在美国现役军事人员中,阻塞性睡眠呼吸暂停的健康和利用负担
Emerson M Wickwire1, Vincent F Capaldi2, Jeph Herrin3
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD.
Chest
|May 14, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 在现役军人中显著增加了健康风险和医疗保健使用. 早期查和治疗OSA对于这一群体至关重要.
科学领域:
- 军人卫生保健 军人卫生保健
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 对平民造成重大健康和经济负担.
- 关于在现役军人中OSA负担的数据有限.
研究的目的:
- 为了确定美国现役军人中阻塞性睡眠呼吸暂停 (OSA) 的健康和医疗保健利用负担.
主要方法:
- 一个1:1匹配的队列研究使用军事数据库数据 (2016-2021).
- 包括现役服役人员 (65岁以下) 12个月连续入伍前/后OSA诊断.
- 使用ICD-10代码定义OSA和并发症;使用时间到事件和通用线性模型分析结果.
主要成果:
- 匹配了59,203名有OSA的军人与59,203名没有OSA的军人;81%的人年龄在44岁以下.
- OSA与所有身体和心理健康结果的风险增加有关,包括PTSD风险增加四倍 (HR=4.41).
- 每年每59203人中,OSA与额外的170,511例门诊,66例住院和1,852例ED接触有关.
结论:
- 阻塞性睡眠呼吸暂停 (OSA) 与美国现役军人的不良身体和心理健康结果大幅增加有关.
- 在12个月的时间内,OSA显著增加了医疗保健资源的利用率.
- 针对性查,分类和治疗OSA可能会为这一群体带来显著的好处.
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