引發勃起功能障礙風險與阻塞型睡眠呼吸中止症的全國調查
盧致誠 范文宙
奇美醫療財團法人柳營奇美醫院 外科部 泌尿外科
Increased risk of erectile dysfunction in patients with
Obstructive sleep apnea: a nationwide study
Chih-Cheng Lu, Wen-Chou Fan
Division of Urology, Department of Surgery, Chi Mei Medical Center, Liouying, Tainan
 
Purpose:
Obstructive sleep apnea (OSA) syndrome is a disease with recurring episodes of apnea or hypopnea from total or partial pharyngeal collapse during sleep. This study investigates the possible association between OSA and erectile dysfunction(ED).
Materials and Methods:
A retrospective cohort study was conducted with 2 study groups: an OSA group and a matched non-OSA control group. The nationwide database from the National Health Insurance (NHID) was used. OSA was defined in a male patient if he had at least two outpatient service claims with the codes of OSA (ICD-9-CM code 780.51, 780.53, 780.57, 327.23) at any hospital or local medical clinic and received a polysomnography test or had a single hospitalization for OSA among the 4 claims diagnosis codes. In Taiwan, ED is diagnosed based on the results of a self-administered International Index of Erectile Dysfunction-5 questionnaire. ED (ICD-9 coded as 607.84) was identified only through a diagnosis made during admission or by a specialist during 3 hospital visits. Any diagnosed ED before OSA was excluded. All individuals in the NHID were encrypted for confidentiality.
Results:
A total of 3831 OSA patients and 15324 age, gender, and index date matched non-OSA patients were followed at least 10 years. Approximately 65% of the group was younger than 50 years old, 24% was 50 to 65 years old, and 11% was older than 65 years old. Patients with OSA had a higher prevalence of ED.
Conclusion:
The possible association between OSA and ED is shown from this nationwide study. Awareness of OSA and risk of developing ED is suggested for the physicians. .
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    發表人
    系統管理者
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    台灣泌尿科醫學會
    標籤
    非討論式海報
    建立
    2016-06-10 14:14:00
    最近修訂
    2016-06-10 14:14:50
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