STOP-Bang 评分预测肥胖患者阻塞性睡眠呼吸暂停的性能。
Predictive performance of the STOP-Bang score for identifying obstructive sleep apnea in obese patients.
机构信息
Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, MCL 2-405, 399 Bathurst Street, Room 405, 2McL wing, Toronto, ON, M5T 2S8, Canada,
出版信息
Obes Surg. 2013 Dec;23(12):2050-7. doi: 10.1007/s11695-013-1006-z.
BACKGROUND
The loud Snoring, Tiredness, Observed apnea, high blood Pressure (STOP)-Body mass index (BMI), Age, Neck circumference, and gender (Bang) questionnaire is a validated screening tool for identifying obstructive sleep apnea in surgical patients. However, the predictive performance of the STOP-Bang score in obese and morbidly obese patients remains unknown.
METHODS
Preoperative patients were approached for consent and were screened for obstructive sleep apnea (OSA) by the STOP questionnaire. Information concerning Bang was collected. Laboratory or portable polysomnography were performed in 667 patients. Patients with BMI of ≥ 30 kg/m(2) were defined as obese patients and ≥ 35 kg/m(2) as morbidly obese. The predictive parameters (sensitivity, specificity, and positive and negative predictive values) for the STOP-Bang score in obese and morbidly obese patients were analyzed.
RESULTS
In 310 obese patients, a STOP-Bang score of 3 has high sensitivity of 90 % and high positive predictive value of 85 % for identifying obese patient with OSA. A STOP-Bang score of 4 had high sensitivity (87.5 %) and high negative predictive value (90.5 %) for identifying severe OSA, whereas a STOP-Bang score of 6 had high specificity (85.2 %) to identify severe OSA. The diagnostic odds ratio of a STOP-Bang score of 4 was 4.9 for identifying severe OSA. In 140 morbidly obese patients, a STOP-Bang score of 4 had high sensitivity (89.5 %) for identifying severe OSA.
CONCLUSIONS
The STOP-Bang score was validated in the obese and morbidly obese surgical patients. For identifying severe OSA, a STOP-Bang score of 4 has high sensitivity of 88 %. For confirming severe OSA, a score of 6 is more specific.
背景
响亮的鼾声、嗜睡、观察到的呼吸暂停、高血压（STOP）-体重指数（BMI）、年龄、颈围和性别（Bang）问卷是一种经过验证的筛查工具，用于识别手术患者中的阻塞性睡眠呼吸暂停。然而，STOP-Bang 评分在肥胖和病态肥胖患者中的预测性能尚不清楚。
方法
对术前患者进行同意书的征询，并通过 STOP 问卷对其进行阻塞性睡眠呼吸暂停（OSA）筛查。收集有关 Bang 的信息。对 667 名患者进行实验室或便携式多导睡眠图检查。BMI≥30kg/m²的患者定义为肥胖患者，BMI≥35kg/m²的患者定义为病态肥胖患者。分析肥胖和病态肥胖患者的 STOP-Bang 评分的预测参数（敏感性、特异性、阳性和阴性预测值）。
结果
在 310 名肥胖患者中，STOP-Bang 评分为 3 时，对识别患有 OSA 的肥胖患者具有 90%的高敏感性和 85%的高阳性预测值。STOP-Bang 评分为 4 时，对识别严重 OSA 具有高敏感性（87.5%）和高阴性预测值（90.5%），而 STOP-Bang 评分为 6 时，对识别严重 OSA 具有高特异性（85.2%）。STOP-Bang 评分为 4 的诊断优势比为 4.9，用于识别严重 OSA。在 140 名病态肥胖患者中，STOP-Bang 评分为 4 时对识别严重 OSA 具有高敏感性（89.5%）。
结论
STOP-Bang 评分在肥胖和病态肥胖手术患者中得到了验证。对于识别严重 OSA，STOP-Bang 评分为 4 时具有 88%的高敏感性。对于确认严重 OSA，评分为 6 时更具特异性。
Zotero 插件