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Depression and obstructive sleep apnea (OSAS) in the elderly: Study on a population of elderly patients recovered in acute setting

Published online by Cambridge University Press:  16 April 2020

A. Santangelo
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
S. Albani
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
M. Atteritano
Affiliation:
Dpt. Medicina Interna, University of Messina, Messina, Italy
A. Cappello
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
S. Pavano
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
M. Testai
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
M. Tomarchio
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
D. Maugeri
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy

Abstract

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Introduction

The obstructive sleep-apnea (OSAS) is a syndrome common in elderly, dangerous and frequently misunderstood by the superficiality of the evaluation of nonspecific symptoms of onset.

Objectives and aims

In this study we studied the prevalence of sleep-apnea (OSAS) in a sick elderly population admitted to a Acute Geriatrics, the correlation with cardiovascular disease and the effects on performaces psychometric

Methods

62 subjects were examined in Acute Cure of Geriatrics of University of Catania. All subjects, after a careful medical history, were administered MMSE to cognitive and affective aspect for GDS. Also consider the autonomy and self-reliance by Barthel-Index, IADL and ADL. All subjects also performed 24-hour Holter-ECG examination and examination for Holter blood pressure in 24 hours, made basic spirometric assessments and finally carried out the examination with polysomnography VitalNight-8.

Results

The results in this study have ample evidence on the prevalence of OSAS in the elderly population admitted to the ward for acute cases. Shall also be significant correlations with cognitive status and mood, both largely influenced negatively by the presence of OSAS. They seem much more depressed elderly patients with OSAS compared with the general population. Finally, the highly statistically significant correlation with the presence of OSAS arrhythmias, high pressure is not controlled by drug therapy, obesity and Chronic Bronchitis.

Conclusions

This study reports the evidence of higher correlation between OSAS and Depression in population studied. All these data make us conclude the obvious danger of this disease still so 'little studied in the elderly population.

Type
P03-13
Copyright
Copyright © European Psychiatric Association 2011
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