Generic and specific quality-of-life measures in Taiwanese adults with sleep-disordered breathing.
OBJECTIVE
To investigate the quality-of-life status of Taiwanese adult patients with sleep-disordered breathing (SDB).


METHODS
A prospective, quality-of-life survey in a tertiary referral sleep center on 94 consecutive adult SDB patients. Patients were evaluated with polysomnogram, Medical Outcome Study SF-36 Health Survey, Snore Outcome Survey (SOS), and Epworth Sleepiness Scale (ESS).


RESULTS
SDB patients have significantly lower scores in all 8 SF-36 subscales (P < 0.05) than do normative Taiwan adult population. Apnea patients have lower SOS (34.5 +/- 7.5 vs 40.1 +/- 10.3, P = 0.005) and higher ESS scores than do simple snorers (8.8 +/- 5.1 vs 11.7 +/- 5.2, P = 0.03). Patients with a higher degree of sleepiness show worse performance in all dimensions of their general health status (P values 0.0005 to 0.01). Deep sleep (stage 3 + 4) is predictive of SF-36 role: physical (beta = 1.63, P = 0.04), bodily pain (beta = 1.22, P = 0.01), vitality (beta = 1.05, P = 0.01), subscales scores (adjusted R(2) 0.005 to 0.1).


CONCLUSIONS
SDB has considerable impact on a patient's global health status.


CONCLUSIONS
Daytime sleepiness, rather than apnea, is a major quality-of-life determinant.


METHODS
B-2b.
Wang
Pa-Chun
PC
Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan. drtony@tpts4.seed.net.tw
Li
Hsueh-Yu
HY
Shih
Tung-Sheng
TS
Gliklich
Richard E
RE
Chen
Ning-Hung
NH
Liao
Yu-Fang
YF
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D004644:Emotions; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010146:Pain / Q000523:psychology; D017286:Polysomnography; D011446:Prospective Studies; D011788:Quality of Life; D012891:Sleep Apnea Syndromes / Q000503:physiopathology / Q000523:psychology*; D012894:Sleep Stages / Q000502:physiology; D012913:Snoring / Q000503:physiopathology / Q000523:psychology; D012919:Social Behavior; D013624:Taiwan