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初级保健提供者筛查成人阻塞性睡眠呼吸暂停的质量措施:措施维持后的 2024 年更新。

Quality measure for screening for adult obstructive sleep apnea by primary care providers: 2024 update after measure maintenance.

机构信息

Mayo Clinic, Rochester, Minnesota.

American Academy of Sleep Medicine, Darien, Illinois.

出版信息

J Clin Sleep Med. 2024 Nov 1;20(11):1819-1822. doi: 10.5664/jcsm.11294.

DOI:10.5664/jcsm.11294
PMID:39069961
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11530979/
Abstract

UNLABELLED

Obstructive sleep apnea (OSA) is a prevalent respiratory sleep disorder that, when left undiagnosed or untreated, can lead to adverse outcomes. There continue to be gaps and variations in screening adults who are high risk for OSA in the primary care setting, leading to many adults in the United States going undiagnosed. As a part of the ongoing American Academy of Sleep Medicine quality measure maintenance initiative, the American Academy of Sleep Medicine Quality Measures Task Force reviewed the original screening for adult OSA by primary care physicians quality measure. The measure was updated to further address the adult populations who are at high risk for OSA to ensure that the measure is consistent with the most current medical literature, increasing the likelihood that patients at high risk for OSA are properly screened for the sleep disorder.

CITATION

Lloyd RM, Crawford T, Donald R, et al. Quality measure for screening for adult obstructive sleep apnea by primary care providers: 2024 update after measure maintenance. . 2024;20(11):1819-1822.

摘要

目的:阻塞性睡眠呼吸暂停(OSA)是一种常见的呼吸睡眠障碍,如果不进行诊断或治疗,可能会导致不良后果。在初级保健环境中,对患有 OSA 高风险的成年人进行筛查仍然存在差距和差异,导致许多美国成年人未被诊断出来。作为美国睡眠医学学会质量措施维护计划的一部分,美国睡眠医学学会质量措施工作组审查了由初级保健医生进行的成人 OSA 筛查的原始质量措施。该措施已更新,以进一步针对患有 OSA 高风险的成年人,以确保该措施与最新的医学文献保持一致,从而增加对患有 OSA 高风险的患者进行睡眠障碍筛查的可能性。

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本文引用的文献

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JAMA. 2022 Nov 15;328(19):1951-1971. doi: 10.1001/jama.2022.18357.
2
Assessing the Adequacy of Obstructive Sleep Apnea Diagnosis for High-Risk Patients in Primary Care.评估初级保健中高危患者阻塞性睡眠呼吸暂停诊断的充分性。
J Am Board Fam Med. 2022 Mar-Apr;35(2):320-328. doi: 10.3122/jabfm.2022.02.210296.
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Sleep architectural dysfunction and undiagnosed obstructive sleep apnea after chronic ischemic stroke.慢性缺血性脑卒中后睡眠结构障碍和未诊断的阻塞性睡眠呼吸暂停。
Sleep Med. 2021 Jul;83:45-53. doi: 10.1016/j.sleep.2021.04.011. Epub 2021 Apr 15.
4
Prevalence of Undiagnosed Sleep Apnea in Patients With Atrial Fibrillation and its Impact on Therapy.未确诊睡眠呼吸暂停在心房颤动患者中的流行情况及其对治疗的影响。
JACC Clin Electrophysiol. 2020 Nov;6(12):1499-1506. doi: 10.1016/j.jacep.2020.05.030. Epub 2020 Aug 12.
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Implementing protocol for obstructive sleep apnea screening in the primary care setting.在初级保健环境中实施阻塞性睡眠呼吸暂停筛查方案。
Appl Nurs Res. 2019 Apr;46:67-71. doi: 10.1016/j.apnr.2019.02.005. Epub 2019 Feb 22.
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Comparison of Commonly Used Questionnaires to Identify Obstructive Sleep Apnea in a High-Risk Population.比较常用于高危人群中识别阻塞性睡眠呼吸暂停的问卷。
J Clin Sleep Med. 2018 Dec 15;14(12):2057-2064. doi: 10.5664/jcsm.7536.
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Primary Care Physicians Can Comprehensively Manage Patients with Sleep Apnea. A Noninferiority Randomized Controlled Trial.基层医疗医生可全面管理睡眠呼吸暂停患者。一项非劣效性随机对照试验。
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