IMPACT OF SLEEP DISORDERS ON HEALTH

睡眠障碍对健康的影响

基本信息

批准号：
6537677
负责人：
MEIR H KRYGER
金额：
$ 8.84万
依托单位：
UNIVERSITY OF MANITOBA
依托单位国家：
美国
项目类别：
财政年份：
2000
资助国家：
美国
起止时间：
2000-04-01 至 2004-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6537677
关键词：
behavioral /social science research tag community health services cost effectiveness health care cost /financing health care facility information system health care service evaluation health care service utilization health services research tag human data longitudinal human study narcolepsy sleep apnea sleep disorders

项目摘要

Sleep disorders are very common. The impact of these disorders on a person's long term health is unclear. The purpose of this project is to determine the cost to the health care system of patients with untreated sleep disorders and then to determine the change in cost with diagnosis and treatment. Hypotheses: Untreated sleep disorder patients (with sleep apnea, narcolepsy, and insomnia) are heavier consumers of health care services than age and sex matched controlled subjects and treatment will reduce these costs. Aims: The applicant will examine healthcare utilization data (and what patients were being treated for) of a large number of patients five years before diagnosis and five years after diagnosis and compare them to controls matched by age, gender, and postal code. The data will be obtained in a community with unrestricted access to medical care and where all the data is stored on a central database. To measure the use of medical services the applicant will analyze all doctors' claims and data from all hospitalization as well as use of prescription drugs. The applicant will establish whether treatment of these disorders reduces the consumption of healthcare services in these patients. The applicant expects to find fewer physicians visits, particularly for cardiovascular disease, neuro-psychiatric disease and general medical evaluations and for sleep apnea, fewer hospitalizations, particularly for cardiovascular disease and respiratory failure.

睡眠障碍非常普遍。这些疾病对一个人长期的影响一项健康尚不清楚。该项目的目的是确定未经治疗的睡眠障碍患者的医疗保健系统，然后确定诊断和治疗的成本变化。假设：未经治疗的睡眠障碍患者（睡眠呼吸暂停，发作性疾病，失眠）是医疗服务的重量，而不是年龄和性别的消费者匹配的受控受试者和治疗将降低这些成本。目的：申请人将检查医疗保健利用数据（以及什么患者正在接受大量患者的治疗五年诊断之前和诊断后五年，并将其与对照进行比较按年龄，性别和邮政编码匹配。数据将在无限制地获得医疗服务以及所有数据在哪里的社区存储在中央数据库中。衡量医疗服务的使用申请人将分析所有医生的索赔和所有住院的数据以及使用处方药。申请人将确定是否这些疾病的治疗减少了医疗服务的消费这些患者。申请人希望发现医生的访问量更少，特别是对于心血管疾病，神经精神病和一般性疾病医疗评估和睡眠呼吸暂停，较少的住院治疗，特别是用于心血管疾病和呼吸衰竭。