Increasing incidence and burden of obstructive sleep apnoea in the Finnish population: A cohort study from 2005 to 2019

IF 3.5 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Respiratory medicine Pub Date : 2025-05-14 DOI:10.1016/j.rmed.2025.108155

Peik Peuranheimo , Hanna-Riikka Kreivi , Jukka Ollgren , Satu Strausz , Tuula Vasankari , Toni Ruoranen , Hanna M. Ollila , Anne Hillamaa , Sanna Toppila-Salmi , Tiina Mattila

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引用次数: 0

Abstract

Background

Obstructive sleep apnoea (OSA) is a significant public health problem. We sought to characterize the typical features of patients with OSA and to study the burden and treatment of OSA in Finland from 2005 to 2019.

Methods

Our data included adult patients with OSA (n = 50 317) treated in 2005–2019 in secondary care in the Hospital District of Helsinki and Uusimaa (HUS). We collected diagnosis and procedure codes and healthcare contacts from HUS data lake. Word search from patient records included body mass index (BMI), smoking status, Epworth Sleepiness scale (ESS), apnoea-hypopnea-index (AHI), continuous positive airway pressure (CPAP) treatment, and Mallampati score. ResMed Airview program was used to calculate the prevalence of CPAP treatment in 2018–2022.

Findings

The annual incidence of OSA increased from 99 per 100 000 to 564 per 100 000 (+470 %) during 2005–2019. The most significant increase in healthcare contacts occurred in remote care and nurse visits from 336 to 35 959 per year (+10 602 %) and from 1051 to 23 609 per year (+2146 %), respectively. The prevalence of CPAP treatment increased from 0·74 % to 2·48 % during 2018–2022 (+235 %).

Interpretation

As the prevalence of OSA is increasing, the need for more efficient treatment protocols was seen as a shift towards telemedicine and as an increase in nurse visits. Data lake offers an efficient way to analyse large data sets of OSA patient characteristics and treatment strategies.

查看原文本刊更多论文

芬兰人群中阻塞性睡眠呼吸暂停的发病率和负担增加：2005年至2019年的一项队列研究

背景：阻塞性睡眠呼吸暂停（OSA）是一个严重的公共卫生问题。我们试图描述OSA患者的典型特征，并研究芬兰2005年至2019年的OSA负担和治疗。方法我们的数据包括2005-2019年在赫尔辛基医院区和乌西马（HUS）二级医疗机构接受治疗的OSA成年患者（n = 50317）。我们从溶血性尿毒综合征数据湖中收集诊断和程序代码以及医疗保健联系人。从患者记录中检索包括体重指数（BMI）、吸烟状况、Epworth嗜睡量表（ESS）、呼吸暂停低通气指数（AHI）、持续气道正压通气（CPAP）治疗和Mallampati评分。使用ResMed Airview程序计算2018-2022年CPAP治疗的患病率。研究结果：2005-2019年期间，OSA的年发病率从99 / 10万增加到564 / 10万（+ 470%）。医疗接触增加最显著的是远程护理和护士就诊，分别从每年336次增加到35 959次（+10 602%）和从每年1051次增加到23 609次（+2146 %）。在2018-2022年期间，CPAP治疗的患病率从0.74%增加到2.48%（+ 235%）。随着阻塞性睡眠呼吸暂停患病率的增加，对更有效的治疗方案的需求被视为向远程医疗的转变和护士就诊的增加。数据湖为分析OSA患者特征和治疗策略的大数据集提供了一种有效的方法。

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

Respiratory medicine 医学-呼吸系统

CiteScore

7.50

自引率

0.00%

发文量

199

审稿时长

38 days

期刊介绍： Respiratory Medicine is an internationally-renowned journal devoted to the rapid publication of clinically-relevant respiratory medicine research. It combines cutting-edge original research with state-of-the-art reviews dealing with all aspects of respiratory diseases and therapeutic interventions. Topics include adult and paediatric medicine, epidemiology, immunology and cell biology, physiology, occupational disorders, and the role of allergens and pollutants. Respiratory Medicine is increasingly the journal of choice for publication of phased trial work, commenting on effectiveness, dosage and methods of action.