Sleep Apnea in a Sample of Patients with Treatment Resistant Depression Referred for Electroconvulsive Therapy

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dc.authorid0000-0003-2594-4887
dc.authorwosidFIRAT, ibrahim Hikmet/E-3047-2017
dc.contributor.authorFitgerald, Caris T.
dc.contributor.authorHiett, Erica
dc.contributor.authorBuysee, Daniel J.
dc.contributor.authorAltıntaş, Nejat
dc.contributor.authorAikman, Grace
dc.contributor.authorFırat, Hikmet
dc.date.accessioned2022-05-11T14:39:47Z
dc.date.available2022-05-11T14:39:47Z
dc.date.issued2015
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Göğüs Hastalıkları Ana Bilim Dalı
dc.description.abstractObjective: Symptoms of sleep apnea (SA) often overlap with symptoms of depression. Without extensive exploration of a patient's history it is possible that SA could complicate depression leading to treatment resistant depression (TRD) which is then referred for electroconvulsive therapy (ECT). To date no study has reported on prevalence of SA within this population. Materials and Methods: We conducted a retrospective chart review of patients referred for ECT for TRD from 2008 to 2011 (N= 118) at the Central Arkansas Veteran's Healthcare System. Patients were placed into categories of known SA (diagnosed with polysomnography and recorded on chart), high risk SA (suspected SA documented in the chart by a physician), or unknown/low risk SA (negative polysmonography). Results: Average age was 54.5 +/- 12 years. Average body mass index (BMI) was 30.3 +/- 7.3 kg/m(2). 36% had either known SA (27%) or were at high risk of having SA (9%). Those with known SA were more likely to have hypertension (9.4 CI 3-29.5), BMI= 30 kg/m(2) (5.4 CI 2.2-13.5), and hyperlipidemia (4.2 CI 1.6-11.4). Known SA was not significantly associated with diabetes mellitus (2.2 CI 0.8-5.6), complaints of pain (2.4 CI 0.9-5.9), or headache (1.5 CI 0.6-3.8). Conclusion: A diagnosis of SA should be considered in patients referred for ECT for TRD. BMI= 30 kg/m(2), presence of hypertension, and hyperlipidemia are more likely in patients with SA and should raise suspicion of the disorder in patients within this population.
dc.identifier.doi10.4274/jtsm.02.002
dc.identifier.endpage10
dc.identifier.issn2148-1504
dc.identifier.issue1en_US
dc.identifier.startpage7
dc.identifier.urihttps://doi.org/10.4274/jtsm.02.002
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8724
dc.identifier.volume2
dc.identifier.wosWOS:000219740000003
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.institutionauthorAltıntaş, Nejat
dc.language.isoen
dc.publisherGalenos Yayincilik
dc.relation.ispartofJournal of Turkish Sleep Medicine-Turk Uyku Tibbi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSleep apnea
dc.subjectdepression
dc.subjectelectroconvulsive therapy
dc.subjecthypertension
dc.subjectobesity
dc.subjectPositive Airway Pressure
dc.subjectDisease
dc.titleSleep Apnea in a Sample of Patients with Treatment Resistant Depression Referred for Electroconvulsive Therapy
dc.typeArticle

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