患有阻塞性睡眠呼吸暂停的成年人进行鼻腔手术的人口统计
Swapnil Shah1,2, Jeanne A Darbinian3, Samuel A Collazo2
1Department of Surgery Creighton University School of Medicine Omaha Nebraska USA.
OTO open
|September 18, 2024
概括
患有阻塞性睡眠呼吸暂停 (OSA) 的年轻人,男性,BMI较低,社会经济地位较高 (SES) 的成年人更有可能接受鼻腔手术 (NS). 与非西班牙裔白人患者相比,黑人和亚洲/太平洋岛民患者的NS几率较低.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病,影响着数百万成年人.
- 鼻腔手术 (NS) 有时用于解决OSA,但患者选择标准需要进一步调查.
- 了解NS利用中的人口差异对于公平的护理至关重要.
研究的目的:
- 为了比较接受NS的成年OSA患者的人口和临床特征与没有接受NS的患者.
- 在OSA人群中确定与经历NS相关的因素.
主要方法:
- 使用北加利福尼亚州凯泽永久医院临床数据库 (2009-2017年) 的回顾性队列研究.
- 分析包括174,821名被诊断为OSA的成年患者.
- 使用多变量逻辑回归来检查患者特征与NS之间的关联.
主要成果:
- 在OSA患者中,只有2.0% (3518) 接受了NS,而排血是最常见的手术.
- 与非手术患者相比,NS患者的年轻,男性,BMI较低,并较少出现并发症的可能性明显高 (P < .001).
- 调整后的分析显示,与非西班牙裔白人相比,黑人 (OR 0.58) 和亚洲/太平洋岛民 (OR 0.54) 患者的NS几率较低. 贫困地区的患者也有较低的NS几率 (OR 0.82).
结论:
- 人口因素,包括种族/族裔,社会经济地位,年龄,性别和BMI,与OSA患者接受NS有关.
- 在NS利用方面存在种族和社会经济差异,需要进一步调查和有针对性的干预.
- 这些发现强调了需要公平地获得OSA的外科干预的必要性.
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