Comorbid insomnia in patients undergoing surgery for obstructive sleep apnea: Clinical profile and postoperative outcomes in a nationwide cohort.

Pedro Gomes de Oliveira¹, Elaine Costa², Thomas Young², Robson Capasso², Daniel David Rodriguez-Romero³, Carlos Reina³, Honor Magon³, Jananee Muralidharan³, Kim H Nguyen³, Jeremy Coyle³, C William Pike³, Miguel Meira E Cruz⁴

¹Department of Otolaryngology-Head and Neck Surgery, Division Sleep Surgery, Stanford School of Medicine, Stanford, CA, United States. Electronic address: pedromgo@stanford.edu.

²Department of Otolaryngology-Head and Neck Surgery, Division Sleep Surgery, Stanford School of Medicine, Stanford, CA, United States.

³Atropos Health, New York, NY, United States.

⁴Sleep Unit, Cardiovascular Center of the University of Lisbon (CCUL@RISE), Lisbon School of Medicine, Portugal. Electronic address: mcruz@medicina.ulisboa.pt.

PubMed DOI

Abstract

INTRODUCTION: Comorbid insomnia and obstructive sleep apnea (COMISA) remains undercharacterized in surgical populations. We compared baseline profiles and postoperative outcomes in patients with COMISA versus OSA alone undergoing upper airway surgery. METHODS: Retrospective cohort study using the Apollo electronic health record and claims dataset (2015-2024). Adults with OSA undergoing upper airw…

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