PURPOSE: Like asthma, COPD patients have often sleep disturbances which are not well recognized & documented.
METHODS: 125 patients with COPD were interviewed during their routine visit to the chest clinic over a period of one year from June 2004 to May 2005. There were 112 males (40%); mean age 55+ 2.5 yrs SD. 94 subjects were ex-smokers (75%) whereas 31 subjects were current smokers (25%) sleep questionnaire was given to each patient & 8 domains were specifically enquired.
RESULTS: a) problem falling asleep was seen in 87 patients (70%) b) Nocturnal awakening more than 3 times in a week seen in 67 subjects (50%) c) Early morning wheezing & cough: 44 subjects (35%) d) Unrefreshing quality of Sleep 56 subjects (45%) e) Difficulty in sleeping flat on bed with tendency to sleep on an incline reported by 50 subjects (40%) f) Use of nocturnal oxygen during sleep 25 patients (20%) g) Nocturnal cough interfering with sleep 37 patients (30%) h) Use of more than 2 times inhaled short acting beta 2 agonists during night in 50 patients (40%).
CONCLUSION: Severe impairment of quality of sleep in COPD patients was observed in the cohort studied. Special measures should be taken to tackle these nocturnal issues so as to improve their overall QOL.
CLINICAL IMPLICATIONS: Like asthma, COPD patients have often sleep disturbances which are not well recognized & documented.
DISCLOSURE: Ajit Vigg, None.