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- W2320627729 abstract "Introduction: Obstructive sleep apnea (OSA) is a chronic disorder that often requires lifelong care and is associated with significant morbidity and mortality in untreated or inadequately treated patients. It is estimated that 3 to 4 percent of women and 6 to 9 percent of men have OSA, when defined as an Apnea Hypopnea Index greater than five events per hour accompanied by daytime sleepiness or a cardiovascular morbidity. Prior studies have shown that the prevalence of OSA increases from 18 to 45 years of age, with a plateau occurring at 55 to 65 years of age. The economic impact and outcomes associated with OSA in patients visiting the emergency department are unclear. Methods: We performed a retrospective analysis of the Nationwide Emergency Department Sample for the years 2008 to 2010 for the current study. All hospital based emergency departments (ED) with a diagnosis of Obstructive Sleep Apnea (OSA) [ICD-9-CM code 327.23] were selected. Patient related characteristics were examined. Descriptive statistics were used to summarize the data. Each individual ED visit was the unit of analysis. The discharge weight variable for each ED visit was used to project to nationally representative estimates. Outcomes examined included disposition information following ED visit, hospital ED charges, and hospital mortality. Results: During the study period, a total of 2,106,475 ED visits had a diagnosis of OSA. The mean age of these ED visits was 59 years. Children aged <=21 years comprised 1.4% of these ED Visits. Males comprised 55.5% of all ED visits. Medicare was the major payer covering 52.3% of all ED visits. Following ED visit, 11.8% were discharged routinely, 86.9% were admitted as inpatients into the same hospital, and 0.3% were transferred to another short term hospital. A total of 820 patients died in the hospital ED while 29,696 patients died following admission as inpatients into the same hospital. About 79% of all ED visits also had a co-morbid condition. The mean ED charge (inflation adjusted to year 2010) per visit was $2,833 and the total ED charges across the entire United States was $4.3 billion. Conclusions: Obstructive sleep apnea, either as a primary cause of presentation or its presence as a coexisting condition, is not an infrequent condition in patients visiting the emergency department. Presence of OSA is associated with high hospitalization rates and significant hospital resource utilization." @default.
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- W2320627729 date "2013-12-01" @default.
- W2320627729 modified "2023-09-27" @default.
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- W2320627729 doi "https://doi.org/10.1097/01.ccm.0000439491.60527.ea" @default.
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