评估社区层面的劣势和儿科阻塞性睡眠呼吸暂停的严重程度
Jenny Kim1, Yann-Fuu Kou1,2, Stephen R Chorney1,2
1Department of Otolaryngology University of Texas Southwestern Medical Center Dallas Texas USA.
Laryngoscope investigative otolaryngology
|August 25, 2023
概括
在儿童中,邻里处于不利地位并没有显著影响严重阻塞性睡眠呼吸暂停 (OSA). 肥胖与严重的OSA有关,而年龄较大与桃体切除术后残留的OSA相关.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童常见的疾病,影响他们的健康和发育.
- 社会经济因素可能会影响OSA的患病率和严重程度,但它们的独立作用需要进一步调查.
- 了解社区层面的影响对于解决儿科OSA的健康差异至关重要.
研究的目的:
- 调查社区社会经济劣势与儿童严重阻塞性睡眠呼吸暂停 (OSA) 之间的关联.
- 为了确定区域水平的剥夺是否预测了腺切除术后严重的OSA或残留OSA的存在.
主要方法:
- 对249名接受腺切除术的儿童进行了回顾性病例对照研究,并进行了手术前的多睡眠记录.
- 儿童被分为社会经济弱势和优势群体,使用区域贫困指数 (ADI).
- 呼吸暂停-呼吸暂停指数 (AHI) 和严重的OSA存在是主要结局;手术后残留的中度或较大的OSA是次要结局.
主要成果:
- 在社会经济弱势群体和优势群体之间没有观察到AHI或严重OSA的显著差异.
- 严重的OSA与肥胖独立相关 (OR=3.13,95% CI=1.83-5.34).
- 手术后残留的中度或较大的OSA与年龄较大有关 (OR=1.20,95% CI=1.05-1.38).
结论:
- 根据ADI测量,邻里社会经济劣势在这个儿科队列中与严重或残留的OSA没有显著相关.
- 虽然邻里处于不利地位可能会导致OSA并发症,但在本研究中,它并没有成为严重OSA的独立风险因素.
- 肥胖和年龄较大被确定为与OSA严重程度和持续性相关的重要因素.
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