Song Hyun-Ji, Kim Jiyun
Gastrointestinal Endoscopy Center, Gachon University Gill Medical Center, Incheon 21565, Korea.
School of Nursing, Gachon University, Incheon 21936, Korea.
Healthcare (Basel). 2022 Apr 3;10(4):679. doi: 10.3390/healthcare10040679.
This study was performed to check the validity of and propose a cutoff point for measuring the neck circumference for screening hypoxia occurrence in patients undergoing sedative endoscopy. Data were collected from 168 patients who visited the Endoscopy Center of G University Hospital between 27 April 2020 and 12 June 2020 to undergo sedative endoscopy. Hypoxia occurrences were measured using sleep questionnaires (STOP-BANG and Berlin questionnaires), and the neck circumference measurements of the patients were compared. Neck circumference as a predictor of hypoxia and its sensitivity and specificity according to the cutoff values were high; thus, it is a valid screening test for hypoxia in patients undergoing sedative endoscopy. The most appropriate cutoff values for sitting neck circumference and lying neck circumference in men were 40.5 and 40.3, respectively, and those for women were 35.3 and 35.8, respectively. Hypoxia can be predicted in patients undergoing sedative endoscopy by measuring their neck circumference.
本研究旨在检验测量颈部周长对于筛查接受镇静内镜检查患者缺氧情况的有效性，并提出一个临界值。收集了2020年4月27日至2020年6月12日期间前往G大学医院内镜中心接受镇静内镜检查的168例患者的数据。使用睡眠问卷（STOP-BANG问卷和柏林问卷）测量缺氧情况，并比较患者的颈部周长测量值。颈部周长作为缺氧的预测指标，根据临界值其敏感性和特异性较高；因此，它是筛查接受镇静内镜检查患者缺氧情况的有效测试。男性坐位颈部周长和卧位颈部周长的最合适临界值分别为40.5和40.3，女性分别为35.3和35.8。通过测量颈部周长可以预测接受镇静内镜检查患者的缺氧情况。
