Sadeghniiat-Haghighi Khosro, Abdullah Hakima, Najafi Arezu, Alemohammad Zahra Banafsheh, Ahmadi Jazi Kamran, Erfanian Reza
Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Amir Alam Hospital Complexs, Sa'adi Street, P.O. Box: 14155-6446, Tehran, Iran.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):4862-4869. doi: 10.1007/s12070-020-02341-7. Epub 2021 Jan 6.
Obstructive sleep apnea (OSA) has various complications for individuals' health. This study aimed to evaluate the factors for referring obstructive sleep apnea patients to otolaryngologists in Iranian residency entrance examination volunteers. This cross-sectional study recruited volunteer participants from the Iranian Residency Entrance Examination on March 2, 2018. The Obstructive Sleep Apnea Knowledge and Attitudes (OSAKA)/the Obstructive Sleep Apnea Knowledge and Attitudes in Children (OSAKA-KIDS) Questionnaires were distributed among residents attending exam preparation. Number of years working as a physician, number of adult and pediatric patients visited during the academic rank in residency examination, and the main specialty during general physician education in which they get familiar with obstructive sleep apnea were documented. The effect of the mentioned variables evaluated on patient referral preference specialty. Of the 95 volunteers, 57.9% were female; mean age was 29.6 ± 3.3 years. The overall knowledge score of the OSAKA questionnaire was 9.85 ± 3.9 and for the OSAKA-KIDS questionnaire was 9.2 ± 4.9. In patients under 18 years of age, the most frequent referrals were from otolaryngology specialists (51.2%). The only factor which had positive significant effect on adult patient referral preference was source of obstructive sleep apnea knowledge during general physician taring ( < 0.001). Given the low awareness about OSA in candidates for the residency entrance exam and the high importance of this treatable disease, the need for comprehensive training courses during residency is warranted and the adequacy of sleep apnea education through all involved specialty during general physician education should be improved.
阻塞性睡眠呼吸暂停（OSA）对个人健康有多种并发症。本研究旨在评估在伊朗住院医师入学考试志愿者中，将阻塞性睡眠呼吸暂停患者转诊至耳鼻喉科医生的相关因素。这项横断面研究于2018年3月2日从伊朗住院医师入学考试中招募了志愿者参与者。阻塞性睡眠呼吸暂停知识与态度（OSAKA）/儿童阻塞性睡眠呼吸暂停知识与态度（OSAKA - KIDS）问卷被分发给参加考试准备的住院医师。记录了作为医生的工作年限、住院医师考试学术排名期间诊治的成人和儿科患者数量，以及在普通医生教育期间熟悉阻塞性睡眠呼吸暂停的主要专业。评估上述变量对患者转诊偏好专业的影响。在95名志愿者中，57.9%为女性；平均年龄为29.6±3.3岁。OSAKA问卷的总体知识得分为9.85±3.9，OSAKA - KIDS问卷的得分为9.2±4.9。在18岁以下的患者中，最常见的转诊来自耳鼻喉科专家（51.2%）。对成年患者转诊偏好有积极显著影响的唯一因素是普通医生培训期间阻塞性睡眠呼吸暂停知识的来源（<0.001）。鉴于住院医师入学考试考生对OSA的认识较低，且这种可治疗疾病非常重要，因此有必要在住院医师培训期间开设综合培训课程，并应提高普通医生教育期间所有相关专业对睡眠呼吸暂停教育的充分性。
