Centro de Salud Sector Sur, Distrito Sanitario Córdoba-Guadalquivir, Distrito Sanitario Córdoba Guadalquivir, Córdoba, Spain.
Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain.
Front Public Health. 2022 Sep 9;10:975114. doi: 10.3389/fpubh.2022.975114. eCollection 2022.
Sleep apnea-hypopnea syndrome (OSA) is a highly prevalent disease and has been related to cardiovascular diseases and occupational and traffic accidents. Currently, it is estimated that there is a significant underdiagnosis of OSA, mainly due to the difficulty accessing the tests for that purpose.
To determine the usefulness of the Spanish version of the STOP-Bang questionnaire (SBQ) for screening for moderate or severe OSA in the adult population attending primary care.
A descriptive observational multicenter study was conducted. Through an opportunistic search, (patients over 18 years old), were recruited in seven primary care centers. The SBQ was applied to them and home respiratory polygraphy (HRP) was subsequently performed to confirm the diagnosis of OSA. The criterion validity of the SBQ was analyzed, comparing the score obtained by the SBQ with the apnea-hypopnea index (AHI) obtained by RP, establishing the diagnosis of OSA for an AHI>5. The reliability of the questionnaire was evaluated.
A total of 255 subjects, 54.1% men, with a mean age of 54.76 ± 10 years, were recruited in the study. The results showed that 61.57% (95% Confidence Interval: 55.57-67.57) of the subjects presented OSA, presenting 22.75% (17.57-57.92) a mild OSA (530) (11.54-20.62). The Kuder and Richardson coefficient was 0.623 (0.335-0.788) and Cohen's Kappa coefficient was 0.871 (0.520-1.00; < 0.001). For moderate/severe OSA screening (AHI>15) the SBQ obtained an ROC curve of 0.769 (0.704-0.833) that with an optimal cutoff of 3, achieved a sensitivity of 84.85% (77.28-92.42) and a specificity of 55.10% (44.74-65.46).
The SBQ is very effective for detecting moderate/severe OSA. Its psychometric properties are similar to those obtained in studies on other populations. Because of its ease of use, the SBQ is a very useful tool for primary health care professionals.
睡眠呼吸暂停低通气综合征（OSA）是一种高发疾病，与心血管疾病以及职业和交通事故有关。目前，OSA 的诊断明显不足，主要是因为难以获得相关检测。
评估西班牙版 STOP-Bang 问卷（SBQ）在初级保健人群中筛查中重度 OSA 的效用。
本研究为描述性观察性多中心研究。通过机会性搜索，在七个初级保健中心招募了（年龄超过 18 岁）患者。对他们进行 SBQ 评估，然后进行家庭呼吸多导睡眠图（HRP）以确认 OSA 的诊断。通过与 HRP 获得的呼吸暂停低通气指数（AHI）进行比较，分析 SBQ 的标准效度，确定 AHI＞5 的 OSA 诊断。评估问卷的可靠性。
共纳入 255 名患者，其中 54.1%为男性，平均年龄为 54.76±10 岁。结果显示，61.57%（95%置信区间：55.57-67.57）的患者患有 OSA，22.75%（17.57-57.92）的患者患有轻度 OSA（530）（11.54-20.62）。Kuder 和 Richardson 系数为 0.623（0.335-0.788），Cohen's Kappa 系数为 0.871（0.520-1.00；＜0.001）。对于中重度 OSA 筛查（AHI＞15），SBQ 的 ROC 曲线为 0.769（0.704-0.833），当截断值为 3 时，灵敏度为 84.85%（77.28-92.42），特异性为 55.10%（44.74-65.46）。
SBQ 对检测中重度 OSA 非常有效。其心理测量学特性与其他人群的研究结果相似。由于其易于使用，SBQ 是初级保健医生的非常有用的工具。
