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Erschienen in: Sleep and Breathing 5/2023

16.12.2022 | Sleep Breathing Physiology and Disorders • Short Communication

Identifying gaps in clinical evaluation and treatment of sleep-disordered breathing in women veterans

verfasst von: Isabel Moghtaderi, Monica R. Kelly, Gwendolyn C. Carlson, Constance H. Fung, Karen R. Josephson, Yeonsu Song, Dominika Swistun, Ruoyan Zhu, Michael Mitchell, Diane Lee, M. Safwan Badr, Donna L. Washington, Elizabeth M. Yano, Cathy A. Alessi, Michelle R. Zeidler, Jennifer L. Martin

Erschienen in: Sleep and Breathing | Ausgabe 5/2023

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Abstract

Purpose

Sleep-disordered breathing (SDB) is a common sleep disorder in veterans; however, limited research exists in women veterans. We sought to estimate patterns of care in terms of evaluation, diagnosis, and treatment among women veterans with factors associated with elevated SDB risk.

Methods

Within one VA healthcare system, women identified through electronic health record data as having one or more factors (e.g., age >50 years, hypertension) associated with SDB, completed telephone screening in preparation for an SDB treatment study and answered questions about prior care related to SDB diagnosis and treatment.

Results

Of 319 women, 111 (35%) reported having completed a diagnostic sleep study in the past, of whom 48 (43%) were diagnosed with SDB. Women who completed a diagnostic study were more likely to have hypertension or obesity. Those who were diagnosed with SDB based on the sleep study were more likely to have hypertension, diabetes, or be ≥50 years old. Of the 40 women who received treatment, 37 (93%) received positive airway pressure therapy. Only 9 (24%) had used positive airway pressure therapy in the prior week. Few women received other treatments such as oral appliances or surgery.

Conclusions

Findings support the need for increased attention to identification and management of SDB in women veterans, especially those with conditions associated with elevated SDB risk.
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Metadaten
Titel
Identifying gaps in clinical evaluation and treatment of sleep-disordered breathing in women veterans
verfasst von
Isabel Moghtaderi
Monica R. Kelly
Gwendolyn C. Carlson
Constance H. Fung
Karen R. Josephson
Yeonsu Song
Dominika Swistun
Ruoyan Zhu
Michael Mitchell
Diane Lee
M. Safwan Badr
Donna L. Washington
Elizabeth M. Yano
Cathy A. Alessi
Michelle R. Zeidler
Jennifer L. Martin
Publikationsdatum
16.12.2022
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 5/2023
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-022-02765-1

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