Amra Babak, Saberpur Shahhin, Ghoharian Vahid, Tabatabai Sayed Abbas, Akbari Mojtaba, Beni Batool Hashemi
Department of Pulmonology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2013 Mar 6;2:16. doi: 10.4103/2277-9175.107992. Print 2013.
To examine the prevalence of high-risk subjects of obstructive sleep apnea (OSA) and its predictive factors in patients undergoing elective surgery by using the Berlin Questionnaire.
300 surgical ASA physical status I, II, III, and IV patients were surveyed. Patients were screened with the Berlin questionnaire for obstructive sleep apnea. Data of sex, age, BMI and HTN also evaluated. Data were analyzed by Chi-square test and P < 0.05 was meaningful.
The Berlin questionnaire identified 25.3% (76/300) of patients as being at high risk of sleep apnea (95% confidence interval, 20%-28%). This group consisted of 195 (65%) males and 105 (35%) females. The prevalence of high-risk subjects in men were more significantly than women (P = 0.001). High-risk subjects also were increasing with age (P = 0.000) and increasing with obesity (P = 0.000) and arterial hypertension (P = 0.000).
Predictors of high risk for OSA-related symptoms were female sex, age more than 50 years, and body mass index.
通过使用柏林问卷来检查择期手术患者中阻塞性睡眠呼吸暂停（OSA）高危受试者的患病率及其预测因素。
对300例美国麻醉医师协会（ASA）身体状况为I、II、III和IV级的手术患者进行调查。使用柏林问卷对患者进行阻塞性睡眠呼吸暂停筛查。还评估了性别、年龄、体重指数（BMI）和高血压的数据。采用卡方检验进行数据分析，P<0.05具有统计学意义。
柏林问卷确定25.3%（76/300）的患者为睡眠呼吸暂停高危患者（95%置信区间，20%-28%）。该组包括195名（65%）男性和105名（35%）女性。男性高危受试者的患病率显著高于女性（P = 0.001）。高危受试者也随着年龄增长而增加（P = 0.000），随着肥胖增加（P = 0.000）以及动脉高血压增加（P = 0.000）。
OSA相关症状的高危预测因素为女性、年龄超过50岁和体重指数。
