The impact of the COVID-19 pandemic on sleep medicine practices.
Identifieur interne : 000008 ( Main/Exploration ); précédent : 000007; suivant : 000009The impact of the COVID-19 pandemic on sleep medicine practices.
Auteurs : Karin G. Johnson [États-Unis] ; Shannon S. Sullivan [États-Unis] ; Afua Nti [États-Unis] ; Vida Rastegar [États-Unis] ; Indira Gurubhagavatula [États-Unis]Source :
- Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [ 1550-9397 ] ; 2021.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Troubles de la veille et du sommeil.
- méthodes : Polysomnographie, Télémédecine.
- statistiques et données numériques : Télémédecine.
- instrumentation : Adulte, Femelle, Humains, Mâle, Pandémies, Polysomnographie.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Sleep Wake Disorders.
- instrumentation : Polysomnography.
- methods : Polysomnography, Telemedicine.
- prevention & control : COVID-19.
- statistics & numerical data : Telemedicine.
- Adult, Female, Humans, Male, Pandemics.
Abstract
STUDY OBJECTIVES
The COVID-19 pandemic required sleep centers to consider and implement infection control strategies to mitigate viral transmission to patients and staff. Our aim was to assess measures taken by sleep centers due to the COVID-19 pandemic and plans surrounding reinstatement of sleep services.
METHODS
We distributed an anonymous online survey to health care providers in sleep medicine on April 29, 2020. From responders, we identified a subset of unique centers by region and demographic variables.
RESULTS
We obtained 379 individual responses, which represented 297 unique centers. A total of 93.6% of unique centers reported stopping all or nearly all sleep testing of at least one type, without significant differences between adult and pediatric labs, geographic region, or surrounding population density. By contrast, a greater proportion of respondents continued home sleep apnea testing services. A total of 60.3% reduced home sleep apnea testing volume by at least 90%, compared to 90.4% that reduced in-laboratory testing by at least 90%. Respondents acknowledged that they implemented a wide variety of mitigation strategies. While no respondents reported virtual visits to be ≥ 25% of clinical visits prior to the pandemic, more than half (51.9%) anticipated maintaining ≥ 25% virtual visits after the pandemic.
CONCLUSIONS
Among surveyed sleep centers, the vast majority reported near-cessation of in-laboratory sleep studies, while a smaller proportion reported reductions in home sleep apnea tests. A large increase in the use of telemedicine was reported, with the majority of respondents expecting the use of telehealth to endure in the future.
DOI: 10.5664/jcsm.8830
PubMed: 32964828
Affiliations:
Links toward previous steps (curation, corpus...)
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Johnson</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, Baystate Medical Center, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Neurology, Baystate Medical Center, University of Massachusetts Medical School-Baystate, Springfield</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Institute for Healthcare Delivery and Population Science and Department of Medicine, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Institute for Healthcare Delivery and Population Science and Department of Medicine, University of Massachusetts Medical School-Baystate, Springfield</wicri:cityArea></affiliation></author><author><name sortKey="Sullivan, Shannon S" sort="Sullivan, Shannon S" uniqKey="Sullivan S" first="Shannon S" last="Sullivan">Shannon S. Sullivan</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, Division of Pulmonary, Asthma & Sleep Medicine, Stanford University School of Medicine, Palo Alto, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Pediatrics, Division of Pulmonary, Asthma & Sleep Medicine, Stanford University School of Medicine, Palo Alto</wicri:cityArea></affiliation></author><author><name sortKey="Nti, Afua" sort="Nti, Afua" uniqKey="Nti A" first="Afua" last="Nti">Afua Nti</name><affiliation wicri:level="2"><nlm:affiliation>University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>University of Massachusetts Medical School-Baystate, Springfield</wicri:cityArea></affiliation></author><author><name sortKey="Rastegar, Vida" sort="Rastegar, Vida" uniqKey="Rastegar V" first="Vida" last="Rastegar">Vida Rastegar</name><affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Baystate Medical Center, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Medicine, Baystate Medical Center, University of Massachusetts Medical School-Baystate, Springfield</wicri:cityArea></affiliation></author><author><name sortKey="Gurubhagavatula, Indira" sort="Gurubhagavatula, Indira" uniqKey="Gurubhagavatula I" first="Indira" last="Gurubhagavatula">Indira Gurubhagavatula</name><affiliation wicri:level="2"><nlm:affiliation>Division of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Division of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Crescenz VA Medical Center, Philadelphia, Pennsylvania.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Crescenz VA Medical Center, Philadelphia</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine</title><idno type="eISSN">1550-9397</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>COVID-19 (prevention & control)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Pandemics (MeSH)</term><term>Polysomnography (instrumentation)</term><term>Polysomnography (methods)</term><term>Sleep Wake Disorders (diagnosis)</term><term>Telemedicine (methods)</term><term>Telemedicine (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Polysomnographie (instrumentation)</term><term>Polysomnographie (méthodes)</term><term>Troubles de la veille et du sommeil (diagnostic)</term><term>Télémédecine (méthodes)</term><term>Télémédecine (statistiques et données numériques)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles de la veille et du sommeil</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Polysomnography</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Polysomnography</term><term>Telemedicine</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Polysomnographie</term><term>Télémédecine</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>COVID-19</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Telemedicine</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Télémédecine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Pandemics</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pandémies</term><term>Polysomnographie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY OBJECTIVES</b></p><p>The COVID-19 pandemic required sleep centers to consider and implement infection control strategies to mitigate viral transmission to patients and staff. Our aim was to assess measures taken by sleep centers due to the COVID-19 pandemic and plans surrounding reinstatement of sleep services.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We distributed an anonymous online survey to health care providers in sleep medicine on April 29, 2020. From responders, we identified a subset of unique centers by region and demographic variables.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We obtained 379 individual responses, which represented 297 unique centers. A total of 93.6% of unique centers reported stopping all or nearly all sleep testing of at least one type, without significant differences between adult and pediatric labs, geographic region, or surrounding population density. By contrast, a greater proportion of respondents continued home sleep apnea testing services. A total of 60.3% reduced home sleep apnea testing volume by at least 90%, compared to 90.4% that reduced in-laboratory testing by at least 90%. Respondents acknowledged that they implemented a wide variety of mitigation strategies. While no respondents reported virtual visits to be ≥ 25% of clinical visits prior to the pandemic, more than half (51.9%) anticipated maintaining ≥ 25% virtual visits after the pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Among surveyed sleep centers, the vast majority reported near-cessation of in-laboratory sleep studies, while a smaller proportion reported reductions in home sleep apnea tests. A large increase in the use of telemedicine was reported, with the majority of respondents expecting the use of telehealth to endure in the future.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32964828</PMID><DateCompleted><Year>2021</Year><Month>01</Month><Day>28</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>28</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1550-9397</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>1</Issue><PubDate><Year>2021</Year><Month>01</Month><Day>01</Day></PubDate></JournalIssue><Title>Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine</Title><ISOAbbreviation>J Clin Sleep Med</ISOAbbreviation></Journal><ArticleTitle>The impact of the COVID-19 pandemic on sleep medicine practices.</ArticleTitle><Pagination><MedlinePgn>79-87</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5664/jcsm.8830</ELocationID><Abstract><AbstractText Label="STUDY OBJECTIVES">The COVID-19 pandemic required sleep centers to consider and implement infection control strategies to mitigate viral transmission to patients and staff. Our aim was to assess measures taken by sleep centers due to the COVID-19 pandemic and plans surrounding reinstatement of sleep services.</AbstractText><AbstractText Label="METHODS">We distributed an anonymous online survey to health care providers in sleep medicine on April 29, 2020. From responders, we identified a subset of unique centers by region and demographic variables.</AbstractText><AbstractText Label="RESULTS">We obtained 379 individual responses, which represented 297 unique centers. A total of 93.6% of unique centers reported stopping all or nearly all sleep testing of at least one type, without significant differences between adult and pediatric labs, geographic region, or surrounding population density. By contrast, a greater proportion of respondents continued home sleep apnea testing services. A total of 60.3% reduced home sleep apnea testing volume by at least 90%, compared to 90.4% that reduced in-laboratory testing by at least 90%. Respondents acknowledged that they implemented a wide variety of mitigation strategies. While no respondents reported virtual visits to be ≥ 25% of clinical visits prior to the pandemic, more than half (51.9%) anticipated maintaining ≥ 25% virtual visits after the pandemic.</AbstractText><AbstractText Label="CONCLUSIONS">Among surveyed sleep centers, the vast majority reported near-cessation of in-laboratory sleep studies, while a smaller proportion reported reductions in home sleep apnea tests. A large increase in the use of telemedicine was reported, with the majority of respondents expecting the use of telehealth to endure in the future.</AbstractText><CopyrightInformation>© 2021 American Academy of Sleep Medicine.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Johnson</LastName><ForeName>Karin G</ForeName><Initials>KG</Initials><AffiliationInfo><Affiliation>Department of Neurology, Baystate Medical Center, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute for Healthcare Delivery and Population Science and Department of Medicine, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sullivan</LastName><ForeName>Shannon S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Division of Pulmonary, Asthma & Sleep Medicine, Stanford University School of Medicine, Palo Alto, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nti</LastName><ForeName>Afua</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rastegar</LastName><ForeName>Vida</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Medicine, Baystate Medical Center, University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gurubhagavatula</LastName><ForeName>Indira</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Division of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Crescenz VA Medical Center, Philadelphia, Pennsylvania.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Sleep Med</MedlineTA><NlmUniqueID>101231977</NlmUniqueID><ISSNLinking>1550-9389</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017286" MajorTopicYN="N">Polysomnography</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012893" MajorTopicYN="N">Sleep Wake Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017216" MajorTopicYN="N">Telemedicine</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">polysomnography</Keyword><Keyword 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Johnson</name></region><name sortKey="Gurubhagavatula, Indira" sort="Gurubhagavatula, Indira" uniqKey="Gurubhagavatula I" first="Indira" last="Gurubhagavatula">Indira Gurubhagavatula</name><name sortKey="Gurubhagavatula, Indira" sort="Gurubhagavatula, Indira" uniqKey="Gurubhagavatula I" first="Indira" last="Gurubhagavatula">Indira Gurubhagavatula</name><name sortKey="Johnson, Karin G" sort="Johnson, Karin G" uniqKey="Johnson K" first="Karin G" last="Johnson">Karin G. Johnson</name><name sortKey="Nti, Afua" sort="Nti, Afua" uniqKey="Nti A" first="Afua" last="Nti">Afua Nti</name><name sortKey="Rastegar, Vida" sort="Rastegar, Vida" uniqKey="Rastegar V" first="Vida" last="Rastegar">Vida Rastegar</name><name sortKey="Sullivan, Shannon S" sort="Sullivan, Shannon S" uniqKey="Sullivan S" first="Shannon S" last="Sullivan">Shannon S. Sullivan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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