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Sleep Breath 2000; 04(1): 0009-0014
DOI: 10.1055/s-2000-11530
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Symptom-Based Prevalence of Sleep Disorders in an Adult Primary Care Population

Clete A. Kushida1 , Deborah A. Nichols1 , Richard D. Simon2 , Terry Young3 , John H. Grauke4 , J. B. Britzmann4 , Pamela R. Hyde1 , William C. Dement1
  • 1Stanford University Center of Excellence for Sleep Disorders, California
  • 2Kathryn Severyns Dement Sleep Disorders Center, Saint Mary's Medical Center, Walla Walla, Washington
  • 3University of Wisconsin-Madison, Madison, Wisconsin
  • 4Moscow Clinic, Moscow, Idaho
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

The prevalence of sleep disorders in a primary care physician practice in Moscow, Idaho, was studied between February 7, 1997, and February 6, 1998. This primary care clinic visit population was surveyed for this 1-year period. Every patient above the age of 18 years who visited the Moscow Clinic in this time period was either approached by our on-site researcher during the patient's clinic visit or contacted via mail. Out of a total of 1249 adult patients who met with our on-site researcher during their clinic visit, 962 (77.0%) completed questionnaires and were interviewed for symptoms of sleep disorders. An additional 292 patients completed mailed questionnaires, resulting in a total of 1254 participants in the study. The percentages of patients in our sample reporting symptoms of the following sleep disorders were insomnia (32.3%), obstructive sleep apnea syndrome (23.6%), and restless legs syndrome (29.3%). This study demonstrates the need for heightened awareness and subsequent diagnosis and treatment of sleep disorders in the primary care population.

KEYWORD

primary care - prevalence - sleep apnea - restless legs syndrome - insomnia - clinical sleep medicine

REFERENCES

  • 1 National Commission on Sleep Disorders Research. Executive Summary and Executive Report Bethesda, MD: National Institutes of Health 1993
  • 2 Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women.  Sleep . 1997;  20 705-706
    PubMedGoogle Scholar
  • 3 Ball E M, Simon Jr D R, Tall A A. Diagnosis and treatment of sleep apnea within the community: The Walla Walla Project.  Arch Intern Med . 1997;  157 419-424
    CrossrefPubMedGoogle Scholar
  • 4 Johns M W. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale.  Sleep . 1991;  14 540-545
    Google Scholar
  • 5 American Sleep Disorders Association. International classification of sleep disorders, revised: Diagnostic and coding manual Rochester, MN: American Sleep Disorders Association 1997
  • 6 Walsh J, Ustun T B. Prevalence and health consequences of insomnia.  Sleep . 1999;  22(suppl 3) S427-S436
    PubMedGoogle Scholar
  • 7 Young T, Palta M, Dempsey J. The occurrence of sleep-disordered breathing among middle-aged adults.  N Engl J Med . 1993;  328 1230-1235
    CrossrefPubMedGoogle Scholar
  • 8 Hening W, Allen R, Earley C. The treatment of restless legs syndrome and periodic limb movement disorder: An American Academy of Sleep Medicine Review.  Sleep . 1999;  22 970-999
    PubMedGoogle Scholar
  • 9 Gallup Organization. Sleep in America: 1995 Princeton, NY: The Gallup Organization 1995
  • 10 National Sleep Foundation. 1999 Omnibus Sleep in America Poll Washington DC: National Sleep Foundation 1999
  • 11 Smyth M, Giblin E C, Lee K. Prevalence of apneas and oxygen desaturation during sleep in healthy older men.  Sleep Res . 1981;  10 118
    PubMedGoogle Scholar
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