Utilization of Healthcare Resources in Obstructive Sleep Apnea Syndrome: a 5-Year Follow-Up Study in Men Using CPAP
| Autor: | Randy Walld, Katsuhisa Banno, Kenneth Delaive, Meir H. Kryger, Ahmed Al Sabbagh, Mohammed Albarrak, Jure Manfreda |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Cost-Benefit Analysis Polysomnography medicine.medical_treatment Severity of Illness Index Physiology (medical) medicine Humans Continuous positive airway pressure Retrospective Studies Sleep Apnea Obstructive Continuous Positive Airway Pressure medicine.diagnostic_test Electromyography business.industry Epworth Sleepiness Scale Sleep apnea Electroencephalography Manitoba Retrospective cohort study Health Services Middle Aged medicine.disease respiratory tract diseases Obstructive sleep apnea Physical therapy Neurology (clinical) Health Expenditures business Body mass index Follow-Up Studies Cohort study |
| Zdroj: | Sleep. 28:1306-1311 |
| ISSN: | 1550-9109 0161-8105 |
| DOI: | 10.1093/sleep/28.10.1306 |
| Popis: | STUDY OBJECTIVES Patients with untreated obstructive sleep apnea syndrome (OSAS) have higher healthcare utilization than matched controls. However, the long-term impact of continuous positive airway pressure (CPAP) use on healthcare utilization is unknown. DESIGN Retrospective observational cohort study. SUBJECTS There were 342 eligible men with OSAS and matched controls on whom there were utilization data for 5 years prior to initial OSAS diagnosis and for the 5 years on CPAP treatment of the cases. INTERVENTIONS Patients were treated with CPAP. RESULTS Patients with OSAS were typical cases (mean +/- SD): age, 48.2 +/- 0.6 years; body mass index, 35.6 +/- 0.4 kg/m2; Epworth Sleepiness Scale score, 14.2 +/- 0.3; apnea-hypopnea index, 47.1 +/- 1.8 events per hour. The number of physician visits were higher by 3.46 +/- 0.2 (95% confidence interval [CI]: 2.57 to 4.36) in cases in the year before diagnosis, compared with the fifth year before diagnosis, then decreased over the next 5 years by 1.03 +/- 0.49 (95% CI: -1.99 to -0.07)(P |
| Databáze: | OpenAIRE |
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