阻塞性睡眠呼吸暂停的急诊室患者的临床特征和资源利用情况
Mengzhu Sun1, Xingyu Zhang2, Yan-Cun Liu3
1The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
PloS one
|June 17, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 患者使用更多的急诊室资源,结果更差. 优化对OSA患者的护理可以减少临床和经济负担.
科学领域:
- 紧急医疗 紧急医疗
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 调查了在美国急诊室 (ED) 患有和没有阻塞性睡眠呼吸暂停 (OSA) 的患者之间的差异.
- 专注于人口统计,资源利用,临床特征和结果.
研究的目的:
- 在急诊室 (ED) 描述阻塞性睡眠呼吸暂停 (OSA) 患者.
- 为了在ED环境中比较OSA和非OSA患者之间的资源利用和结果.
主要方法:
- 来自2016-2017年国家医院门诊医疗保健调查的成年ED访问的分析.
- 根据已记录的OSA诊断或ICD-10-CM代码对患者进行分类.
- 后勤回归用于调整混因素并分析入院和资源使用等结果.
主要成果:
- 阻塞性睡眠呼吸暂停 (OSA) 占每年近600万次ED访问的比例.
- OSA患者更有可能是男性和老年人,出现呼吸道和心血管症状.
- OSA患者的住院率较高 (30.3%对13.7%),医疗资源利用率增加,包括血液检测和成像.
结论:
- 阻塞性睡眠呼吸暂停 (OSA) 患者在急诊室中代表了一个独特的,高急性亚组.
- 与非OSA患者相比,OSA患者的资源需求更大,结果更差.
- 优化OSA患者的护理策略对于减轻临床和经济负担至关重要.
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