Stay Up to Date with the Sleep and Anesthesia Latest Research! |
Tracked and self-reported nighttime smartphone use, general health, and healthcare utilization: results from the SmartSleep Study
Henning Johannes Drews, Christoffer Sejling, Thea Otte Andersen, Tibor V Varga, Andreas Kryger Jensen, Naja Hulvej Rod Study Objectives
Nighttime smartphone use is an increasing public health concern. We investigated whether nighttime smartphone use is associated with general health and primary healthcare utilization.
Methods
4,520 individuals (age 35.6 ± 9.7 years, 35% male) provided self-reported information on smartphone use frequency, symptoms of depression, and general health (one-item perceived health and cross-symptom composite score). A subset of the study sample (n=3,221) tracked their nighttime smartphone use. Primary healthcare utilization, i.e., the number of weeks in which at least one service from the patient’s general practitioner was billed in 2020, was extracted from Danish population registries. Statistical analysis comprised logistic and multiple linear regression, controlling for sociodemographics.
Results
319 individuals (7%) reported using their smartphone almost every night or more. More frequent self-reported nighttime smartphone use was associated with poor general health across all measures. Using the smartphone almost every night or more was associated with 2.8 [95CI: 1.9,4.1] fold higher odds of reporting poor health and with an average of 1.4 [95CI: 0.7,2.1] additional GP utilizations per year compared to no use. Associations were also found for the cross-symptom composite score across all symptoms. Further adjustment for symptoms of depression attenuated some associations. Smartphone use towards the end of the sleep period (sleep-offset use) was associated with poorer self-reported general health, but not with healthcare utilization.
Conclusion
Nighttime smartphone use frequency is associated with poor general health and healthcare utilization. Further studies should investigate the underlying causal structure and nighttime smartphone use as a transdiagnostic intervention target. |
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Positive Airway Pressure in Surgical Patients with Sleep Apnea: What is the Supporting Evidence? Berezin, Linor MD*; Chung, Frances MBBS, MD, FRCPC*,† Abstract
Obstructive sleep apnea (OSA) is prevalent amongst surgical patients and associated with an increased incidence of perioperative complications. The gold standard treatment for moderate-to-severe OSA is positive airway pressure (PAP) therapy. Practice guidelines by the American Society of Anesthesiologists and the Society of Anesthesia and Sleep Medicine have recommended preoperative screening for OSA and consideration of initiation of PAP therapy for patients with severe OSA. These guidelines, developed mainly by the consensus of experts, highlight the adverse impact of OSA on postoperative outcomes and recommend the use of postoperative PAP in surgical patients with moderate to severe OSA. Since the development of these guidelines, there has been an increase in the number of publications regarding the efficacy of PAP therapy in surgical patients with OSA. Our review provides an update on the existing literature on the efficacy of PAP therapy in surgical patients with OSA. We focus on the postoperative complications associated with OSA, potential mechanisms leading to the increased risk of postoperative adverse events, and summarize the perioperative guidelines for the management of patients with OSA, evidence supporting perioperative PAP therapy, as well as limitations to PAP therapy and alternatives. An update on the existing literature of the efficacy of PAP therapy in surgical patients with OSA is critical to assess the impact of prior guidelines, determine when and how to effectively implement PAP therapy, and target barriers to PAP adherence in the perioperative setting
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Exhibitor and sponsorship registration is OPEN!
On behalf of the Society of Anesthesia and Sleep Medicine (SASM), we invite you to exhibit at the SASM 14th Annual Meeting: “Monitoring the future of anesthesia and sleep: developments in technology and treatment” held in Philadelphia, on October 18, 2024.
The objective of this meeting is to provide a forum for discussions pertaining to the common grounds between sleep and anesthesia. The goal is to promote excellence in medical care, research and education in anesthesia, sleep medicine and perioperative medicine.
This conference is an excellent opportunity to present your organization to a relevant and influential audience. Supporting the conference is a practical way of supporting the Society of Anesthesia and Sleep Medicine.
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| 2023 SASM Annual Meeting is available!
The podcasts are convenient and accessible via our learning platform and will allow you to listen to content at your own pace.
Other benefits include: - Exclusive content not available in the general marketplace
- Focused research data presented by industry experts
- Speaker notes and presentation files
- Earn CME
$100.00 - Members $175.00 - Non-Members |
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Member's Corner
We look forward to your continued membership with SASM as we work together to improve the care for our patients and advance the broad body of science overlapping the disciplines of Anesthesia and Sleep Medicine. |
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More information can be found on the SASM website https://www.sasmhq.org |
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