Document Detail


The effect of obstructive sleep apnea on morbidity and health care utilization of middle-aged and older adults.
MedLine Citation:
PMID:  18251815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine whether elderly subjects with obstructive sleep apnea (OSA) had different morbidity and health care utilization than elderly subjects without OSA and middle-aged patients with OSA 2 years before diagnosis. DESIGN: Case-control study between January 2001 and April 2003. SETTING: Two sleep-wake disorders centers. PARTICIPANTS: One hundred fifty-eight elderly and 1,166 middle-aged (aged 67-89 and 40-64, respectively) patients with OSA were matched 1:1 with healthy controls according to age, sex, geographic area, and primary physician. MEASUREMENTS: Polysomnography, medical diagnoses, and healthcare utilization. RESULTS: Healthcare costs 2 years before diagnosis were more than 1.8 times as high for elderly and middle-aged patients with OSA as for controls (P<.001). Expenditures of elderly patients with OSA were 1.9 times as high as for middle-aged patients with OSA (P<.001). Multiple logistic regression analysis (adjusting for age, body mass index, and apnea hypopnea index) revealed that cardiovascular disease (CVD) (odds ratio (OR)=4.1, 95% confidence interval (CI)=1.8-9.3) and use of psychoactive drugs (OR=3.8, 95% CI=1.5-10.1) are independent determinants for the top-third most-costly elderly patients with OSA. CONCLUSION: Elderly patients with OSA have high healthcare utilization because of CVD morbidity and use of psychoactive medications. Therefore, OSA has clinical significance in elderly people.
Authors:
Ariel Tarasiuk; Sari Greenberg-Dotan; Tzahit Simon-Tuval; Arie Oksenberg; Haim Reuveni
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  56     ISSN:  1532-5415     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-06     Completed Date:  2008-03-06     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  247-54     Citation Subset:  IM    
Affiliation:
Sleep-Wake Disorders Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. tarasiuk@bgu.ac.il
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MeSH Terms
Descriptor/Qualifier:
Aged
Case-Control Studies
Chi-Square Distribution
Comorbidity
Female
Health Expenditures / statistics & numerical data
Health Services for the Aged / utilization*
Humans
Israel / epidemiology
Logistic Models
Male
Middle Aged
Polysomnography
Prevalence
Prospective Studies
Questionnaires
Sleep Apnea, Obstructive / economics*,  epidemiology*

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


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