Routine and urgent referrals – ICST

Routine and urgent referrals

If Obstructive Sleep Apnoea is suspected (with symptoms suggestive of OSA and/or an accompanying Epworth sleepiness questionnaire score of more than 10) adults should be referred to a sleep centre for diagnosis and treatment. Some patients, may require a more urgent referral, including those:

  • With features suggestive of a head and neck cancer
  • Who have symptoms of daytime sleepiness whilst driving or working with machinery, or are employed in hazardous occupations (for example bus or lorry drivers)
  • With signs of respiratory or heart failure
  • With symptoms suggestive of severe OSAS and coexistent COPD
  • For adults where there are concerns about job security
  • Children should be referred to a paediatric ear, nose, and throat specialist if they have adenotonsillar hypertrophy and symptoms of persistent snoring.

Routine and urgent referrals

If Obstructive Sleep Apnoea is suspected (with symptoms suggestive of OSA and/or an accompanying Epworth sleepiness questionnaire score of more than 10) adults should be referred to a sleep centre for diagnosis and treatment. Some patients, may require a more urgent referral, including those:

  • With features suggestive of a head and neck cancer
  • Who have symptoms of daytime sleepiness whilst driving or working with machinery, or are employed in hazardous occupations (for example bus or lorry drivers)
  • With signs of respiratory or heart failure
  • With symptoms suggestive of severe OSAS and coexistent COPD
  • For adults where there are concerns about job security
  • Children should be referred to a paediatric ear, nose, and throat specialist if they have adenotonsillar hypertrophy and symptoms of persistent snoring.
Mark as Understood
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