1232 Shall We Hold or Shall We Sleep

Introduction Nocturia is a common symptom among individuals with untreated and undiagnosed obstructive sleep apnea and is described as waking up from sleep two or more times to void. Interestingly, nocturia is not included in the American Academy of Sleep Medicine clinical practice recommendation to evaluate OSA in adults. Women's OSA symptoms differ from men's, and they are sometimes ignored or attributed to depression or insomnia, leading to an underestimation of OSA diagnosis. Especially nocturia in women is more frequently disregarded as a cause for sleep disturbances. A recent systematic analysis found a lack of data on the prevalence of OSA in Asians, particularly Asian women. Report of case(s) A 65-year-old Asian female with a history of osteoporosis who presented to the clinic with a chief complaint of nocturia. Historically, patient went to bed at 11 P.M. and awoke at 6 A.M. She denied history of any other sleep disorders. She complained of frequent nocturia which occured 3-4 times per night, requiring her to wake up every 1 or 2 hours to use the bathroom affecting sleep maintenance. She tried oxybutynin and mirabegron without much improvement. She did not report snoring, having witnessed apneas, or daytime fatigue. Her BMI was 21 and her neck circumference was 13 inches. A home sleep study was done resulting AHI 21.6, showing evidence of moderate obstructive sleep apnea. Patient was recommended to start Auto-CPAP. At 6-month follow up, she reported improvement in her nocturia symptom. Conclusion OSA has received increased public attention in recent years, and it is recognized to have serious health consequences if left untreated. Current screening standards in primary care include BMI, sex, age, pharyngeal anatomy, snoring, excessive daytime sleepiness, and the presence of hypertension. However, nocturia isn't included despite the fact that it is frequently reported and related with OSA. Nocturia is improved by treating OSA with PAP treatment or a mandibular advancement device. As a result, more research needs to be done on screening for OSA when nocturia is present, particularly in Asian women, in order to increase the efficacy of the screening method. Support (if any)