预测BOAH和No-apnea分数的预测值用于选轮班工作者司机的阻塞性睡眠呼吸暂停
Luiz Antônio Alves de Menezes-Júnior1, Virgínia Capistrano Fajardo2, Raimundo Marques do Nascimento Neto3
1Post-Graduate in Health and Nutrition, Federal University of Ouro Preto, Ouro Preto, MG, 35400-000, Brazil.
Sleep medicine: X
|September 15, 2023
概括
BOAH和No-apnea分数有效地识别轮班工人阻塞性睡眠呼吸暂停 (OSA) 的风险. 结合这些分数可以提高OSA的预测,帮助早期检测和干预.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 诊断工具 诊断工具
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一个重要的健康问题,特别是在轮班工作者中.
- 风险评估工具对于早期检测这一群体至关重要.
研究的目的:
- 为了评估BOAH (身体质量指数,观察到的呼吸暂停,年龄和高血压) 评分和检测OSA风险的无呼吸暂停评分的诊断值.
- 评估这些分数在轮班工人中的综合预测能力.
主要方法:
- 对男性轮班工人和重型越野机械司机进行了横截面研究.
- BOAH评分包括BMI,目击呼吸暂停,年龄和高血压. 无呼吸暂停评分使用子周长和年龄.
- 使用呼吸暂停-呼吸暂停指数 (AHI) 分类OSA严重程度;计算诊断值 (灵敏度,特异性,AUC).
主要成果:
- 在119名工人中,84.0%的AHI≥5,46.2%的AHI≥15,14.3%的AHI≥30.
- 没有呼吸暂停的得分显示,AHI ≥5.5的AUC (0.692) 比BOAH得分 (0.679) 高.
- 结合得分改善了预测:AHI≥5的AUC为0.727和AHI≥30的AUC为0.706.
结论:
- 轮班工人和重型机械操作人员的OSA风险识别BOAH和无呼吸障碍分数是有价值的.
- 使用这两个分数一起提高了阻塞性睡眠呼吸暂停的预测,促进了有针对性的干预措施.
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