COVID-19对睡眠服务使用及其恢复的影响
Amin Ramezani1,2,3,4, Amir Sharafkhaneh1,4, Ahmed S BaHammam5,6
1VA's Health Services Research and Development Service (HSR&D), Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, 77030, USA.
Nature and science of sleep
|June 17, 2024
概括
COVID-19影响了睡眠测试服务,在整个大流行期间,多睡眠术的使用量正在下降. 首页 睡眠呼吸暂停 测试使用量最初下降,但疫苗接种后急剧增加,显示差异性恢复.
科学领域:
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了医疗保健服务的利用.
- 睡眠测试服务,包括多睡眠学 (PSG) 和家庭睡眠呼吸暂停测试 (HSAT),经历了独特的变化.
- 了解这些变化对于在公共卫生危机期间和之后管理睡眠障碍至关重要.
研究的目的:
- 评估COVID-19大流行对退伍军人卫生管理局 (VHA) 内的睡眠测试利用 (STU) 的影响.
- 分析流行病后的多睡眠学 (PSG) 和家庭睡眠呼吸暂停测试 (HSAT) 的差异恢复模式.
- 在疫情期间评估睡眠测试服务向家庭睡眠呼吸暂停测试 (HSAT) 的过渡.
主要方法:
- 以2019年1月至2023年10月的退伍军人卫生管理局 (VHA) 数据为依据的回顾性队列研究.
- 包括50岁及以上的退伍军人.
- 使用当前程序术语代码对五个不同的流行病时期的睡眠测试利用率 (STU) 的分析:流行病前,暂停,疫苗接种前,疫苗接种和疫苗接种后.
主要成果:
- 与流行病前水平相比,在所有流行病阶段,聚睡眠学 (PSG) 的使用量显著下降.
- 家庭睡眠呼吸暂停测试 (HSAT) 的使用率最初下降,但在接种疫苗和接种后期间显著增加.
- 超过70%的睡眠测试服务转向HSAT,在疫苗引入五个月后观察到HSAT使用量的激增.
结论:
- 睡眠测试服务的利用表明,在COVID-19大流行期间,PSG和HSAT之间存在差异性的恢复模式.
- 对家庭睡眠呼吸暂停测试 (HSAT) 发生了重大转变,特别是在疫苗接种后的时代.
- 这些发现凸显了睡眠测试服务的适应性和HSAT在管理睡眠呼吸暂停方面的不断增长的作用.
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