1996年から2018年までのフィンランドにおける睡眠無呼吸症の増加:国家登録調査

Hannele Hasala¹, Tiina Mattila², Hanna-Riikka Kreivi²

¹Department of Respiratory Medicine, Tampere University Hospital, The Wellbeing Services County of Pirkanmaa, PO Box 2000 33521 Tampere, Finland.

Respiratory medicine and research

|August 30, 2025

まとめ

障害性睡眠無呼吸の診断と費用は年配のフィンランド人の間で著しく増加しています. 診断の改善は認められていますが,過剰な治療を避けるには,継続的な陽性気道圧 (CPAP) による標的治療が不可欠です.

科学分野:

ゲロントロジー
公衆衛生
呼吸器医学

背景:

阻害性睡眠無呼吸 (OSA) は世界的に医療費負担が大きくなっています
フィンランドのOSAの診断は1996年から2018年の間に7倍に増加しました.
この研究では,高齢のフィンランド人 (年齢 ≥60歳) の23年間のOSA傾向を調査した.

研究の目的:

フィンランドの高齢者の睡眠無呼吸症の罹患率と医療費を分析する.
継続的な正気道圧 (CPAP) 処理利用と関連するコストの動向を調査する.

主な方法:

フィンランド公衆衛生局の登録データを使用した (1996年−2018年).
タンペレとヘルシンキの呼吸器外科クリニックからの2番目のコホート (2010年−2019年) を分析した.
60歳以上の人々に焦点を当てた.

主要な成果:

睡眠時無呼吸の診断は,60~69歳のグループで9倍,70歳以上のグループで23倍に増加した.
睡眠時無呼吸の直接的な医療費は100万ユーロから1600万ユーロに増加した.
肥満は重要で増大するリスク因子として特定されました.

結論:

睡眠時無呼吸とCPAP治療の費用はフィンランド人の高齢者の間で憂慮すべきほど増加しています
認知と診断の改善は過剰な診断と過剰な治療の危険性があります
CPAPの治療には本当に必要な患者をターゲットにすることが必要です

キーワード:

CPAP について高齢者肥満睡眠無呼吸症

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