Hammel Neurorehabilitation Centre and University Clinic, Aarhus University, Aarhus, Denmark.
Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Sleep Breath. 2024 Aug;28(4):1707-1713. doi: 10.1007/s11325-024-03062-9. Epub 2024 May 15.
The current study aims to assess the efficacy of the Stop-Bang Questionnaire (SBQ) in screening treatment-required sleep apnoea following Spinal Cord Injury (SCI). Additionally, we explore the performance of combined questionnaires and pulse oximetry to determine the most cost-effective method.
The study employs a cross-sectional observational design. All patients admitted to in-hospital rehabilitation at the Spinal Cord Injury Centre of Western Denmark from September 2022 to February 2023 were continuously enrolled. Participating patients underwent SBQ screening, a standard sleep questionnaire, and cardiorespiratory monitoring, followed by an individual consultation with a physician.
During the study period, 35 SCI patients were admitted, with 24 providing informed consent. Among the 24 included patients, there was a 75% prevalence of mild to severe sleep apnoea, and 46% had treatment-required sleep apnoea. The SBQ missed only one patient with treatment-required sleep apnoea but misclassified eight patients. Combining SBQ with the pulse oximetry demonstrated the best performance in identifying patients with sleep apnoea.
The study indicates that SBQ alone is insufficient for screening treatment-required sleep apnoea. Exploratory analysis suggests that combining SBQ with a simple pulse oximetry measurement might enhance accuracy.
本研究旨在评估睡眠窒息问卷（SBQ）在筛查脊髓损伤（SCI）后需要治疗的睡眠呼吸暂停的疗效。此外，我们还探讨了联合问卷和脉搏血氧仪的性能，以确定最具成本效益的方法。
本研究采用横断面观察性设计。从 2022 年 9 月至 2023 年 2 月，连续招募了所有入住丹麦西部脊髓损伤中心住院康复的患者。参与研究的患者接受了 SBQ 筛查、标准睡眠问卷和心肺监测，随后由医生进行个体咨询。
在研究期间，有 35 名 SCI 患者入院，其中 24 名患者同意参与。在 24 名纳入的患者中，轻度至重度睡眠呼吸暂停的患病率为 75%，有 46%的患者需要治疗的睡眠呼吸暂停。SBQ 仅漏诊了一名需要治疗的睡眠呼吸暂停患者，但错误分类了 8 名患者。SBQ 联合脉搏血氧仪的组合在识别睡眠呼吸暂停患者方面表现最佳。
本研究表明，SBQ 单独用于筛查需要治疗的睡眠呼吸暂停是不够的。探索性分析表明，SBQ 联合简单的脉搏血氧仪测量可能会提高准确性。
