Temporal Trends in the Practice Pattern for Sleep-Disordered Breathing in Patients With Cardiovascular Diseases in Japan　― Insights From the Japanese Registry of All Cardiac and Vascular Diseases – Diagnosis Procedure Combination ―

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  • Takeishi Ryohei
    Department of Cardiovascular Medicine, Fukushima Medical University
  • Yoshihisa Akiomi
    Department of Cardiovascular Medicine, Fukushima Medical University Department of Clinical Laboratory Sciences, Fukushima Medical University School of Health Science
  • Hotsuki Yu
    Department of Cardiovascular Medicine, Fukushima Medical University
  • Anzai Fumiya
    Department of Cardiovascular Medicine, Fukushima Medical University
  • Sato Yu
    Department of Cardiovascular Medicine, Fukushima Medical University
  • Sumita Yoko
    Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center
  • Nakai Michikazu
    Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center
  • Misaka Tomofumi
    Department of Cardiovascular Medicine, Fukushima Medical University
  • Takeishi Yasuchika
    Department of Cardiovascular Medicine, Fukushima Medical University

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<p>Background: After the publication of the Japanese Circulation Society guideline of sleep-disordered breathing (SDB) in 2010, with new evidence and changes to the health insurance system, trends in the practice pattern for SDB in patients with cardiovascular disease (CVD) might have changed.</p><p>Methods and Results: This study evaluated the temporal changes in the practice pattern for SDB by using a nationwide claim database, the Japanese Registry of All Cardiac and Vascular Diseases – Diagnosis Procedure Combination (JROAD-DPC), from 2012 to 2019. The main findings were: (1) the number of CVD patients diagnosed with SDB increased (especially those with atrial fibrillation [AF] and heart failure [HF]); (2) the number of diagnostic tests for SDB performed during hospitalization increased for AF patients (from 1.3% in 2012 to 1.8% in 2019), whereas it decreased for other CVD patients; (3) the number of patients diagnosed with SDB increased in each type of CVD, except for patients with acute myocardial infarction (AMI); (4) continuous positive airway pressure (CPAP) treatment increased for AF patients (from 15.2% to 17.5%); (5) CPAP treatment decreased for patients with angina pectoris (AP) and AMI, and any treatment decreased for HF patients (from 46.1% to 39.7%); and (6) SDB was treated more often in HF patients than in AF, AP, and AMI patients (41.7% vs. 17.2%, 19.1% and 20.4%, respectively).</p><p>Conclusions: The practice pattern for SDB in CVD patients has changed from 2012 to 2019.</p>

収録刊行物

  • Circulation Journal

    Circulation Journal 86 (9), 1428-1436, 2022-08-25

    一般社団法人 日本循環器学会

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