Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, Lodz, Poland.
Department of Sleep Medicine and Sleep Disorder Center, Aichi Medical University, Aichi, Japan.
Adv Respir Med. 2021;89(2):188-196. doi: 10.5603/ARM.a2021.0038.
Obstructive sleep apnea (OSA) is a disease of significant importance, which may lead to numerous severe clinical consequences. The gold standard in the diagnosis of this sleep-related breathing disorder (SRBD) is polysomnography (PSG). However, due to the need for high expertise of staff who perform this procedure, its complexity, and relatively low availability, some simpler substitutes have been developed; among them is polygraphy (PG), which is most widely used. Also, there is a variety of questionnaires suitable to assess the pre-test probability and severity of OSA. The most frequently used ones are the STOP-BANG questionnaire (SBQ), NoSAS questionnaire, and Berlin questionnaire (BQ). However, they have different sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) when being used in various populations. The aim of this study is to provide a concise and clinically-oriented review of the most frequently used questionnaires, with special attention to its strengths and limitations. Moreover, we discuss whether PSG or PG would be more preferred for confirming OSA diagnosis with the highest likelihood.
阻塞性睡眠呼吸暂停（OSA）是一种非常重要的疾病，可能导致许多严重的临床后果。这种与睡眠相关的呼吸障碍（SRBD）的金标准诊断方法是多导睡眠图（PSG）。然而，由于进行该程序的工作人员需要高度的专业知识、其复杂性以及相对较低的可用性，因此已经开发了一些更简单的替代方法；其中最广泛使用的是多导睡眠描记术（PG）。此外，还有各种适合评估 OSA 预测试概率和严重程度的问卷。最常用的是 STOP-BANG 问卷（SBQ）、NoSAS 问卷和柏林问卷（BQ）。然而，当它们在不同人群中使用时，其敏感性、特异性、阳性预测值（PPV）和阴性预测值（NPV）有所不同。本研究的目的是简要且以临床为导向地综述最常使用的问卷，特别关注其优缺点。此外，我们还讨论了 PSG 或 PG 哪种方法更适合以最高的可能性来确认 OSA 诊断。
