Clinical characteristics and parameters resulting in high clinical suspicion for obstructive sleep apnoea (OSA) in patients with COPD
Symptoms compatible with OSA, such as snoring, witnessed apnoeas, unrefreshed sleep, daytime sleepiness and nocturia |
Obesity as measured by: |
Body mass index (>30 kg·m−2 in males and >35 kg·m−2 in females) |
Neck circumference (>43 cm in males and >41 cm in females) |
Deranged blood gases |
Persistent daytime hypoxaemia |
Hypercapnia |
Signs of pulmonary hypertension or right heart failure, such as peripheral oedema |
Polycythaemia |
Use of opioids and/or hypnotic medications |
Comorbidities such as: |
Resistant hypertension |
Atrial fibrillation |
Heart failure |
Type 2 diabetes |
Stroke |
End-stage renal disease |