阻塞性睡眠呼吸暂停在加拿大的流行率和区域分布:加拿大衰老纵向研究的分析
Dorrie Rizzo1, Marc Baltzan2,3, Sanjeev Sirpal4
1Hôpital Mont-Sinaï, Montréal, QC, Canada. dorrie.rizzo@mail.mcgill.ca.
概括
近30%的45-85岁的加拿大成年人有中度至重度的阻塞性睡眠呼吸暂停 (OSA),但大多数仍未被诊断出来. 这凸显了人们对这种常见疾病的认识存在很大的差距,这会影响整体健康.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的慢性疾病,对生活质量和健康有重大影响.
- 许多OSA病例仍然未被诊断或被诊断迟,导致长时间的痛苦和健康并发症.
研究的目的:
- 估计加拿大阻塞性睡眠呼吸暂停 (OSA) 的全国患病率.
- 在一个代表性的加拿大成年人群中评估OSA的诊断状态.
主要方法:
- 使用经过验证的STOP-BANG尺度进行OSA的个体风险估计.
- 采用了加拿大加拿大老龄化纵向研究 (CLSA) 的分层人口样本.
主要成果:
- 在51,337名成年人 (45-85岁) 中,中度至重度OSA的总体患病率在2015年为28.1%.
- 区域患病率各不相同,身体质量指数 (BMI) 是一个关键决定因素.
- 只有1.2%的参与者报告了OSA的临床诊断.
结论:
- 绝大多数 (92.9%) 患有OSA高风险的人未被诊断.
- 在加拿大,对OSA诊断和管理有很大的未满足需求.
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