Balsevičius T, Vaitukaitienė G, Šaduikytė B, Miliauskas S, Pribuišienė R
Department of Otorhinolaryngology, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161, Kaunas, Lithuania.
Department of Pulmonology and Immunology, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161, Kaunas, Lithuania.
Sleep Breath. 2021 Sep;25(3):1503-1509. doi: 10.1007/s11325-020-02256-1. Epub 2021 Jan 6.
The aim of this study was to prepare and validate the Lithuanian version of the STOP-BANG questionnaire and evaluate its correlation with polysomnography results.
In this study, we included patients ≥ 18 years of age who underwent overnight polysomnography between January 1 in 2018 and January 1 in 2019. All patients completed the STOP-BANG questionnaire before polysomnography. To assess the adequacy of the questionnaire, we used contingency tables and areas under the receiver operating characteristic curve.
The study included 236 patients. The mean age of the patients was 55.2 ± 11.5 years and 159 (68%) were men. The mean apnea-hypopnea index for the entire study group was 33.8 ± 28.4, and the mean STOP-BANG score was 5.4 ± 1.6 points. Moderate (0.3-0.7, p < 0.05) correlations were found between the STOP-BANG questionnaire scores and all measured objective anthropometric and polysomnography parameters. The questionnaire's Cronbach's alpha score was 0.408. Based on the analysis of the ROC curves, the cut-off STOP-BANG score of 3 points showed a sensitivity of 87% and a specificity of 50% (AUC = 0.717) for the identification of any OSA. The positive predictive value (PPV) for an identification of any OSA at a cut-off point of 3 was 96%, and the negative predictive value (NPV) was 26%.
The linguistic and cultural adaptation of the Lithuanian version of the STOP-BANG questionnaire was carried out in accordance with international recommendations. The Lithuanian version of the STOP-BANG questionnaire is characterized by high sensitivity and average specificity in diagnosing OSA.
本研究的目的是编制并验证立陶宛语版的STOP-BANG问卷，并评估其与多导睡眠图结果的相关性。
在本研究中，我们纳入了2018年1月1日至2019年1月1日期间接受过夜多导睡眠图检查的18岁及以上患者。所有患者在多导睡眠图检查前完成了STOP-BANG问卷。为评估问卷的充分性，我们使用了列联表和受试者操作特征曲线下的面积。
该研究纳入了236名患者。患者的平均年龄为55.2±11.5岁，其中159名（68%）为男性。整个研究组的平均呼吸暂停低通气指数为33.8±28.4，STOP-BANG问卷的平均得分为5.4±1.6分。在STOP-BANG问卷得分与所有测量的客观人体测量学和多导睡眠图参数之间发现了中度（0.3-0.7，p<0.05）相关性。问卷的Cronbach's alpha得分为0.408。基于ROC曲线分析，STOP-BANG问卷得分为3分时，识别任何阻塞性睡眠呼吸暂停（OSA）的敏感性为87%，特异性为50%（AUC=0.717）。在截断点为3时识别任何OSA的阳性预测值（PPV）为96%，阴性预测值（NPV）为26%。
立陶宛语版的STOP-BANG问卷在语言和文化方面的改编是按照国际建议进行的。立陶宛语版的STOP-BANG问卷在诊断OSA方面具有高敏感性和中等特异性的特点。
