欧洲睡眠障碍的流行病学和经济负担
Claudio L A Bassetti1, Luisa S Welter2, Mateo Montes-Martinez2
1Medical Faculty, University of Bern and Neurology Department, Inselspital, Bern, Switzerland.
European journal of neurology
|February 14, 2026
概括
睡眠障碍 (SD) 显著影响健康和社会,但其负担被低估了. 这项研究揭示了欧洲各地的高患病率和实质性经济成本,突出了公共卫生战略中的关键差距.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 睡眠障碍 (SD) 显著影响神经,精神,身体和社会健康.
- 疾病的流行病学和经济负担仍未得到充分分析.
- 本研究通过调查欧洲SD的流行病学和成本来解决知识差距.
研究的目的:
- 在47个欧洲国家分析了五种主要睡眠障碍 (失眠,阻塞性睡眠呼吸暂停 (OSA),麻醉,不安腿综合征 (RLS) 和REM睡眠行为障碍 (RBD)) 的流行病学和经济负担.
- 确定有关SD的流行率和成本的文献中的当前知识差距.
- 通过量化睡眠健康的影响,为公共卫生战略提供信息.
主要方法:
- 系统性文献审查 (PubMed,2010年1月至2023年4月) 和专家通信确定了流行病学和疾病成本 (COI) 研究.
- 研究了四个流行病学参数,包括五个主要的SD的流行率.
- 经济分析对直接,间接和非正式的护理成本进行了分层,使用PPP调整的2019欧元,并考虑了国家特定的经济因素.
主要成果:
- 成年人患病率估计:OSA (18%),失眠 (10%),RLS (3%),麻醉症 (0.03%),RBD (0.009%). 在美国,这种疾病的发病率大约为2%.
- 经济数据仅限于高收入欧洲. 睡眠障碍造成的成本最高 (1840亿欧元),其次是失眠 (1580亿欧元).
- 直接和间接成本分别占总成本的48%和52%,非正式护理成本没有被评估.
结论:
- SD的高患病率和经济负担是相当大的,与其在公共卫生中的忽视形成鲜明对比.
- 迫切需要对睡眠障碍的全部负担进行更多的研究.
- 在公共卫生战略中,必须优先考虑睡眠健康和SD管理.
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