Risk of obstructive sleep apnoea syndrome among in-patients at a neuropsychiatric hospital in Nigeria: a short report

Afr Health Sci. 2015 Sep;15(3):967-71. doi: 10.4314/ahs.v15i3.34.

Abstract

Background/objectives: Sleep problems are commonly reported by persons with severe mental illness. Obstructive sleep apnoea syndrome (OSA) is commonly co-morbid with mental illness. Screening for OSA and its subsequent management may improve outcomes in this patient population. We screened for risk of OSA among in-patients with severe mental illness to determine its prevalence as well as its correlates using a socio-demographic questionnaire and the Berlin questionnaire.

Methods: A cross sectional descriptive exploratory survey of in-patients (n=89) at a regional Neuro- Psychiatric hospital using a socio-demographic questionnaire and the Berlin questionnaire.

Results: Eighteen patients (18/89; 20.9%) were classed as high risk for OSA. High risk for OSA was significantly associated with a higher body mass index; BMI (p<0.01), but not gender (p=0.53), diagnoses (p=0.84), co-morbidity (p=0.73) or use of atypical antipsychotics (p=0.48).

Conclusion: Patients with severe mental illness are at high risk for OSA with being overweight higher BMI significantly associated with this high risk.

Keywords: Nigeria; in-patients; obstructive sleep apnoea; severe mental illness.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bipolar Disorder / diagnosis*
  • Bipolar Disorder / epidemiology
  • Body Mass Index
  • Cross-Sectional Studies
  • Depression / diagnosis*
  • Depression / epidemiology
  • Female
  • Hospitals, Psychiatric
  • Humans
  • Hypertension / epidemiology
  • Male
  • Mental Disorders / epidemiology
  • Middle Aged
  • Nigeria / epidemiology
  • Overweight / epidemiology
  • Polysomnography / methods*
  • Prevalence
  • Risk Factors
  • Schizophrenia / diagnosis*
  • Schizophrenia / epidemiology
  • Sleep Apnea, Obstructive / diagnosis*
  • Sleep Apnea, Obstructive / epidemiology
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult