Department of Anaesthesia, Khoo Teck Puat Hospital, Alexandra Health System, Singapore.
Anaesthesia. 2013 Sep;68(9):950-2. doi: 10.1111/anae.12369. Epub 2013 Jul 13.
The STOP-BANG questionnaire screens for obstructive sleep apnoea. We retrospectively analysed the independent association of pre-operative variables with postoperative critical care admission using multivariable logistic regression for patients undergoing elective surgery from January to December 2011. Of 5432 patients, 338 (6.2%) were admitted postoperatively to the critical care unit. In multivariate analysis, the odds ratios (95% CI) for critical care admission were: 2.2 (1.1-4.6), p = 0.037; 3.2 (1.2-8.1), p = 0.017; and 5.1 (1.8-14.9), p = 0.002, for STOP-BANG scores of 4, 5 and ≥ 6, respectively. The odds ratio was also independently increased for: each year of age, 1.015 (1.004-1.026), p = 0.019; asthma, 1.6 (1.1-2.4), p = 0.016; obstructive sleep apnoea, 3.2 (1.9-5.6), p < 0.001; and for ASA physical status 2, 3 and ≥ 4, 2.1 (1.4-3.3), 6.5 (3.9-11.0), 6.3 (2.9-13.8), respectively, p < 0.001 for all.
STOP-BANG 问卷可筛查阻塞性睡眠呼吸暂停。我们回顾性地分析了 2011 年 1 月至 12 月期间行择期手术患者的术前变量与术后入住重症监护病房的独立相关性，使用多变量逻辑回归分析。5432 例患者中，338 例（6.2%）术后入住重症监护病房。多变量分析中，入住重症监护病房的比值比（95%CI）为：4 分（2.2-4.6），p=0.037；5 分（3.2-8.1），p=0.017；≥6 分（5.1-14.9），p=0.002。STOP-BANG 评分分别为 4、5 和≥6 时，风险比也分别独立增加：年龄每增加 1 岁，1.015（1.004-1.026），p=0.019；哮喘，1.6（1.1-2.4），p=0.016；阻塞性睡眠呼吸暂停，3.2（1.9-5.6），p<0.001；ASA 身体状况 2、3 和≥4，风险比分别为 2.1（1.4-3.3）、6.5（3.9-11.0）、6.3（2.9-13.8），p<0.001。
