Sleep disorders in regional sleep centers: a national cooperative study. Coleman II Study Investigators.
Sleep disorders in regional sleep centers: a national cooperative study. Coleman II Study Investigators.
复制标题
区域睡眠中心的睡眠障碍：一项全国合作研究。
作者：
Punjabi,NM;Welch,D;Strohl,K
在过去的二十年里，人们对睡眠障碍的认识和专业知识有所增加。本研究的目的是确定在区域睡眠中心诊断的睡眠相关疾病的谱，并将其与1982年发表的先前调查进行比较。设计一项为期两个月的前瞻性点患病率调查设置美国19个经认可的区域睡眠中心。和不宁腿综合征是报告的前三位主要诊断，患病率分别为67.8%，4.9%和3.2%。然而，整个睡眠障碍的范围都在研究样本中得到了代表。近三分之一的患者有非呼吸性睡眠障碍的主要或次要诊断。转诊医生最有可能来自内科、肺内科和耳鼻喉科。与1982年的上一次调查相比，患者转诊/中心的数量绝对增加，最终诊断为非呼吸睡眠相关问题的患者/中心数量增加了2 - 4倍。此外，有一个更大的20倍增加阻塞性睡眠呼吸暂停的诊断。ConclusionRegional睡眠中心遇到越来越多的病人转介和广泛的睡眠相关疾病。转诊的主要原因与阻塞性睡眠呼吸暂停、发作性睡病和不宁腿综合征有关。
Study ObjectiveIn the last two decades there has been an increase in the awareness of and professional expertise in sleep disorders. The objective of this study was to determine the spectrum of sleep-related disorders diagnosed in regional sleep centers and compare this to a previous survey published in 1982.DesignA two-month prospective point-prevalence surveySettingNineteen accredited regional sleep centers in the United StatesParticipantsPatients evaluated at regional sleep centers during a two-month period.InterventionsNAResultsObstructive sleep apnea, narcolepsy, and restless legs syndrome were the top three reported primary diagnoses with a prevalence of 67.8%, 4.9%, and 3.2%, respectively. The entire range of sleep disorders, however, was represented in the study sample. Nearly a third of patients had either a primary or secondary diagnosis of a non-respiratory sleep disorder. Referral physicians were most likely to be from internal medicine, pulmonary medicine, and otolaryngology. Compared to the previous survey from 1982, there has been an absolute increase in patient referrals/center with a two- to four-fold increase in the number of patients/center with a final diagnosis of a non-respiratory sleep-related problem. Moreover, there has been a greater than twentyfold increase in the diagnosis of obstructive sleep apnea.ConclusionRegional sleep centers are encountering increasing patient referrals and a broad range of sleep-related disorders. The predominant reasons for referral are related to obstructive sleep apnea, narcolepsy, and restless legs syndrome.