OSA); Referral patterns
Description: Background: Excessive Daytime Sleepiness (EDS) is a key symptom of Obstructive Sleep Apnea (OSA). The clinical presentation of OSA differs between sexes. EDS and sex-related clinical differences were studied in Italian OSA patients. Objectives: This multicenter study in Italian OSA patients at diagnosis assessed: 1) the EDS prevalence and its association with OSA severity, comorbidities, and other symptoms; 2) sex-related differences in clinical features of OSA. Methods: Patient-reported data on symptoms and comorbidities were retrospectively collected from eCRF in 2663 patients (age, mean ± SD 55.7 ± 9.4 years, M 77.4 %, BMI 31.2 ± 4.6 kg/m2). EDS was defined as an Epworth Sleepiness Score >10. Results: Overall, 39.5 % of patients reported EDS at diagnosis, especially younger and obese patients. Referral patterns and symptoms driving OSA evaluation were affected by both occurrences of EDS and sex. OSA was more severe in patients with than without EDS. At multivariate analysis, predictors of EDS were: fatigue, subjectively impaired cognitive function, and % time spent at oxygen saturation
Document Type: article in journal/newspaper
File Description: ELETTRONICO
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/41005183; info:eu-repo/semantics/altIdentifier/wos/WOS:001585838300001; volume:136; firstpage:1; lastpage:10; numberofpages:10; journal:SLEEP MEDICINE; https://hdl.handle.net/11585/1032932; https://www.sciencedirect.com/science/article/pii/S1389945725004940?via=ihub
DOI: 10.1016/j.sleep.2025.106819
Availability: https://hdl.handle.net/11585/1032932; https://doi.org/10.1016/j.sleep.2025.106819; https://www.sciencedirect.com/science/article/pii/S1389945725004940?via=ihub
Rights: info:eu-repo/semantics/openAccess ; license:Licenza per Accesso Aperto. Creative Commons Attribuzione (CCBY) ; license uri:iris.PUB15
Accession Number: edsbas.AA2A87C1
Database: BASE