Department of Thoracic Medicine, Sleep Disorders Unit, University of Crete, Heraklion, Crete, Greece.
BMC Pulm Med. 2013 Jan 24;13:6. doi: 10.1186/1471-2466-13-6.
The aim of our study was to validate a Greek translation of the Berlin Questionnaire (BQ) for obstructive sleep apnoea syndrome (OSAS) and to explore whether this screening questionnaire could be used to help identify primary care patients at greater risk of having OSAS.
We recruited 189 patients visiting a primary health care setting on the island of Crete, Greece. They all completed the Greek Version of the BQ. Patients were then referred to a Sleep Disorders Unit for evaluation of suspected sleep-disordered breathing.
A PSG study was performed in 129 of the 189 subjects (68.3%). BQ identified 74.4% (n = 96) of the patients as high-risk for OSAS and the remaining 25.6% (n = 33) as low-risk. The sensitivity and specificity of BQ for OSAS diagnosis were 76% and 40%, respectively, for an apnoea-hypopnoea index (AHI) ≥5 per hour but <15 per hour, 84% and 61% for an AHI ≥15 per hour but ≤30 per hour, and 79% and 39% for an AHI >30 per hour.
In conclusion, the Greek Version of the BQ is a useful instrument for identifying patients at risk for OSAS in primary health care in Greece. The findings of our study confirm that such screening tools should be used by primary care clinicians for OSAS prediction.
我们研究的目的是验证柏林问卷（BQ）希腊语译本对阻塞性睡眠呼吸暂停综合征（OSAS）的有效性，并探讨该筛查问卷是否可用于帮助识别初级保健患者中患有 OSAS 的高风险人群。
我们招募了 189 名在希腊克里特岛的初级保健机构就诊的患者。他们都完成了希腊版 BQ。随后，患者被转介到睡眠障碍科评估疑似睡眠呼吸障碍。
189 名患者中有 129 名（68.3%）进行了 PSG 研究。BQ 将 74.4%（n=96）的患者识别为 OSAS 高风险，其余 25.6%（n=33）为低风险。BQ 对 OSAS 诊断的敏感性和特异性分别为 76%和 40%，用于每小时 AHI≥5 但<15，84%和 61%用于每小时 AHI≥15 但≤30，79%和 39%用于每小时 AHI>30。
总之，希腊版 BQ 是一种在希腊初级保健中识别 OSAS 风险患者的有用工具。我们的研究结果证实，初级保健临床医生应使用此类筛查工具来预测 OSAS。
