Obstructive Sleep Apnea (OSA): poor sleep quality due to episodic hypoxia from upper airway compression, usually from obestiy
Presentation: daytime sleepiness, irritability; raised Epworth daytime sleepiness score
Investigation:
Overnight pulse oximetry: episodic hypoxia
Sleep Studies (more expensive, not always required)
Management: CPAP, anti-snoring airway adjuncts
Associations
Management
40% of patients still have symptoms on CPAP
Weight loss best long term management
Written in 2025