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Documentation of Sleep Apnea in Nursing Homes: United States 2004

  • Helaine E. Resnick
    Correspondence
    Address correspondence to Helaine Resnick, PhD, Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, 2519 Connecticut Avenue, NW, Washington, DC 20008.
    Affiliations
    Institute for the Future of Aging Services, American Association of Homes and Services for the Aging, Washington, DC
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  • Barbara Phillips
    Affiliations
    Department of Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kentucky College of Medicine, Lexington, KY.
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      Objectives

      To define the prevalence of documented sleep apnea in US nursing home (NH) residents and to examine characteristics associated with sleep apnea in this population.

      Design

      Cross-sectional survey conducted in 2004.

      Setting

      US nursing homes.

      Participants

      Participants were 13,507 NH residents representing approximately 1.49 million individuals nationwide.

      Measurements

      Up to 16 diagnoses were abstracted from the medical record at the time of the survey. Residents with any of 10 ICD-9 codes for sleep apnea were identified.

      Results

      Sleep apnea was documented in 0.5% (95% CI: 0.4% to 0.6%) of US NH residents. The majority of these cases were coded as 780.57, unspecified sleep apnea. The unexpectedly small number of NH residents with documented sleep apnea precluded analyses of correlates of this condition in US NH residents.

      Conclusions

      In 2004, sleep apnea was virtually undocumented among US NH residents. The near absence of recorded apnea may be due to selective mortality associated with sleep apnea, a perception on the part of physicians that apnea is a low priority or low impact condition in the context of the multiplicity of comorbidities in this patient population, or a combination of these and other factors.

      Keywords

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