Approach to the patient with excessive daytime sleepiness.pptx

Approach to the patient with excessive daytime sleepiness.pptx

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  Approach to the patientwith EDS
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  AGENDA
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  Technical Terms • EDS. •Hypersomnia/Hypersomnolence. • Fatigue: • Clinical fatigue incorporates 3 components, 1. Inability to initiate activity (perception of generalized weakness, in the absence of objective findings); 2. Reduced capacity to maintain activity (easy fatigability); and 3. Difficulty with concentration, memory, and emotional stability (mental fatigue)
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  EPIDEMIOLOGY • EDS isreported by 10 to 25 percent of the general population. • EDS has been reported to decrease with age in some studies, and to increase with age in others.2,3 • Most studies show an equal sex ratio or a female predominance of up to two to one.4 • The strongest independent risk factors for incident EDS were: 1. Insomnia and 2. Smoking; 3. others included anxiety and/or depression, somatic symptoms, snoring, and obesity. 4. Young TB. Epidemiology of daytime sleepiness: definitions, symptomatology, and prevalence. J Clin Psychiatry 2004; 65 Suppl 16:12 5. Hublin C, Kaprio J, Partinen M, et al. Daytime sleepiness in an adult, Finnish population. J Intern Med 1996; 239:417. 6. Baldwin CM, Kapur VK, Holberg CJ, et al. Associations between gender and measures of daytime somnolence in the Sleep Heart Health Study. Sleep 2004; 27:305. 7. Hara C, Lopes Rocha F, Lima-Costa MF. Prevalence of excessive daytime sleepiness and associated factors in a Brazilian community: the Bambuí study. Sleep Med 2004; 5:31. .