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

At a Glance

Key Highlights

• 25%–77% of hospitalized adults may have OSA, often underdiagnosed.
• PAP treatment should continue during hospitalization unless contraindicated.
• Screening for OSA should be conducted for at-risk patients upon admission.
• Initiation of PAP therapy during hospitalization is recommended for untreated OSA.
• A discharge plan for OSA management is essential for continuity of care.

Guideline-Based Recommendations

Diagnosis

• Screen hospitalized adults at increased risk for OSA using validated questionnaires or overnight high-resolution pulse oximetry.

Management

• Start PAP therapy during admission for patients with untreated OSA.

Monitoring & Follow-up

• Ensure sleep medicine consultation is accessible for suspected or confirmed OSA cases.

Risks

• Inadequate screening and treatment may lead to longer hospital stays and increased healthcare costs.

Patient & Prescribing Data

Hospitalized adults with suspected or confirmed OSA.

PAP therapy should be initiated after acute illness stabilization.

Clinical Best Practices

• Implement a structured peri-discharge care plan for patients at risk for OSA.
• Utilize telehealth and E-consults for sleep medicine consultation.

Related Resources & Content

• American Academy of Sleep Medicine Guidelines