Identifying gaps in clinical evaluation and treatment of sleep-disordered breathing in women veterans.

Autor:	Moghtaderi I; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA., Kelly MR; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA., Carlson GC; Department of Mental Health, VA Greater Los Angles Healthcare System, Los Angeles, CA, USA.; VA Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA., Fung CH; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA., Josephson KR; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Song Y; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.; School of Nursing, University of California, Los Angeles, Los Angeles, CA, USA., Swistun D; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Zhu R; University of Arizona, Phoenix School of Medicine, Phoenix, AZ, USA., Mitchell M; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Lee D; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Badr MS; Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI, USA.; John D. Dingell Veterans Affairs Medical Center, Detroit, MI, USA., Washington DL; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.; VA Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Yano EM; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.; VA Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Health Policy & Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA., Alessi CA; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA., Zeidler MR; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.; Division of Pulmonary, Critical Care and Sleep Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA., Martin JL; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. Jennifer.Martin@VA.gov.; Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA. Jennifer.Martin@VA.gov.; VA Sepulveda Ambulatory Care Center, 16111 Plummer Street (11E), North Hills, CA, 91343, USA. Jennifer.Martin@VA.gov.
Jazyk:	angličtina
Zdroj:	Sleep & breathing = Schlaf & Atmung [Sleep Breath] 2023 Oct; Vol. 27 (5), pp. 1929-1933. Date of Electronic Publication: 2022 Dec 16.
DOI:	10.1007/s11325-022-02765-1
Abstrakt:	Purpose: Sleep-disordered breathing (SDB) is a common sleep disorder in veterans; however, limited research exists in women veterans. We sought to estimate patterns of care in terms of evaluation, diagnosis, and treatment among women veterans with factors associated with elevated SDB risk. Methods: Within one VA healthcare system, women identified through electronic health record data as having one or more factors (e.g., age >50 years, hypertension) associated with SDB, completed telephone screening in preparation for an SDB treatment study and answered questions about prior care related to SDB diagnosis and treatment. Results: Of 319 women, 111 (35%) reported having completed a diagnostic sleep study in the past, of whom 48 (43%) were diagnosed with SDB. Women who completed a diagnostic study were more likely to have hypertension or obesity. Those who were diagnosed with SDB based on the sleep study were more likely to have hypertension, diabetes, or be ≥50 years old. Of the 40 women who received treatment, 37 (93%) received positive airway pressure therapy. Only 9 (24%) had used positive airway pressure therapy in the prior week. Few women received other treatments such as oral appliances or surgery. Conclusions: Findings support the need for increased attention to identification and management of SDB in women veterans, especially those with conditions associated with elevated SDB risk. (© 2022. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Full text from SpringerLink