OBJECTIVE:To obtain prevalence estimates of clinical features of obstructive sleep apnoea (OSA) and identify the dimensions of the public health problem requiring further investigation for an Australian population. METHODS:The South Australian Health Omnibus Survey is an annual representative population survey of South Australians aged≥15 years, conducted via interviewer-administered questionnaire. In 2009, 3007 participants were asked the STOP-BANG instrument measure of obstructive sleep apnoea risk, which includes symptoms of loud snoring, frequent tiredness during daytime, observed apnoea, and high blood pressure (STOP), and measured body mass index, age, neck circumference and gender (BANG). Three or more positive response categorises a person at high risk for OSA. RESULTS:Snoring was reported by 49.7% of adults. Tiredness after sleep more than 3 - 4 times per week was reported by 24.8%, and during wake-time by 27.7% of adults, with 8.8% reporting having fallen asleep while driving. Over half of the surveyed men (57.1%, n=566) and 19.3% (n=269) of the women were classified at high-risk of OSA with the STOP-BANG measure. In multivariable models, high risk was associated with less education, lower income, and residence in a regional rather than metropolitan area. CONCLUSION:The high prevalence of adults at risk for OSA suggests that the capacity currently available within the healthcare system to investigate and diagnose OSA is likely to be inadequate, particularly outside urban areas. This highlights an important public health problem that requires further detailed study and trials of new models of care.

译文

目的:获得阻塞性睡眠呼吸暂停(OSA)临床特征的患病率估计值,并确定需要进一步调查的澳大利亚人群公共卫生问题的范围。
方法:《南澳大利亚健康综合调查》是对年满15岁的南澳大利亚人进行的年度代表性人口调查,通过访调员管理的问卷调查进行。 2009年,有3007名参与者被要求使用STOP-BANG仪器测量阻塞性睡眠呼吸暂停的风险,包括大声打,白天频繁疲倦,观察到的呼吸暂停和高血压(STOP)的症状,以及测得的体重指数,年龄,脖子围和性别(BANG)。三个或更多的积极反应将高OSA风险的人归类。
结果:49.7%的成年人打S。据报告,睡眠后每周疲倦超过3-4次,占24.8%;在唤醒时间,成年人中有27.7%,其中有8.8%的人在开车时睡着了。通过STOP-BANG措施将超过一半的男性(57.1%,n = 566)和19.3%(n = 269)的女性归为OSA高危人群。在多变量模型中,高风险与受教育程度较低,收入较低以及居住在区域而不是大都市地区有关。
结论:高危人群中存在OSA的高患病率表明,医疗系统中目前可用于调查和诊断OSA的能力可能不足,尤其是在城市地区以外。这突出了一个重要的公共卫生问题,需要对新的护理模式进行进一步的详细研究和试验。

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