阻塞性睡眠呼吸暂停的全球社会经济负担:全面审查
Paolo Zappalà1, Mario Lentini1,2, Salvatore Ronsivalle1,3
1Department of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.
Healthcare (Basel, Switzerland)
|September 13, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 影响全球9.36亿成年人,每年花费数十亿美元. 解决这一公共卫生问题需要改善诊断和治疗的机会,特别是在服务不足的地区.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍存在的疾病,具有重大的社会经济影响.
- 城市化加剧和人口老龄化导致OSA患病率上升.
- 未经处理的OSA严重负担医疗保健系统,劳动生产率和事故成本.
研究的目的:
- 分析阻塞性睡眠呼吸暂停 (OSA) 的全球社会经济负担.
- 评估OSA在不同地区和收入水平的流行病学,经济和医疗保健政策视角.
主要方法:
- 发表的研究和世卫组织报告的全面叙事审查.
- 分析包括直接的医疗成本,间接的社会成本以及诊断和治疗技术的成本效益.
主要成果:
- 据估计,全世界有9.36亿成年人患有OSA.
- 未经治疗的OSA造成的医疗费用是医疗费用的2.5倍;美国社会成本每年超过1500亿美元.
- 每名患者的重大全球成本高达28,000欧元 (美国) 和1700-5000欧元 (欧洲),治疗机会不平等.
结论:
- 统一的全球护理,通过便携式技术及时诊断和可扩展的解决方案对于减少OSA的社会损失至关重要.
- 政策支持,公共教育和保险改革对于优化全球OSA管理至关重要.
- 像人工智能诊断和远程医疗这样的新方法提供了潜在的成本降低,并改善了服务不足的人群的遵守.
相关概念视频
Sleep Apnea
484
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
484
Other Pulmonary Disorders
1.5K
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
1.5K
Insufficient Sleep and Sleep Deprivation
840
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
840
Chronic Obstructive Pulmonary Disease
2.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
2.3K
Chronic Obstructive Pulmonary Disease-I: Introduction
3.6K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
3.6K
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
4.2K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
4.2K


