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首页> 外文期刊>Cureus. >The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting
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The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

机译：睡眠临床环境中肥急睡眠呼吸暂停筛查止乳呼吸暂停筛查的预测性能

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Background The prevalence of obstructive sleep apnea (OSA) is high in the obese population. In this study, it was aimed to fulfill the STOP-Bang questionnaire which is a concise and easy-to-use questionnaire for OSA screening in obese patients. Materials & methods This is a retrospective study where the patients, who planned polysomnography, were referred to sleep clinic. Patients were screened for OSA?by the STOP-Bang questionnaire. Laboratory polysomnography was performed in 275 patients. Patients with BMI ≥ 30 were taken into study. The screening test was evaluated by three different risk analysis such as, a?STOP score, a STOP-Bang score and a modified STOP-Bang score. The predictive parameters (sensitivity, specificity, and positive and negative predictive values) for alternative scoring models in obese patients were analyzed. Results In 217 obese patients, a STOP score cutoff of 3 and a STOP-Bang score cutoff of 4 provides a better balance of sensitivity and specificity for all OSA (apnea-hypopnea index [AHI] ≥ 5). The STOP questionnaire revealed a sensitivity of 87.9%?and a positive predictive value of 99.5% for patients with all OSA (p: 0.005). The STOP-Bang scoring model revealed a sensitivity of 95.3% and a positive predictive value of 99.5% for patients with all OSA (p 0.001). The modified STOP-Bang scoring revealed a sensitivity of 95.8% and a positive predictive value of 99.5% for patients with all OSA (p 0.001). The area under the curve of the STOP-Bang for identifying mild, moderate and severe OSA was 0.581, 0.652 and 0.675, respectively. Whereas according to the STOP-Bang, all morbid obese patients (obesity class III, n: 47) were at high risk of OSA. Conclusion This study suggests that the STOP-Bang questionnaire for obstructive sleep apnea screening in obese patients is a high sensitivity and appropriate screening test.
机译：背景技术肥胖睡眠呼吸暂停（OSA）的患病率在肥胖人口中很高。在这项研究中，它旨在履行止乳问卷，这是肥胖患者在OSA筛查的简明且易于使用的问卷。材料和方法这是一个回顾性研究，其中患者计划多面组的患者被称为睡眠诊所。患者被筛选为OSA？通过停止爆炸问卷。在275名患者中进行了实验室多瘤术。 BMI≥30患者被采用研究。通过三种不同的风险分析评估筛选试验，例如a？停止得分，停止爆炸得分和改进的停止爆炸得分。分析了肥胖患者替代评分模型的预测参数（敏感性，特异性和正面和负面预测值）。结果217名肥胖患者，停止评分截止3和止动轰击截止值为4，为所有OSA（呼吸暂停 - 缺氧指数[AHI]≥5）提供了更好的敏感性和特异性平衡。停止问卷揭示了87.9％的敏感性？患者所有OSA的患者的阳性预测值为99.5％（P：0.005）。 STOP-BANG评分模型显示出95.3％的敏感性，患有所有OSA的患者的敏感性为95.3％，阳性预测值为99.5％（P <0.001）。改良的停止爆炸评分显示所有OSA的患者的敏感性为95.8％，阳性预测值为99.5％（P <0.001）。用于识别温和，中度和严重OSA的止动凸缘的曲线下的区域分别为0.581,0.652和0.675。虽然根据停止爆炸，但所有病态肥胖患者（肥胖等级III，N：47）都是高奥奥的风险。结论本研究表明，肥胖患者阻塞性睡眠呼吸暂停筛查的止乳问卷是一种高灵敏度和适当的筛选试验。

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