Khassawneh Basheer, Ghazzawi Mohammad, Khader Yousef, Alomari Mousa, Amarin Zouhair, Shahrour Bashar, Hammouda Mohanad
Department of Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Sleep Breath. 2009 Aug;13(3):227-32. doi: 10.1007/s11325-008-0240-4. Epub 2008 Dec 10.
Primary care is central for the diagnosis and treatment of obstructive sleep apnea (OSA). The aim of this study was to estimate the prevalence of symptoms and risk of OSA in primary care in Jordan.
A cross-sectional survey was conducted between July and October 2006. Adult patients attending primary health care in the north of Jordan were included and the Berlin questionnaire was utilized.
A total of 1,205 patients completed the questionnaire, 46% were males, and mean age was 32.2 years. Based on the Berlin questionnaire definition, the overall OSA risk was 16.8%, snoring was present in 28.7% and frequent daytime fatigue or tiredness in 33.9%. OSA risk increased with age. For age groups <30 years, 30-59 years, and >or=60 years OSA risk was 5.4%, 28.4%, and 45.9%, respectively, (p < 0.005). OSA risk was higher in men than women (19.3% vs. 14.7%, respectively, p < 0.04). Age of >or=30 years, chronic nasal congestion and illiteracy were associated with an increased risk of OSA.
Obstructive sleep apnea, snoring, and daytime sleepiness were common among Jordanian patients attending primary care clinics. More attention to OSA is needed in primary care, and patients at risk should be referred for further evaluation.
初级保健对于阻塞性睡眠呼吸暂停（OSA）的诊断和治疗至关重要。本研究旨在评估约旦初级保健中OSA症状的患病率和风险。
于2006年7月至10月进行了一项横断面调查。纳入了约旦北部接受初级卫生保健的成年患者，并使用了柏林问卷。
共有1205名患者完成了问卷，其中46%为男性，平均年龄为32.2岁。根据柏林问卷的定义，总体OSA风险为16.8%，打鼾的发生率为28.7%，白天频繁疲劳或困倦的发生率为33.9%。OSA风险随年龄增加而升高。对于年龄小于30岁、30至59岁以及大于或等于60岁的年龄组，OSA风险分别为5.4%、28.4%和45.9%（p<0.005）。男性的OSA风险高于女性（分别为19.3%和14.7%，p<0.04）。年龄大于或等于30岁、慢性鼻充血和文盲与OSA风险增加相关。
在约旦初级保健诊所就诊的患者中，阻塞性睡眠呼吸暂停、打鼾和白天嗜睡较为常见。初级保健中需要更多地关注OSA，应将有风险的患者转诊进行进一步评估。
