Temporal Trends in the Practice Pattern for Sleep-Disordered Breathing in Patients With Cardiovascular Diseases in Japan - Insights From the Japanese Registry of All Cardiac and Vascular Diseases - Diagnosis Procedure Combination.

IF 1.1 4区 工程技术 Q3 ACOUSTICS
Journal of the Audio Engineering Society Pub Date : 2022-08-25 Epub Date: 2022-04-27 DOI:10.1253/circj.CJ-22-0082
Ryohei Takeishi, Akiomi Yoshihisa, Yu Hotsuki, Fumiya Anzai, Yu Sato, Yoko Sumita, Michikazu Nakai, Tomofumi Misaka, Yasuchika Takeishi
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引用次数: 0

Abstract

Background: After the publication of the Japanese Circulation Society guideline of sleep-disordered breathing (SDB) in 2010, with new evidence and changes to the health insurance system, trends in the practice pattern for SDB in patients with cardiovascular disease (CVD) might have changed.

Methods and results: This study evaluated the temporal changes in the practice pattern for SDB by using a nationwide claim database, the Japanese Registry of All Cardiac and Vascular Diseases - Diagnosis Procedure Combination (JROAD-DPC), from 2012 to 2019. The main findings were: (1) the number of CVD patients diagnosed with SDB increased (especially those with atrial fibrillation [AF] and heart failure [HF]); (2) the number of diagnostic tests for SDB performed during hospitalization increased for AF patients (from 1.3% in 2012 to 1.8% in 2019), whereas it decreased for other CVD patients; (3) the number of patients diagnosed with SDB increased in each type of CVD, except for patients with acute myocardial infarction (AMI); (4) continuous positive airway pressure (CPAP) treatment increased for AF patients (from 15.2% to 17.5%); (5) CPAP treatment decreased for patients with angina pectoris (AP) and AMI, and any treatment decreased for HF patients (from 46.1% to 39.7%); and (6) SDB was treated more often in HF patients than in AF, AP, and AMI patients (41.7% vs. 17.2%, 19.1% and 20.4%, respectively).

Conclusions: The practice pattern for SDB in CVD patients has changed from 2012 to 2019.

日本心血管疾病患者睡眠呼吸障碍诊疗模式的时间趋势--来自日本所有心脏和血管疾病登记处的启示--诊断程序组合。
背景:2010年日本循环学会发布睡眠呼吸障碍(SDB)指南后,随着新证据的出现和医疗保险制度的变化,心血管疾病(CVD)患者SDB诊疗模式的趋势可能发生了变化:本研究利用日本所有心脏和血管疾病登记-诊断程序组合(JROAD-DPC)这一全国性索赔数据库,评估了 2012 年至 2019 年 SDB 治疗模式的时间变化。主要研究结果如下(1)确诊为 SDB 的心血管疾病患者人数增加(尤其是心房颤动 [AF] 和心力衰竭 [HF]);(2)心房颤动患者住院期间进行的 SDB 诊断检查次数增加(从 2012 年的 1.3% 增加到 2019 年的 1.8%),而其他心血管疾病患者则有所下降;(3)除急性心肌梗死(AMI)患者外,每种心血管疾病类型中确诊为 SDB 的患者人数均有所增加;(4)心房颤动患者接受持续气道正压(CPAP)治疗的人数有所增加(从 15.2%增至17.5%);(5)心绞痛(AP)和急性心肌梗死(AMI)患者的CPAP治疗减少,而高血压患者的任何治疗均减少(从46.1%降至39.7%);(6)高血压患者比心房颤动、心绞痛和急性心肌梗死患者更常接受SDB治疗(分别为41.7%对17.2%、19.1%和20.4%):结论:从2012年到2019年,心血管疾病患者SDB的治疗模式发生了变化。
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
Journal of the Audio Engineering Society
Journal of the Audio Engineering Society 工程技术-工程:综合
CiteScore
3.50
自引率
14.30%
发文量
53
审稿时长
1 months
期刊介绍: The Journal of the Audio Engineering Society — the official publication of the AES — is the only peer-reviewed journal devoted exclusively to audio technology. Published 10 times each year, it is available to all AES members and subscribers. The Journal contains state-of-the-art technical papers and engineering reports; feature articles covering timely topics; pre and post reports of AES conventions and other society activities; news from AES sections around the world; Standards and Education Committee work; membership news, patents, new products, and newsworthy developments in the field of audio.
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