Prevalence of Obstructive Sleep Apnea Using Home Sleep Test in Taiwan During the Coronavirus Disease Pandemic.

Autor:	Chou TT; Department of Otolaryngology, Taipei City Hospital, Taipei City, Taiwan., Hsu HC; Department of Otolaryngology, Taipei City Hospital, Taipei City, Taiwan.; Graduate Institute of Business Administration, College of Management, Fu Jen Catholic University, New Taipei City, Taiwan.; General Education Center, University of Taipei, Taipei City, Taiwan., Twu CW; Department of Otorhinolaryngology, Head and Neck Surgery, Changhua Christian Hospital, Changhua County, Taiwan.; Department of Post-Baccalaureate Medicine, National Chung Hsing University, Taichung City, Taiwan., Huang WK; Division of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan City, Taiwan., Huang HM; Department of Otolaryngology, Taipei City Hospital, Taipei City, Taiwan.; Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan., Weng SH; Department of Education and Research, Taipei City Hospital, Taipei City, Taiwan., Chen MC; Graduate Institute of Business Administration, College of Management, Fu Jen Catholic University, New Taipei City, Taiwan.
Jazyk:	angličtina
Zdroj:	Nature and science of sleep [Nat Sci Sleep] 2023 Dec 22; Vol. 15, pp. 1107-1116. Date of Electronic Publication: 2023 Dec 22 (Print Publication: 2023).
DOI:	10.2147/NSS.S434278
Abstrakt:	Background: Obstructive sleep apnea syndrome (OSAS) is a common disorder associated with serious sequelae. The current gold standard diagnostic method, polysomnography, is costly and time consuming and requires patients to stay overnight at a facility. Aim: This study aimed to reveal the prevalence of OSAS in general adult population using a home sleep test (HST) during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This prospective cohort study was conducted by the Department of Otolaryngology, Taipei City Hospital, Taipei, Taiwan, between January 2020 and December 2021. A total of 1372 patients aged 30-70 years completed an HST using a Type 3 portable sleep monitor (PM). The apnea-hypopnea index (AHI) was analyzed to assess the association of OSAS with age, body mass index (BMI), sex, Epworth Sleepiness Scale (ESS) and the Sleep Apnea Risk Assessment questionnaire (STOP-Bang questionnaire) rating. Results: The mean age of the patients (782 men, 57%; 590 women, 43%) was 49.24 ± 11.04 years. OSAS was detected in 954 (69.5%) patients with 399 (29.1%) mild OSAS; 246 (17.9%) moderate OSAS; and 309 (22.5%) severe OSAS. Among these, the prevalence of moderate-to-severe OSAS was 143 (10.4%) in women and 412 (30.0%) in men. The mean age was the highest (51.29 ± 11.29) in the mild OSAS group and lowest (47.08 ± 10.87) in the healthy group. OSAS severity was greater with increasing BMI, 23.39 ± 3.44 in the healthy group and 29.29 ± 5.01 in the severe OSAS group. A positive correlation was also noted between the ESS/STOP-Bang questionnaire rating and OSAS severity. Conclusion: The prevalence of OSAS in Taiwan was 69.5% in our study. It showed strong evidence that OSAS has important public health consequences and PMs are simple, fast, feasible, and cost-effective tools for OSAS screening in the home environment, especially during the COVID-19 pandemic. Competing Interests: The authors declare that they have no conflict of interest. (© 2023 Chou et al.)
Databáze:	MEDLINE
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