Dados do Trabalho

Título

Epidemiological Profile of Patients at the Multidisciplinary Sleep Disorders Outpatient Clinic in a Military Hospital

Introdução

Sleep disorders are prevalent among the Brazilian population, impacting the quality of sleep and life, as well as causing serious multisystemic consequences. They are related to many comorbidities and require adequate diagnosis and treatment for clinical improvement.

Objetivo

To demonstrate the prevalence of sleep disorders and the epidemiological profile of patients treated at the Multidisciplinary Sleep Disorders Outpatient Clinic (MSDOC) of a Public Military Hospital.

Métodos

This is a descriptive cross-sectional study, with secondary data collection. The medical records of all patients treated at the MSDOC, from 02/08/2023 to 07/31/2024, were analyzed. The patients were seen by the same professionals, through the multidisciplinary work of a Sleep Doctor Neurologist, Otorhinolaryngologist and Sleep Physiotherapist. The data collected referred to sex; age; presence of comorbidities and confirmed diagnosis of sleep disorder.

Resultados

Of the 187 patients seen, 55% were male and 45% were female. The most prevalent age for sleep disorders was 50-59 years old, which represents 30% of individuals, followed by the age 40-49 years old (23%). The average age was 56.03 years old, with the youngest being 20 years old and the oldest being 88 years old. Regarding confirmed diagnoses of sleep disorders, 71% were OSA; 46% Insomnia; 22% sleep bruxism; 18% Restless Legs Syndrome; 10% circadian rhythm disorder; 7% primary snoring; 6% insufficient sleep/sleep deprivation; 2% sleep-related hypoventilation; 1% sleepwalking; 0.5% narcolepsy; 0.5% acting in dreams; 0.5% nocturnal epilepsy; 0.5% REM Sleep Behavior Disorder and 0.5% Obesity Hypoventilation Syndrome. 61% of these patients had 2 or more associated sleep disorders. 90% of patients had comorbidities associated with sleep disorders, such as overweight or obesity, coronary artery disease, atrial fibrillation, systemic arterial hypertension, previous stroke, congestive heart failure, type 2 DM, dyslipidemia, hypothyroidism, respiratory diseases, gastroesophageal reflux, psychiatric disorders, epilepsy, parkinson's, transient ischemic attacks and migraine.

Conclusões

The most prevalent profile was men, advanced age, diagnosed with OSA and presence of comorbidities. Therefore, the creation of a MSDOC in a public hospital promotes faster diagnoses and therapeutic approaches with different sleep professionals at a lower cost, allowing adequate and early treatment, restoring the quality of sleep.

Palavras -chave

Epidemiological Profile; Sleep Disorders; Multidisciplinar Clinic.