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A influência da crise económica entre 2010 e 2013 no tratamento com CPAP e APAP da síndrome da apneia obstrutiva do sono
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Abstract(s)
A Síndrome da Apneia Obstrutiva do Sono (SAOS) é considerada um problema de saúde pública apresentando repercussões sérias à qualidade de vida e tendo como característica principal a hipersonolência diurna (HSD). É tratável em primeira linha por um equipamento de pressão positiva nas vias aéreas (PAP). Contudo, pode não ser de fácil adesão.
Com o objetivo de avaliar o impacto da crise económica no tratamento de doentes com SAOS, na população de uma empresa de cuidados respiratórios domiciliários, a VitalAire, verificou-se um aumento do número de pacientes a realizar a terapia em 2013 comparativamente a 2010 onde a maioria, em ambos os anos, era aderente.
Dos sujeitos estudados, verificou-se uma proporção muito elevada pertence ao Sistema Nacional de Saúde (SNS), sendo a adesão mais elevada em 2013, tanto nos pacientes pertencentes ao SNS como nos pertencentes aos outros subsistemas. Em termos de situação económica, uma percentagem elevada era considerada como não insuficiente, sendo esses pacientes mais aderentes, em ambos os anos.
Relativamente ao índice de apneia/hipopneia (IAH) em 2010, a maioria dos sujeitos não aderentes possuíam um IAH ligeiro e em 2013 um IAH moderado.
A maioria dos pacientes revelava ter HSD. Quando comparado a HSD com a situação profissional não é estatisticamente significativa, em ambos os anos.
Com este estudo concluiu-se que são possíveis, cada vez mais, elevadas taxas de adesão ao tratamento, independentemente da situação profissional, gratuitidade ou co-pagamento do tratamento apesar das dificuldades económicas do País onde os pacientes estudados se inserem.
The Obstructive Sleep Apnea Syndrome (OSAS) is considered a public health problem having serious repercussions on the quality of life and the main feature EDS (HSD). It is treatable primarily by positive pressure airway equipment (PAP). However, it may not be easy to accession. In order to assess the impact of the economic crisis in the treatment of patients with OSAS, the population of a home-based respiratory care company, VitalAire, there was an increase in the number of patients to perform the therapy in 2013 compared to 2010 where the most in both years, it was adhered. Of the subjects studied, there was a very high proportion belongs to the National Health System (NHS), the highest membership in 2013, both in patients in the NHS as belonging to the other subsystems. In terms of the economic situation, a high percentage was not considered insufficient, and these more adherent patients in both years. Regarding the apnea / hypopnea index (AHI) in 2010, most noncompliant subjects had a slight IAH and in 2013 a moderate IAH. Most patients have revealed HSD. When compared with the HSD professional situation is not statistically significant in both years. With this study it was concluded that is possible, increasingly, high adherence rates to treatment, regardless of employment status, gratuitousness or copayment treatment despite the country's economic difficulties where the patients studied are located.
The Obstructive Sleep Apnea Syndrome (OSAS) is considered a public health problem having serious repercussions on the quality of life and the main feature EDS (HSD). It is treatable primarily by positive pressure airway equipment (PAP). However, it may not be easy to accession. In order to assess the impact of the economic crisis in the treatment of patients with OSAS, the population of a home-based respiratory care company, VitalAire, there was an increase in the number of patients to perform the therapy in 2013 compared to 2010 where the most in both years, it was adhered. Of the subjects studied, there was a very high proportion belongs to the National Health System (NHS), the highest membership in 2013, both in patients in the NHS as belonging to the other subsystems. In terms of the economic situation, a high percentage was not considered insufficient, and these more adherent patients in both years. Regarding the apnea / hypopnea index (AHI) in 2010, most noncompliant subjects had a slight IAH and in 2013 a moderate IAH. Most patients have revealed HSD. When compared with the HSD professional situation is not statistically significant in both years. With this study it was concluded that is possible, increasingly, high adherence rates to treatment, regardless of employment status, gratuitousness or copayment treatment despite the country's economic difficulties where the patients studied are located.
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Keywords
SAOS HSD PAP Crise Económica OSAS Economic Crisis