PDF(Pubmed)
Abstract：
UNASSIGNED: The COVID-19 pandemic affected the utilization of various healthcare services differentially. Sleep testing services utilization (STU), including Home Sleep Apnea Testing (HSAT) and Polysomnography (PSG), were uniquely affected. We assessed the effects of the pandemic on STU and its recovery using the Veterans Health Administration (VHA) data.
UNASSIGNED: A retrospective cohort study from the VHA between 01/2019 and 10/2023 of veterans with age ≥ 50. We extracted STU data using Current Procedural Terminology codes for five periods based on STU and vaccination status: pre-pandemic (Pre-Pan), pandemic sleep test moratorium (Pan-Mor), and pandemic pre-vaccination (Pan-Pre-Vax), vaccination (Pan-Vax), and postvaccination (Pan-Post-Vax). We compared STU between intervals (Pre-Pan as the reference).
UNASSIGNED: Among 261,371 veterans (63.7±9.6 years, BMI 31.9±6.0 kg/m², 80% male), PSG utilization decreased significantly during Pan-Mor (-56%), Pan-Pre-Vax (-61%), Pan-Vax (-42%), and Pan-Post-Vax (-36%) periods all compared to Pre-Pan. HSAT utilization decreased significantly during the Pan-Mor (-59%) and Pan-Pre-Vax (-9%) phases compared to the Pre-Pan and subsequently increased during Pan-Vax (+6%) and Pan-Post-Vax (-1%) periods. Over 70% of STU transitioned to HSAT, and its usage surged five months after the vaccine Introduction.
UNASSIGNED: Sleep testing services utilization recovered differentially during the pandemic (PSG vs HSAT), including a surge in HSAT utilization post-vaccination.
UNASSIGNED: A retrospective cohort study from the VHA between 01/2019 and 10/2023 of veterans with age ≥ 50. We extracted STU data using Current Procedural Terminology codes for five periods based on STU and vaccination status: pre-pandemic (Pre-Pan), pandemic sleep test moratorium (Pan-Mor), and pandemic pre-vaccination (Pan-Pre-Vax), vaccination (Pan-Vax), and postvaccination (Pan-Post-Vax). We compared STU between intervals (Pre-Pan as the reference).
UNASSIGNED: Among 261,371 veterans (63.7±9.6 years, BMI 31.9±6.0 kg/m², 80% male), PSG utilization decreased significantly during Pan-Mor (-56%), Pan-Pre-Vax (-61%), Pan-Vax (-42%), and Pan-Post-Vax (-36%) periods all compared to Pre-Pan. HSAT utilization decreased significantly during the Pan-Mor (-59%) and Pan-Pre-Vax (-9%) phases compared to the Pre-Pan and subsequently increased during Pan-Vax (+6%) and Pan-Post-Vax (-1%) periods. Over 70% of STU transitioned to HSAT, and its usage surged five months after the vaccine Introduction.
UNASSIGNED: Sleep testing services utilization recovered differentially during the pandemic (PSG vs HSAT), including a surge in HSAT utilization post-vaccination.
摘要：
■COVID-19大流行对各种医疗服务的利用产生了不同的影响。睡眠测试服务利用率(STU)，包括家庭睡眠呼吸暂停测试（HSAT）和多导睡眠图（PSG），受到了独特的影响。我们使用退伍军人健康管理局（VHA）数据评估了大流行对STU及其恢复的影响。
■一项来自VHA的回顾性队列研究，该研究是在2019年01月至2023年10月之间对年龄≥50岁的退伍军人进行的。我们根据STU和疫苗接种状态，使用当前程序术语代码提取了五个时期的STU数据：大流行前（Pre-Pan），大流行睡眠测试暂停（Pan-Mor），和大流行预疫苗接种(Pan-Pre-Vax)，疫苗接种（Pan-Vax），和疫苗接种后（Pan-Post-Vax）。我们比较了间隔之间的STU(Pre-Pan作为参考)。
■在261,371名退伍军人中（63.7±9.6岁，BMI31.9±6.0kg/m²,80%男性），Pan-Mor期间PSG利用率显著下降（-56%），Pan-Pre-Vax（-61%），Pan-Vax（-42%），和Pan-Post-Vax（-36%）期间都与Pre-Pan相比。与Pre-Pan相比，Pan-Mor（-59％）和Pan-Pre-Vax（-9％）阶段的HSAT利用率显着下降，随后在Pan-Vax（6％）和Pan-Post-Vax（-1％）期间增加。超过70%的STU过渡到HSAT，疫苗推出后五个月，它的使用量激增。
■睡眠测试服务利用率在大流行期间差异恢复（PSG与HSAT），包括疫苗接种后HSAT使用率激增。
■一项来自VHA的回顾性队列研究，该研究是在2019年01月至2023年10月之间对年龄≥50岁的退伍军人进行的。我们根据STU和疫苗接种状态，使用当前程序术语代码提取了五个时期的STU数据：大流行前（Pre-Pan），大流行睡眠测试暂停（Pan-Mor），和大流行预疫苗接种(Pan-Pre-Vax)，疫苗接种（Pan-Vax），和疫苗接种后（Pan-Post-Vax）。我们比较了间隔之间的STU(Pre-Pan作为参考)。
■在261,371名退伍军人中（63.7±9.6岁，BMI31.9±6.0kg/m²,80%男性），Pan-Mor期间PSG利用率显著下降（-56%），Pan-Pre-Vax（-61%），Pan-Vax（-42%），和Pan-Post-Vax（-36%）期间都与Pre-Pan相比。与Pre-Pan相比，Pan-Mor（-59％）和Pan-Pre-Vax（-9％）阶段的HSAT利用率显着下降，随后在Pan-Vax（6％）和Pan-Post-Vax（-1％）期间增加。超过70%的STU过渡到HSAT，疫苗推出后五个月，它的使用量激增。
■睡眠测试服务利用率在大流行期间差异恢复（PSG与HSAT），包括疫苗接种后HSAT使用率激增。
