Key Recommendations for Hospitalists: Assessment and Treatment of Obstructive Sleep Apnea in Adult Inpatients

By
Naveed Choudry
September 6, 2026

Journal Of Hospital Medicine

Overview

Obstructive sleep apnea (OSA) affects a significant proportion of hospitalized adults. The American Academy of Sleep Medicine has issued guidelines emphasizing the importance of screening, treatment initiation, and consultation for OSA in inpatient settings.

Background

Obstructive sleep apnea is prevalent among hospitalized adults, with estimates ranging from 25% to 77%. Unrecognized OSA is linked to longer hospital stays and increased healthcare costs. The recent guidelines from the American Academy of Sleep Medicine aim to address the evaluation and management of OSA in this population.

Data Highlights

No numerical data provided in the source material.

Key Findings

25%–77% of hospitalized adults may have obstructive sleep apnea (OSA).
Patients with unrecognized OSA experience a 17% longer hospital stay and 67% higher costs.
The AASM recommends screening at-risk hospitalized adults for OSA during admission.
Starting positive airway pressure (PAP) treatment during hospitalization is advised for untreated OSA.
Access to sleep medicine consultation should be available for patients with suspected or confirmed OSA.
Continuing existing OSA treatment during hospitalization is recommended unless contraindicated.

Clinical Implications

Hospitalists should prioritize screening for OSA in at-risk patients to facilitate timely diagnosis and treatment. Implementing the AASM guidelines can help improve patient outcomes and reduce hospital costs associated with untreated OSA.

Conclusion

The AASM's guidelines represent a significant step toward improving the management of obstructive sleep apnea in hospitalized adults, emphasizing the need for proactive screening and treatment.