Vidal Silvia, Ferrer Montserrat, Masuet Cristina, Somoza María, Martínez Ballarín José Ignacio, Monasterio Carmen
Servei de Pneumologia, Ciutat Sanitària i Universitària de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Arch Bronconeumol. 2007 May;43(5):256-61. doi: 10.1016/s1579-2129(07)60063-9.
The main symptom of sleep apnea-hypopnea syndrome (SAHS) is excessive daytime sleepiness. The self-administered Functional Outcomes of Sleep Questionnaire (FOSQ) was designed to evaluate the impact of sleepiness on a patient's daily life. The aim of this study was to determine the scores of patients with SAHS and of healthy individuals on the Spanish version of the FOSQ and to assess its usefulness for evaluating the impact of excessive sleepiness in patients with suspected SAHS.
Thirty-one patients with SAHS diagnosed by conventional polysomnography and 31 healthy individuals were included in the study. The following data were collected: patient information; use of tobacco, alcohol, or street drugs; blood pressure; and sleep schedule. Sleepiness was assessed on the Epworth Sleepiness Scale and the impact of sleepiness on activities of daily living by the FOSQ.
Patients with SAHS (apnea-hypopnea index, 57) had a mean FOSQ total score of 88.7; healthy individuals had a mean score of 110.9 (P< .001) Significant differences were found between the 2 groups on all the FOSQ subscales, except for the one that measured social outcome. There was a moderate correlation between the 2 questionnaires (r=--0.54; P=.01) and between FOSQ and the AHI (r=--0.39; P=.05). While the capacity to predict SAHS, based on receiver operating characteristic curves was greater for the Epworth Sleepiness Scale than for the FOSQ (area under the curve, 0.91 and 0.77, respectively), the diagnostic yield increased when both questionnaires were considered together.
We obtained FOSQ reference scores for Spanish patients with SAHS and for healthy individuals. The study showed that the Spanish version of the FOSQ is a good instrument for assessing the impact of excessive sleepiness on activities of daily living in patients with suspected SAHS.
睡眠呼吸暂停低通气综合征（SAHS）的主要症状是日间过度嗜睡。自行填写的睡眠功能结果问卷（FOSQ）旨在评估嗜睡对患者日常生活的影响。本研究的目的是确定SAHS患者和健康个体在西班牙语版FOSQ上的得分，并评估其对评估疑似SAHS患者过度嗜睡影响的有用性。
本研究纳入了31例经传统多导睡眠图诊断为SAHS的患者和31名健康个体。收集了以下数据：患者信息；烟草、酒精或违禁药物的使用情况；血压；以及睡眠时间表。采用爱泼华嗜睡量表评估嗜睡情况，并通过FOSQ评估嗜睡对日常生活活动的影响。
SAHS患者（呼吸暂停低通气指数为57）的FOSQ总分平均为88.7；健康个体的平均得分为110.9（P<0.001）。除测量社会结果的子量表外，两组在所有FOSQ子量表上均存在显著差异。两份问卷之间存在中度相关性（r = -0.54；P = 0.01），FOSQ与呼吸暂停低通气指数之间也存在中度相关性（r = -0.39；P = 0.05）。基于受试者工作特征曲线，爱泼华嗜睡量表预测SAHS的能力高于FOSQ（曲线下面积分别为0.91和0.77），但当同时考虑两份问卷时，诊断率会提高。
我们获得了西班牙SAHS患者和健康个体的FOSQ参考分数。研究表明，西班牙语版FOSQ是评估疑似SAHS患者过度嗜睡对日常生活活动影响的良好工具。
