Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China

Xiao Lei Zhang,1– 5 Wei Wang,6 Yi Xiao7 On behalf of the members of the Assembly of Sleep Disordered Breathing of the Chinese Thoracic Society1Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, People’s Re...

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Autores principales:	Zhang XL, Wang W, Xiao Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	covid-19 sleep disordered breathing polygraphy surveys and questionnaires Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/4f32405f4b7149b9ad9ceedc8eaddf8e
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record_format	dspace
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 sleep disordered breathing polygraphy surveys and questionnaires Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	covid-19 sleep disordered breathing polygraphy surveys and questionnaires Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Zhang XL Wang W Xiao Y Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China
description	Xiao Lei Zhang,1– 5 Wei Wang,6 Yi Xiao7 On behalf of the members of the Assembly of Sleep Disordered Breathing of the Chinese Thoracic Society1Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, People’s Republic of China; 2National Clinical Research Center for Respiratory Diseases, Beijing, People’s Republic of China; 3The Graduate School of Peking Union Medical College, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, People’s Republic of China; 4Capital Medical University, Beijing, People’s Republic of China; 5Peking University Health Science Center, Beijing, People’s Republic of China; 6Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Chinese Medical University, Shenyang, People’s Republic of China; 7Department of Respiratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People’s Republic of ChinaCorrespondence: Yi XiaoDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Shuaifuyuan Street, Dongcheng District, Beijing 100730, People’s Republic of ChinaTel +86-13910158830Email xiaoyipumch@sina.comBackground and Objective: The coronavirus disease 2019 (COVID-19) pandemic has markedly impacted the distribution of medical resources and healthcare delivery systems. The objective of this study was to investigate the influence of the pandemic on the diagnosis and treatment of sleep-disordered breathing (SDB) in China.Methods: A retrospective online survey of sleep centers from the assembly of SDB of the Chinese Thoracic Society was conducted from July 1 to July 20, 2020. The questionnaire focused on four main aspects: 1) general information about the centers; 2) changes in SDB management activities, including patient volumes, diagnostic and positive airway pressure (PAP) titration procedures, and follow-up methods, from February to June 2020, compared with before; 3) the application of telemedicine and sleep specialists’ self-assessments of knowledge and their perspectives on telemedicine; and 4) changes in medical staff active in sleep services during the pandemic compared with before.Results: Fifty-three (96%) of the sleep centers responded to the survey. During the early stage of the outbreak, SDB medical services were dramatically reduced to 5– 10% of the pre-epidemic level, and laboratory-based polysomnograms and manual titration were almost cancelled. With the subsidence of COVID-19, SDB medical services gradually resumed to approximately half of the pre-pandemic level by June. However, a second wave of COVID-19 in Beijing significantly reduced the recovery of SDB services. The application of polygraphy has increased significantly. Home-initiated PAP and telemedicine still accounted for a small part of SDB management during the pandemic.Conclusion: The COVID-19 pandemic has greatly challenged SDB management in China. Polygraphy played a major role in SDB diagnosis during the pandemic. Home-based SDB management and telemedicine have not been well implemented. The second surge of COVID-19 in Beijing cut back on the recovering SDB service to the early outbreak level, which may give us an impetus to restructure our sleep health service.Keywords: COVID-19, sleep disordered breathing, polygraphy, surveys and questionnaires
format	article
author	Zhang XL Wang W Xiao Y
author_facet	Zhang XL Wang W Xiao Y
author_sort	Zhang XL
title	Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China
title_short	Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China
title_full	Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China
title_fullStr	Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China
title_full_unstemmed	Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China
title_sort	sleep disordered breathing diagnosis and treatment during the covid-19 pandemic: a nationwide survey in china
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/4f32405f4b7149b9ad9ceedc8eaddf8e
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spelling	oai:doaj.org-article:4f32405f4b7149b9ad9ceedc8eaddf8e2021-12-02T15:13:18ZSleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China1179-1608https://doaj.org/article/4f32405f4b7149b9ad9ceedc8eaddf8e2021-01-01T00:00:00Zhttps://www.dovepress.com/sleep-disordered-breathing-diagnosis-and-treatment-during-the-covid-19-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Xiao Lei Zhang,1– 5 Wei Wang,6 Yi Xiao7 On behalf of the members of the Assembly of Sleep Disordered Breathing of the Chinese Thoracic Society1Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, People’s Republic of China; 2National Clinical Research Center for Respiratory Diseases, Beijing, People’s Republic of China; 3The Graduate School of Peking Union Medical College, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, People’s Republic of China; 4Capital Medical University, Beijing, People’s Republic of China; 5Peking University Health Science Center, Beijing, People’s Republic of China; 6Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Chinese Medical University, Shenyang, People’s Republic of China; 7Department of Respiratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People’s Republic of ChinaCorrespondence: Yi XiaoDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 1 Shuaifuyuan Street, Dongcheng District, Beijing 100730, People’s Republic of ChinaTel +86-13910158830Email xiaoyipumch@sina.comBackground and Objective: The coronavirus disease 2019 (COVID-19) pandemic has markedly impacted the distribution of medical resources and healthcare delivery systems. The objective of this study was to investigate the influence of the pandemic on the diagnosis and treatment of sleep-disordered breathing (SDB) in China.Methods: A retrospective online survey of sleep centers from the assembly of SDB of the Chinese Thoracic Society was conducted from July 1 to July 20, 2020. The questionnaire focused on four main aspects: 1) general information about the centers; 2) changes in SDB management activities, including patient volumes, diagnostic and positive airway pressure (PAP) titration procedures, and follow-up methods, from February to June 2020, compared with before; 3) the application of telemedicine and sleep specialists’ self-assessments of knowledge and their perspectives on telemedicine; and 4) changes in medical staff active in sleep services during the pandemic compared with before.Results: Fifty-three (96%) of the sleep centers responded to the survey. During the early stage of the outbreak, SDB medical services were dramatically reduced to 5– 10% of the pre-epidemic level, and laboratory-based polysomnograms and manual titration were almost cancelled. With the subsidence of COVID-19, SDB medical services gradually resumed to approximately half of the pre-pandemic level by June. However, a second wave of COVID-19 in Beijing significantly reduced the recovery of SDB services. The application of polygraphy has increased significantly. Home-initiated PAP and telemedicine still accounted for a small part of SDB management during the pandemic.Conclusion: The COVID-19 pandemic has greatly challenged SDB management in China. Polygraphy played a major role in SDB diagnosis during the pandemic. Home-based SDB management and telemedicine have not been well implemented. The second surge of COVID-19 in Beijing cut back on the recovering SDB service to the early outbreak level, which may give us an impetus to restructure our sleep health service.Keywords: COVID-19, sleep disordered breathing, polygraphy, surveys and questionnairesZhang XLWang WXiao YDove Medical Pressarticlecovid-19sleep disordered breathingpolygraphysurveys and questionnairesPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 21-30 (2021)

Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China

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