Sleep Disorders and Demand for Medical Services: Evidence from a Population-Based Longitudinal Study

Autor(es)

Santos-Silva, Rogerio ^[1] ; Castro, Laura Siqueira ^[1] ; Taddei, Jose Augusto ^[2] ; Tufik, Sergio ^[1] ; Azeredo Bittencourt, Lia Rita ^[1]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Paulo UNIFESP, Dept Psicobiol, Disciplina Med & Biol Sono, Sao Paulo - Brazil

^[2] Univ Fed Sao Paulo UNIFESP, Dept Pediat, Disciplina Nutr & Metab, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PLoS One; v. 7, n. 2 FEB 1 2012.
• Citações Web of Science: 6

Resumo

Background: The aim of this study was to investigate whether insomnia and obstructive sleep apnea (OSA) were predictors of hospitalizations or emergency department visits during two years following the Sao Paulo Epidemiologic Sleep Study (EPISONO) sample. Methods and Findings: All participants (n = 1,101) who underwent a baseline evaluation between July and December 2007 were contacted in December 2009 and asked to fill out a questionnaire about body weight changes, number of hospitalizations and visits to the emergency department. Participants lost during the follow-up period represented 3.2% (n = 35) and 7 subjects had died. Hospitalizations were reported by 116 volunteers (10.5%) and emergency department visits were reported by 136 participants (12.4%). The average body mass index (BMI) did not vary significantly between the first and the second assessment {[}26.7(95% CI: 26.3-27.1) vs. 26.9(26.5-27.4) kg/m(2)]. After adjusting for confounders, a multiple logistic regression model revealed that female gender {[}1.4(1.0-1.9)], age >= 40 years, insomnia diagnosed according to the DSM-IV criteria {[}1.6(1.0-2.6)], and apnea-hypopnea index >= 15 {[}1.5(1.0-2.2)] were predictors of hospitalizations and/or demand for emergency services. Conclusion: Our study of a probabilistic sample of the Sao Paulo inhabitants shows that over a period of two years, insomnia and OSA were both associated with health impairment. Considering the high prevalence and public health burden of sleep disorders, the consequences of untreated disease for both the individual and society are undeniable and should be addressed. (AU)

• Processo FAPESP: 07/50525-1 - Epidemiologia do sono na cidade de São Paulo - Episono 2007
• Beneficiário: Rogério Santos da Silva
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 98/14303-3 - Center for Sleep Studies
• Beneficiário: Sergio Tufik
• Modalidade de apoio: Auxílio à Pesquisa - Centros de Pesquisa, Inovação e Difusão - CEPIDs