Saldías Peñafiel Fernando, Gassmann Poniachik Javiera, Canelo López Alejandro, Uribe Monasterio Javier, Díaz Patiño Orlando
Departamento de Enfermedades Respiratorias, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Med Chil. 2018 Dec;146(10):1123-1134. doi: 10.4067/S0034-98872018001001123.
Simple but accurate tools should be used to identify patients with obstructive sleep apnea syndrome (OSAS), aiming at an early detection and prevention of serious consequences.
To assess the predictive value of four sleep questionnaires (Berlin, Epworth Sleepiness Scale [ESS], STOP, and STOP-Bang) in the screening of patients with OSAS.
The four sleep questionnaires were administered to 1,050 snorers aged 56 ± 15 years (68% males) assessed at a sleep clinic. An overnight unattended respiratory polygraphy was performed to all patients to confirm the diagnosis of OSAS. The sensitivity, specificity, positive and negative predictive values of the four questionnaires were calculated.
Eighty four percent of participants had OSAS. The clinical variables associated with OSAS risk were age, male gender, hypertension, overweight, cervical circumference, waist/hip ratio, history of snoring, witnessed apneas and nycturia. Eighty-three, 86, 92 and 46 % of cases were classified as having a high risk for OSAS, according to the Berlin, STOP and STOP-Bang questionnaires and ESS, respectively. STOP and STOP-Bang questionnaires had the highest sensitivity to predict OSAS (88 and 95%, respectively) while the Flemons Index had the highest specificity (82%).
Sleep questionnaires were able to identify patients with a high risk for OSAS but without accurately excluding those at low risk.
应使用简单但准确的工具来识别阻塞性睡眠呼吸暂停综合征（OSAS）患者，旨在早期发现并预防严重后果。
评估四种睡眠问卷（柏林问卷、爱泼沃斯思睡量表[ESS]、STOP问卷和STOP - Bang问卷）在筛查OSAS患者中的预测价值。
对在睡眠诊所接受评估的1050名年龄为56±15岁的打鼾者（68%为男性）进行了这四种睡眠问卷的调查。对所有患者进行了整夜无人值守的呼吸多导睡眠图检查以确诊OSAS。计算了这四种问卷的敏感性、特异性、阳性预测值和阴性预测值。
84%的参与者患有OSAS。与OSAS风险相关的临床变量包括年龄、男性性别、高血压、超重、颈围、腰臀比、打鼾史、目击的呼吸暂停和夜尿症。根据柏林问卷、STOP问卷、STOP - Bang问卷和ESS，分别有83%、86%、92%和46%的病例被归类为OSAS高风险。STOP问卷和STOP - Bang问卷预测OSAS的敏感性最高（分别为88%和95%），而弗莱蒙斯指数的特异性最高（82%）。
睡眠问卷能够识别出OSAS高风险患者，但不能准确排除低风险患者。
