Document Detail


Reimbursed drugs in patients with sleep-disordered breathing: A static-charge-sensitive bed study.
MedLine Citation:
PMID:  19620024     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Co-morbidities in men and women with sleep-disordered breathing (SDB) were compared retrospectively to an age-standardized, general Finnish population. The prevalence of diseases was based on the reimbursement refunds of medications. METHODS: Two hundred thirty-three age- and BMI-matched male-female pairs and 368 consecutive women identified from our sleep recording database were included. Data on medication were gathered from the National Agency for Medicines and Social Insurance Institution database. RESULTS: Men with SDB had three-fold prevalence of reimbursed medication for diabetes and two-fold prevalence of reimbursed medication for chronic arrhythmia. Women with SDB had three-fold prevalence of reimbursed medication for thyroid insufficiency, and postmenopausal women had two-fold prevalence of reimbursed medication for psychosis. BMI and age did not explain prevalence of reimbursed medications for chronic arrhythmia or psychosis. In both genders with SDB, prevalence of reimbursed medications compared to the general population was two-fold for hypertension and seven-fold for asthma and/or chronic obstructive pulmonary disease (COPD). Partial upper airway obstruction was associated with three-fold prevalence of reimbursed medication for asthma and/or COPD in both genders and 60% reduced prevalence of reimbursed medication for hypertension in females matched for age and BMI. CONCLUSIONS: Co-morbidity profile differed between genders. Our results emphasize the importance of diagnosis and treatment of co-morbidities and partial upper airway obstruction.
Authors:
Ulla Anttalainen; Olli Polo; Tero Vahlberg; Tarja Saaresranta
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-07-19
Journal Detail:
Title:  Sleep medicine     Volume:  11     ISSN:  1878-5506     ISO Abbreviation:  Sleep Med.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-04     Completed Date:  2010-05-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100898759     Medline TA:  Sleep Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  49-55     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier B.V. All rights reserved.
Affiliation:
Department of Pulmonary Diseases, Turku University Central Hospital, Turku, Finland. ulla.anttalainen@tyks.fi
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Arrhythmias, Cardiac / drug therapy*,  economics,  epidemiology*
Asthma / drug therapy*,  economics,  epidemiology*
Body Mass Index
Chronic Disease
Comorbidity
Cross-Sectional Studies
Diabetes Mellitus, Type 2 / drug therapy*,  economics,  epidemiology*
Drug Costs / statistics & numerical data*
Female
Finland
Health Surveys
Humans
Hypothyroidism / drug therapy*,  economics,  epidemiology*
Insurance, Health, Reimbursement / economics*,  statistics & numerical data*
Male
National Health Programs / economics*,  statistics & numerical data*
Psychotic Disorders / drug therapy*,  economics,  epidemiology*
Pulmonary Disease, Chronic Obstructive / drug therapy*,  economics,  epidemiology*
Retrospective Studies
Sex Factors
Sleep Apnea, Obstructive / drug therapy*,  economics,  epidemiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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