Prevalence and Treatment Patterns of Sleep Disorders in the Under 20 Population: analysis using a national health insurance claims database
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Objectives: Child and adolescent sleep is an important factor for brain and physical development. Therefore, it is necessary to investigate the prevalence of sleep disorders and nonorganic sleep disorders in children and adolescents and determine the type of utilization of medical institutions. This study analyzed the prevalence and type of medical institutions in Korean children and adolescents with sleep disorders and nonorganic sleep disorders. Methods: This study used data recorded in the Health Insurance Review and AssessmentNational Patient Sample (HIRA-NPS) database from 2010 to 2017. Details of medical institution type and patient’s sex, age, and treatment type were extracted for patients younger than 20 years with sleep disorders and nonorganic sleep disorders. Results: Among 2,536,478 patients under age 20, we identified 3,772 patients with sleep disorders or nonorganic sleep disorders. From 2010 to 2017, the prevalence of sleep disorders in children and adolescents was 0.07% to 0.09%. The utilization rate of Korean medical institutions was 30.47%. The prevalence of nonorganic sleep disorders and the utilization rate of Korean medical institutions were 0.06% to 0.08% and 45.99%, respectively. Conclusion: The prevalence of sleep disorders and nonorganic sleep disorders in the under-20 population was 0.14% to 0.16%. More than 70% of patients with nonorganic sleep disorder who were younger than 9 years used Korean medical institutions.
Abstract
Objectives: Child and adolescent sleep is an important factor for brain and physical development. Therefore, it is necessary to investigate the prevalence of sleep disorders and nonorganic sleep disorders in children and adolescents and determine the type of utilization of medical institutions. This study analyzed the prevalence and type of medical institutions in Korean children and adolescents with sleep disorders and nonorganic sleep disorders. Methods: This study used data recorded in the Health Insurance Review and AssessmentNational Patient Sample (HIRA-NPS) database from 2010 to 2017. Details of medical institution type and patient’s sex, age, and treatment type were extracted for patients younger than 20 years with sleep disorders and nonorganic sleep disorders. Results: Among 2,536,478 patients under age 20, we identified 3,772 patients with sleep disorders or nonorganic sleep disorders. From 2010 to 2017, the prevalence of sleep disorders in children and adolescents was 0.07% to 0.09%. The utilization rate of Korean medical institutions was 30.47%. The prevalence of nonorganic sleep disorders and the utilization rate of Korean medical institutions were 0.06% to 0.08% and 45.99%, respectively. Conclusion: The prevalence of sleep disorders and nonorganic sleep disorders in the under-20 population was 0.14% to 0.16%. More than 70% of patients with nonorganic sleep disorder who were younger than 9 years used Korean medical institutions.
참고문헌 (25)
- Galland BC, "Normal sleep patterns in infants and children : a systematic review of observational studies", Sleep Med Rev, 16(3), pp.213~222 (2012)
- Nazeer A, "Understanding sleep and sleep disorders in children and adolescents", J Altern Med Res, 12(3), pp.211~220 (2020)
- Hoban TF, "Sleep disorders in children", Ann N Y Acad Sci, 1184(1), pp.1~14 (2010)
- Hirshkowitz M, "National Sleep Foundation’s sleep time duration recommendations : methodology and results summary", Sleep Health, 1(1), pp.40~43 (2015)
- Carter KA, "Common sleep disorders in children", Am Fam Physician, 89(5), pp.368~377 (2014)
- Meltzer LJ, "Prevalence of diagnosed sleep disorders in pediatric primary care practices", Pediatrics, 125(6), pp.e1410~E1418 (2010)
- Stores G, "Aspects of sleep disorders in children and adolescents", Dialogues Clin Neurosci, 11(1), pp.81~90 (2009)
- 김동순, "Sleep problems in children and adolescents at pediatric clinics", Clinical and Experimental Pediatrics, 60(5), pp.158~165 (2017), 대한소아청소년과학회
- Chang-Young Kwon, "Complementary and Alternative Medicine in Clinical Practice Guideline for Insomnia", 동의신경정신과학회지, 27(4), pp.235~248 (2016), 대한한방신경정신과학회
- Huang CW, "Utilization patterns of traditional medicine in Taiwan and South Korea by using national health insurance data in 2011", PLoS One, 13(12), pp.e0208569~ (2018)
- 김지애, "Towards Actualizing the Value Potential of Korea Health Insurance Review and Assessment (HIRA) Data as a Resource for Health Research: Strengths, Limitations, Applications, and Strategies for Optimal Use of HIRA Data", Journal of Korean Medical Science, 32(5), pp.718~728 (2017), 대한의학회
- Son C, "Analysis of medical services for insomnia in Korea : a retrospective, crosssectional study using the health insurance review and assessment claims data", Healthcare (Basel), 10(1), pp.7~ (2021)
- 김수진, "Utilization of Western and Traditional Korean Medicine for Children and Adolescents with Mental Disorders: A Nationwide Population-based Study from 2010 to 2012", Journal of Korean Medical Science, 31(5), pp.770~776 (2016), 대한의학회
- Honaker SM, "Sleep in pediatric primary care : a review of the literature", Sleep Med Rev, 25, pp.31~39 (2016)
- Riemann D, "European guideline for the diagnosis and treatment of insomnia", J Sleep Res, 26(6), pp.675~700 (2017)
- Bathgate CJ, "Handbook of sleep disorders in medical conditions", pp.3~25 (2019), Academic Press
- Sateia MJ, "International classification of sleep disorders-third edition : highlights and modifications", Chest, 146(5), pp.1387~1394 (2014)
- Leung AKC, "Sleep terrors : an updated review", Curr Pediatr Rev, 16(3), pp.176~182 (2020)
- Bukhari MAA, "Diagnosis and treatment of sleep disorders : a brief review", Int J Med Dev ctries, 5(1), pp.364~369 (2021)
- Melchart D, "Prospective investigation of adverse effects of acupuncture in 97 733 patients", Arch Intern Med, 164(1), pp.104~105 (2004)
- Lee JY, "Systematic review of adverse effects from herbal drugs reported in randomized controlled trials", Phytother Res, 30(9), pp.1412~1419 (2016)
- Lin YF, "Hazards of insomnia and the effects of acupuncture treatment on insomnia", J Integr Med, 14(3), pp.174~186 (2016)
- Hayhoe S, "Insomnia: can acupuncture help?", Pain Manag, 7(1), pp.49~57 (2017)
- He W, "Acupuncture for treatment of insomnia : an overview of systematic reviews", Complement Ther Med, 42, pp.407~416 (2019)
- Lee YS, "Translation of Korean medicine use to ICD-codes using National Health Insurance Service-National Sample Cohort", Evid Based Complement Alternat Med, 2016, pp.8160838~ (2016)
