Department of Surgery, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153, USA.
Department of Medicine, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153, USA.
Am J Surg. 2014 Mar;207(3):436-40; discussion 439-40. doi: 10.1016/j.amjsurg.2013.09.018. Epub 2013 Dec 24.
To determine the risk of obstructive sleep apnea (OSA) in preoperative surgical patients.
Three hundred seventy-one new patients presenting to an outpatient general surgery clinic were prospectively screened for risk of OSA using the STOP-Bang questionnaire. Patients were classified as high risk with a score of >3 on the STOP-Bang questionnaire. Polysomnography results were reviewed when available.
Complete questionnaires were available on 367 (98.9%) patients. Two hundred thirty-seven patients (64.6%) were classified as high risk of OSA on the questionnaire. Polysomnography results available on 49 patients revealed severe OSA in 17 (34.5%), moderate in 8 (16.5%), mild in 14 (28.5%), and no OSA in 10 (20.5%) patients. The positive predictive value and sensitivity of the questionnaire were 76%, and 92% for the STOP-Bang questionnaire, respectively. The sensitivity increased to 100% for severe OSA.
Preoperative screening for OSA should be considered to diagnose patients at risk.
确定术前手术患者发生阻塞性睡眠呼吸暂停（OSA）的风险。
371 名新就诊于普通外科门诊的患者前瞻性地使用 STOP-Bang 问卷筛查 OSA 风险。评分>3 分的患者被归类为高风险。当有睡眠监测结果时，将对其进行回顾。
367 名（98.9%）患者的完整问卷可用。237 名（64.6%）患者在问卷中被归类为 OSA 高风险。49 名患者的睡眠监测结果显示，17 名（34.5%）患者存在严重 OSA，8 名（16.5%）患者存在中度 OSA，14 名（28.5%）患者存在轻度 OSA，10 名（20.5%）患者无 OSA。问卷的阳性预测值和敏感性分别为 76%和 92%。对于严重 OSA，敏感性增加到 100%。
应考虑对 OSA 进行术前筛查以诊断有风险的患者。
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