在儿童医疗保健机构诊断睡眠障碍
Ariel A Williamson1, Eberechukwu A Uwah2, Jungwon Min3
1Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA; The Ballmer Institute for Children's Behavioral Health, University of Oregon, Portland, OR, USA.
Sleep medicine
|April 24, 2024
概括
儿童睡眠障碍的诊断不足,影响2.36%的儿童. 基于保险,年龄和种族的诊断率存在差异,突出需要更好的识别和干预策略.
科学领域:
- 儿科健康 儿科健康
- 睡眠医学 睡眠医学
- 健康差异 在健康上的差异
背景情况:
- 睡眠障碍影响超过10%的儿童,影响整体健康,需要预防性干预.
- 准确的诊断和对儿科睡眠障碍的理解对于有效的管理至关重要.
研究的目的:
- 为了确定儿科睡眠障碍诊断的患病率.
- 分析这些诊断,跨越社会人口统计学因素和共同发生的条件.
- 为了确定诊断率的潜在差异.
主要方法:
- 使用2017年MarketScan数据库对超过1200万名儿童 (0-17岁) 的横截面分析.
- 通过ICD-10代码进行流行率评估;用于差异分析的多变量逻辑回归.
- 专注于医疗补助人口中的保险覆盖,种族和种族.
主要成果:
- 总体睡眠障碍诊断的患病率为2.36%,阻断性睡眠呼吸障碍 (oSDB) 和未指定的睡眠障碍是最常见的.
- 诊断在医疗补助保险儿童,2-5岁儿童和患有并发疾病的儿童中更为频繁.
- 观察到社会人口学差异,包括医疗补助组内的白人儿童的诊断率更高,黑人/非洲裔美国儿童的oSDB率更高.
结论:
- 索赔数据表明,与估计相比,儿童睡眠障碍的诊断不足,社会人口统计学差异很大.
- 迫切需要加强临床资源,以识别和管理儿童睡眠障碍.
- 解决诊断中的潜在偏见对于改善儿童福祉至关重要,因为睡眠是一个可修改的决定因素.
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