Resnick Helaine E, Phillips Barbara
Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, DC, USA.
J Am Med Dir Assoc. 2008 May;9(4):260-4. doi: 10.1016/j.jamda.2008.01.001. Epub 2008 Apr 8.
To define the prevalence of documented sleep apnea in US nursing home (NH) residents and to examine characteristics associated with sleep apnea in this population.
Cross-sectional survey conducted in 2004.
US nursing homes.
Participants were 13,507 NH residents representing approximately 1.49 million individuals nationwide.
Up to 16 diagnoses were abstracted from the medical record at the time of the survey. Residents with any of 10 ICD-9 codes for sleep apnea were identified.
Sleep apnea was documented in 0.5% (95% CI: 0.4% to 0.6%) of US NH residents. The majority of these cases were coded as 780.57, unspecified sleep apnea. The unexpectedly small number of NH residents with documented sleep apnea precluded analyses of correlates of this condition in US NH residents.
In 2004, sleep apnea was virtually undocumented among US NH residents. The near absence of recorded apnea may be due to selective mortality associated with sleep apnea, a perception on the part of physicians that apnea is a low priority or low impact condition in the context of the multiplicity of comorbidities in this patient population, or a combination of these and other factors.
确定美国疗养院（NH）居民中记录在案的睡眠呼吸暂停患病率，并研究该人群中与睡眠呼吸暂停相关的特征。
2004年进行的横断面调查。
美国疗养院。
参与者为13507名NH居民，代表全国约149万人。
在调查时从病历中提取多达16种诊断。识别出具有10种国际疾病分类第九版（ICD-9）睡眠呼吸暂停编码中任何一种的居民。
美国NH居民中有0.5%（95%可信区间：0.4%至0.6%）记录有睡眠呼吸暂停。这些病例中的大多数被编码为780.57，即未特指的睡眠呼吸暂停。记录有睡眠呼吸暂停的NH居民数量出乎意料地少，这使得无法对美国NH居民中这种情况的相关因素进行分析。
2004年，美国NH居民中几乎没有记录到睡眠呼吸暂停。几乎没有记录到呼吸暂停可能是由于与睡眠呼吸暂停相关的选择性死亡率、医生认为在该患者群体多种合并症的情况下呼吸暂停是低优先级或低影响的病症，或者是这些因素与其他因素的综合作用。
