使用优惠券启动 CPAP 治疗--公共和私营医疗保健机构可以合作。

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-12-01 Epub Date: 2024-09-20 DOI:10.1007/s11325-024-03159-1

Toni Jämsänen, Pirkko Brander, Adel Bachour

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引用次数: 0

摘要

目的：随着睡眠呼吸暂停发病率的增加，医护人员的工作量也随之增加。持续气道正压疗法（CPAP）是治疗阻塞性睡眠呼吸暂停的金标准疗法。为了减少 CPAP 在公共医疗机构的候诊人数，我们建议在私立诊所使用 CPAP 优惠券来启动 CPAP。本研究评估了通过该凭证启动 CPAP 的成功率：方法：我们从睡眠呼吸暂停诊所中挑选了年龄在 18-80 岁之间、无明显生理或心理并发症的患者，让他们开始使用 CPAP。三家私人诊所（A、B、C）接受了 CPAP 凭证：结果：共有 1922 名患者符合 CPAP 凭单标准。其中，我们纳入了 1604 名患者（38% 为女性）。平均体重指数为 32 kg/m2，平均年龄为 55 岁，平均呼吸暂停-低通气指数为 34/h。在 1 年的随访中，有 113 名患者的数据缺失。在剩余的 1491 名患者中，有 1398 人在 1 年后继续接受 CPAP 治疗，表明 CPAP 治疗的成功率为 94%。在开始使用 CPAP 1 年后继续使用 CPAP 的患者人数方面，各诊所之间没有明显差异：心肺复苏术治疗券可以减少公共医疗机构中心肺复苏术候诊人数，且成功率较高。

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Use of vouchers for CPAP therapy initiation - public and private health care could work together.

Purpose: The increasing incidence of sleep apnea has led to an increased workload for healthcare professionals. Continuous positive airway pressure (CPAP) is the gold standard therapy for obstructive sleep apnea. To reduce the CPAP waiting list in public healthcare, we proposed a CPAP voucher for use in private clinics for CPAP initiation. This study evaluated the success rate of CPAP initiation via this voucher.

Methods: We selected patients from our sleep apnea clinic referred to CPAP initiation aged 18-80 years with no significant physical or psychological comorbidity. Three private clinics (A, B, C) accepted the CPAP voucher.

Results: A total of 1922 patients fulfilled CPAP voucher criteria. Of these, we included 1604 patients (38% women). Mean BMI was 32 kg/m², mean age was 55 years, and mean apnea-hypopnea index was 34/h. Data were missing for 113 patients at the 1-year follow-up visit. Of the remaining 1491 patients, 1398 continued CPAP therapy beyond 1 year, indicating a CPAP therapy success rate of 94%. There were no significant differences between clinics in the number of patients staying on CPAP at 1 year after initiation.

Conclusion: A CPAP voucher may reduce the CPAP initiation waiting list in public healthcare with a good success rate.

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.