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Ύπνος και αναπνοή στην ιδιοπαθή πνευμονική ίνωση Σ. A. Παπίρης

Ύπνος και αναπνοή στην ιδιοπαθή πνευμονική ίνωση Σ. A. Παπίρης. Significant gender differences in HRQL exist in IPF.

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Ύπνος και αναπνοή στην ιδιοπαθή πνευμονική ίνωση Σ. A. Παπίρης

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  1. Ύπνος και αναπνοή στην ιδιοπαθή πνευμονική ίνωση Σ.A. Παπίρης

  2. Significant gender differences in HRQL exist in IPF. As compared to women, men reported less severe dyspnea, had worse SF-12 PCS scores, but better SF-12 MCS scores. Dyspnea appears to have a greater impact on the physical HRQL of men and the emotional HRQL of women.

  3. Poor sleep quality is extremely common in patients with IPF. Poor sleep quality is associated with poor QOL.

  4. Nocturnal hypoxaemia is common in patients with cryptogenic fibrosing alveolitis and may have an impact on health related quality of life.

  5. OSA was confirmed in 11 of the 18 IPF patients, while the remain 7 patients had a diagnosis of primary snoring or UARS. All patients showed a reduction in sleep efficiency, REM sleep, and slow wave sleep.

  6. OSA is prevalent in patients with IPF and may be underrecognized by primary care providers and specialists. Neither ESS nor SA-SDQ alone or in combination was a strong screening tool. Given the high prevalence found in our sample, formal sleep evaluation and polysomnography should be considered in patients with IPF.

  7. Best supportive care should be considered a specific and important treatment strategy in all patients with IPF. It is a proactive approach to symptomatic treatment and may include oxygen therapy, pulmonary rehabilitation, opiates, antireflux therapy, withdrawal of steroids and other immunosuppressants, ………..(CPAP treatment of OSAS?)……….. early recognition of terminal decline and liaison with palliative care specialists.

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