Sleep Disorders Management in Primary Care—Second Edition

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Department of Social Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece
Interests: COPD; sleep apnea; sleep disorders; asthma smoking cessation; primary care
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Special Issue Information

Dear Colleagues,

Sleep disorders are highly prevalent disorders that can lead to motor vehicle accidents, impaired cognition, metabolic syndrome, impaired immune function, altered mood, decreased quality of life, and increased mortality. The most common sleep disorders seen in primary care settings are insomnia, obstructive sleep apnea, and restless legs syndrome. The high prevalence of undiagnosed sleep disorders and their health-related complications require improved routine screening and assessment in primary care settings. However, the current practice model of screening and assessment for sleep disorders is fragmented and ineffective, which is attributable not only to the lack of use of screening instruments but also to the lack of routinely eliciting relevant symptoms. Identification by primary care practitioners of patients who are at a high risk for sleep disorders could significantly reduce their frequency and improve the quality of life and health outcomes for these patients.

In light of these data, this Special Issue solicits manuscripts addressing topics related to the evaluation and management of sleep disorders and their symptoms in primary care settings. Original articles, commentaries, and reviews on the prevalence, screening, evaluation, and diagnostic strategies of sleep disorders in primary care, as well as evaluation of the risk factors, natural history, and consequences of sleep disorders and on the topics of management and treatment options available, will be considered.

The aim of this Special Issue is to provide updated information about the current screening, diagnosis, and management of sleep disorders in primary care settings. Additional research to identify potential barriers to effectively addressing sleep disorders and to improve the diagnostic accuracy of screening tools and the provision of sleep services in primary care are particularly welcome.

Dr. Izolde Bouloukaki
Guest Editor

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Keywords

  • sleep disorders
  • insomnia
  • sleep quality
  • obstructive sleep apnea
  • restless legs syndrome
  • routine screening and assessment
  • sleep services
  • primary care

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Published Papers (1 paper)

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Research

13 pages, 513 KB  
Article
Clinical and Sleep Characteristics and the Effect of CPAP Treatment on Obese Patients with Obstructive Sleep Apnea and Asthma—A Retrospective Study
by Konstantina Chadia, Kostas Archontogeorgis, Fotios Drakopanagiotakis, Konstantinos Bonelis, Stavros Anevlavis and Paschalis Steiropoulos
Healthcare 2025, 13(17), 2240; https://doi.org/10.3390/healthcare13172240 - 8 Sep 2025
Viewed by 243
Abstract
Introduction: Patients with obstructive sleep apnea (OSA) and asthma share common symptoms and risk factors. Aim: The aim of this study is to evaluate the clinical characteristics of patients with OSA and asthma and assess the impact of CPAP treatment on asthma control [...] Read more.
Introduction: Patients with obstructive sleep apnea (OSA) and asthma share common symptoms and risk factors. Aim: The aim of this study is to evaluate the clinical characteristics of patients with OSA and asthma and assess the impact of CPAP treatment on asthma control and exacerbations. Methods: Consecutive patients diagnosed with concomitant OSA and asthma were enrolled in the study. Data on patients’ characteristics, respiratory function during wakefulness, and polysomnography were recorded. Additionally, asthma control and exacerbation history were assessed the year before and after initiation of CPAP therapy. Results: The cohort included 102 patients (53 men and 49 women; mean age 56.5 ± 12.8 years). The severity of OSA was classified as severe in 49%, moderate in 27.5%, and mild in 23.5% of patients. The most common comorbidities were arterial hypertension (66.7%) and dyslipidemia (52%). Before CPAP initiation, most patients (55.9%) had moderate asthma control (ACT score 17.4 ± 0.9). Following CPAP treatment, the ACT score was improved (p < 0.001) and asthma exacerbations were significantly reduced (p = 0.002). Moreover, the Asthma Control Test (ACT) score was negatively correlated with BMI (r = −0.209, p = 0.035), AHI (r = −0.426, p < 0.001), oxygen desaturation index (r = −0.466, p < 0.001), and percentage of sleep time with oxygen saturation <90% (T < 90%) (r = −0.228, p = 0.021). Also, patients who experienced exacerbations (44/102) had higher AHI (p = 0.022) and more severe nocturnal hypoxia (T < 90%, p = 0.016). Conclusions: Asthma control is associated with OSA severity and BMI, while CPAP therapy seems to improve asthma control and reduces exacerbations in patients with concomitant OSA and asthma. Full article
(This article belongs to the Special Issue Sleep Disorders Management in Primary Care—Second Edition)
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