Effects of COVID-19 on Sleep Services Use and Its Recovery.

IF 3 2区医学 Q2 CLINICAL NEUROLOGY Nature and Science of Sleep Pub Date : 2024-06-11 eCollection Date: 2024-01-01 DOI:10.2147/NSS.S456214

Amin Ramezani, Amir Sharafkhaneh, Ahmed S BaHammam, Samuel T Kuna, Javad Razjouyan

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Abstract

Purpose: The COVID-19 pandemic affected the utilization of various healthcare services differentially. Sleep testing services utilization (STU), including Home Sleep Apnea Testing (HSAT) and Polysomnography (PSG), were uniquely affected. We assessed the effects of the pandemic on STU and its recovery using the Veterans Health Administration (VHA) data.

Patients and methods: A retrospective cohort study from the VHA between 01/2019 and 10/2023 of veterans with age ≥ 50. We extracted STU data using Current Procedural Terminology codes for five periods based on STU and vaccination status: pre-pandemic (Pre-Pan), pandemic sleep test moratorium (Pan-Mor), and pandemic pre-vaccination (Pan-Pre-Vax), vaccination (Pan-Vax), and postvaccination (Pan-Post-Vax). We compared STU between intervals (Pre-Pan as the reference).

Results: Among 261,371 veterans (63.7±9.6 years, BMI 31.9±6.0 kg/m², 80% male), PSG utilization decreased significantly during Pan-Mor (-56%), Pan-Pre-Vax (-61%), Pan-Vax (-42%), and Pan-Post-Vax (-36%) periods all compared to Pre-Pan. HSAT utilization decreased significantly during the Pan-Mor (-59%) and Pan-Pre-Vax (-9%) phases compared to the Pre-Pan and subsequently increased during Pan-Vax (+6%) and Pan-Post-Vax (-1%) periods. Over 70% of STU transitioned to HSAT, and its usage surged five months after the vaccine Introduction.

Conclusion: Sleep testing services utilization recovered differentially during the pandemic (PSG vs HSAT), including a surge in HSAT utilization post-vaccination.

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COVID-19 对睡眠服务使用及其恢复的影响

目的：COVID-19 大流行对各种医疗保健服务的使用产生了不同程度的影响。包括家庭睡眠呼吸检测（HSAT）和多导睡眠图（PSG）在内的睡眠检测服务利用率（STU）受到了独特的影响。我们利用退伍军人健康管理局（VHA）的数据评估了大流行对 STU 及其恢复的影响：在 2019 年 1 月 1 日至 2023 年 10 月 10 日期间，退伍军人健康管理局对年龄≥ 50 岁的退伍军人进行了一项回顾性队列研究。我们根据 STU 和疫苗接种状态，使用当前程序术语代码提取了五个时期的 STU 数据：大流行前 (Pre-Pan)、大流行睡眠测试暂停 (Pan-Mor)、大流行疫苗接种前 (Pan-Pre-Vax)、疫苗接种 (Pan-Vax) 和疫苗接种后 (Pan-Post-Vax)。我们比较了不同间隔期的 STU（以泛前为参照）：在 261,371 名退伍军人（63.7±9.6 岁，BMI 31.9±6.0kg/m²，80% 为男性）中，与 "泛种前 "相比，"泛毛 "期间（-56%）、"泛种前 "期间（-61%）、"泛种后 "期间（-42%）和 "泛种后 "期间（-36%）的 PSG 使用率均显著下降。在泛摩尔（-59%）和泛前疫苗（-9%）阶段，HSAT 的使用率与泛前相比大幅下降，随后在泛疫苗（+6%）和泛后疫苗（-1%）阶段有所上升。超过70%的STU过渡到了HSAT，其使用率在疫苗引入5个月后激增：结论：在大流行期间，睡眠检测服务的使用率出现了不同程度的恢复（PSG 与 HSAT），其中 HSAT 的使用率在疫苗接种后激增。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nature and Science of Sleep Neuroscience-Behavioral Neuroscience

CiteScore

5.70

自引率

5.90%

发文量

245

审稿时长

16 weeks

期刊介绍： Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep. Specific topics covered in the journal include: The functions of sleep in humans and other animals Physiological and neurophysiological changes with sleep The genetics of sleep and sleep differences The neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulness Behavioral and pharmacological interventions aimed at improving sleep, and improving wakefulness Sleep changes with development and with age Sleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause) The science and nature of dreams Sleep disorders Impact of sleep and sleep disorders on health, daytime function and quality of life Sleep problems secondary to clinical disorders Interaction of society with sleep (e.g., consequences of shift work, occupational health, public health) The microbiome and sleep Chronotherapy Impact of circadian rhythms on sleep, physiology, cognition and health Mechanisms controlling circadian rhythms, centrally and peripherally Impact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and health Behavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruption Assessment of technologies and biomarkers for measuring sleep and/or circadian rhythms Epigenetic markers of sleep or circadian disruption.