PURPOSE: Poor sleep hygiene is extremely common and contributes to both sleepiness and insomnia. We studied practice patterns among Primary Care Providers(PCP) regarding this issue by reviewing charts for documentation of sleep hygiene in their clinic notes.
METHODS: We reviewed Electronic Medical Records for new entries of Sleep Apnea at VAMC Milwaukee between October 2008 and Dec 2008. All charts were reviewed for documentation of sleep hygiene in PCP clinics within 3 months before and after date of diagnosis.
RESULTS: Of 157 charts reviewed, 73(46.4%) patients had no diagnostic work-up. Age range was 58+/-12. Number of men: 152(96.8%), number of women: 5(3.1%). 58(36.9%) patients were referred to sleep clinic. No patient(0%) received documented sleep hygiene counseling in PCP clinics 3 months before and after entry of sleep apnea diagnosis in chart. Other sleep diagnoses noted in chart were Insomnia 10 (6.3%), Sleep Related Movement disorders 16 (10.1%), Sleep Related Parasomnia 1 (0.6%).
CONCLUSION: At VAMC Milwaukee, no documented sleep hygiene counseling is provided to patients with sleep apnea in PCP clinics. Additionally, a significant proportion of patients with suspected sleep apnea remain undiagnosed.
CLINICAL IMPLICATIONS: Primary Care Providers may need training regarding sleep hygiene counseling in patients with Sleep disorders at VAMC Milwaukee. Significant number of patients with suspected sleep apnea have incomplete work-up at VAMC Milwaukee. Evaluation of patient, practitioner or institution related factors contributing to this phenomenon is required to improve patient care.
DISCLOSURE: Mohammed Moizuddin, No Financial Disclosure Information; No Product/Research Disclosure Information